Manager Healthcare Payer Jobs in Albany

... acumen to solve for the healthcare challenges of today. The Clinical ... anywhere The Clinical Trend Program Manager (PM) role designs, communicates, and ... years or more working in..

... Clinical Analytics and Trend Program Manager in Albany New York Description ... Clinical Analytics & Trend Program Manager role designs, communicates, and implements ... Minimum 2 years working in..

... (CCM) organization is seeking a Manager, Fraud & Waste to join ... As the Fraud & Waste Manager at Humana, you will support ... that our members receive quality..

Description The Associate Director, Payment Integrity uses technology and data mining, detects anomalies in data to identify and collect overpayment of claims. Contributes to the investigations of fraud waste and our ..

Job Information Humana Manager, Utilization Management Nursing - Medicare / Medicaid in Albany New York Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and ..

... Information Humana Behavorial Economics Program Manager - Test & Learn Portfolio ... acumen to solve for the healthcare challenges of today. The Clinical ... years or more working in..

Job Information Humana Lead Product Manager - Healthcare API in Albany New York ... York Description The Lead Product Manager - Healthcare API (SME) as part of ... Individual will..

Job Information Humana Product Manager Lead, Pharmacy Transformative Products Team, ... 60 market leader in integrated healthcare with a clearly defined purpose ... us redefine the future of healthcare. With..

Permanency Care Manager, Foster Care Job Details Job Location : Albany-New Karner-NPCS - Albany, NY Position Type : Full Time Education Level : Bachelors Salary Range : Undisclosed Job Shift : ..

Job Information Humana Oncology Market Director in Albany New York Description The Market Director, Oncology leverages targeted geographic analysis, engages with Physician offices to influence physicians to route patients' prescriptions to ..

Job Information Humana Manager, Utilization Management RN - Remote ... Albany New York Description The Manager, Utilization Management Nursing utilizes clinical ... and/or benefit administration determinations. The Manager, Utilization Management..

Description The Manager, STARS Improvement develops, implements, and manages oversight of the company's Medicare Stars Program. This position will manage the Stars improvement team. Responsibilities The Manager, STARS Improvement develops the ..

Job Information Humana Manager, Fraud and Waste-Remote US in ... Albany New York Description The Manager, Fraud and Waste conducts investigations ... fraudulent and abusive practices. The Manager, Fraud and..

The Center for Disability Services offers hope, innovation, and achievement to the people we support. For 80 years, we have been one of upstate New Yorku2019s largest providers of programs and ..

Job Description Summary: Health is everything. At CVS Health, colleagues are committed to increasing access, lowering costs and improving quality of care. Millions of times a day, we help people on ..

Job Code 2164177I Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly ..

Description Humana Medicaid is growing and you have the unique opportunity to grow with us! Join our team and propel Humana forward to solve the technology challenges of tomorrow. You'll collaborate ..

The Center for Disability Services offers hope, innovation and achievement to the people we support.For 80 years, we have been one of upstate New York’s largest providers of programs and services ..

PCM provides comprehensive medical, mental health, & dental care services to over 70 county jails, prisons, and juvenile detention centers throughout the states of PA, MD, NY, FL & NHnCorrectional health ..

Job Information Centerwell RN Case Manager, Home Health Full Time in ... a Home Health RN Case Manager , you will: Provide admission, ... as directed by the Clinical Manager...

Description The Manager, Risk Adjustment oversees coding educators and quality assurance audits of medical records and ICD-9/10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS). ..

The Center for Disability Services offers hope, innovation and achievement to the people we support.For 80 years, we have been one of upstate New York’s largest providers of programs and services ..

Description The Manager, Medical Coding oversees the coding team that is reviewing inpatient records for appropriate coding to include ICD-10, CPT, and HCPCS. The Manager, Medical Coding works within specific guidelines ..