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Program Coordinator

NY Req ID: R020908 Hybrid
Duties & Responsibilities:Verifies reward requests based on required preventive services appropriate for the member’s age, gender and other accepted demographics as outlined via the Member Reward Card Program Guidelines, HEDIS/QARR Technical Specifications, and CMS/DOH guidelinesConducts...
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Senior Manager, Population Health

NY Req ID: R020773 Hybrid
Duties and Responsibilities: Develops strategy by conducting market research and reviewing industry wide changes for engaging provider populations with quality programs while ensuring existing provider engagement programs are aligned with external incentive programs.Oversees the day-to-day...
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Change Manager - Modernization (PayDoc)

NY Req ID: R019440 Hybrid
Duties & Responsibilities:Manages assigned initiatives, including workplan development, stakeholder management, change management, implementation, success measurement, and communication of project status to business stakeholders.Partners with IT and Delivery teams in the delivery of technical...
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Field Care Manager - Behavioral Health

NY Req ID: R021001 On-site
Applies care management principles by advocating, informing, and educating beneficiaries on services, self-management techniques, and health benefits related to the continuum of careReviews discharge planning, assessments, medical records, and screening for members currently admitted to assigned...
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Director, HARP Care Management

NY Req ID: R020672 Hybrid
Duties/Responsibilities: Lead, mentor, and support the HARP Care Management team, ensuring high clinical quality, member satisfaction, and employee engagementDrive innovation in integrated care models that align with NYS Medicaid requirements and Healthfirst’s quality and value-based care...
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Facilities Manager

NY Req ID: R020917 Hybrid
​Duties/ResponsibilitiesOversee daily operations and maintenance of all company facilities.Develop and implement preventive maintenance programs to minimize downtime.Ensure facilities meet operational and safety standards, including HVAC, plumbing, and electrical.Coordinate facility inspections...
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Manager, Risk Score Accuracy

NY Req ID: R020742 Hybrid
Duties:Develop and maintain risk score forecasting models to assist Actuarial in budget, quarterly forecasting and bidManage revenue trend models and identify route cause of developing trends.Manage monthly analysis for analytical meetings discussing variances to budget.Manage all analytical...
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41-60 of 62 results