Medicare jobs in new york, ny

Remote

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14d ago

Immediate need for a talented Medicare Benefits Advisor. This is a 03 - 04+months contract opportunity with long-term potential and is located in Denver, CO (Remote). Please review the job description below and contact me ASAP if you are interested. Job ID: 26-22375 Pay Range: $37/hr - $40/hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location). Key Responsibilities: Work Schedule & HoursPa

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Contract

$37 - $40

Automation Mobile Tester with Medicare

Remote or Hybrid

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Today

Remote position Must have Medicare exp & Mobile testing Must Have: 5+ years of Medicare experience 10 + years of experience in technology Quality Engineering. Strong experience with UI and Mobile OS (iOS/Android) testing Proficiency in API testing tools such as Postman, Bruno, or REST Assured. Experience of SDLC processes, agile methodology and QE practices. Agile certification is preferred. Experience with using AWS services like S3, Lambda, DynamoDb etc. Strong experience with UI and database

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Third Party

Enterprise Data Modeler Medicare Advantage

Remote

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5d ago

We are looking for a Senior Enterprise Data Modeler with deep healthcare domain expertise to lead the development of enterprise and domain data models for a strategic data transformation program. You will bridge the gap between business stakeholders and technical execution teams to build resilient, enterprise-wide data structures. Key ResponsibilitiesDesign and maintain Enterprise, Logical, Physical, and Canonical Data Models. Translate complex business concepts into robust domain data models. P

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Contract

Depends on Experience

Clinical Pharmacist Advisor - Medicare - Remote

Remote

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24d ago

Title: Clinical Pharmacist Advisor - Medicare - Remote Mandatory skills: managed care, PBM environment, institutional healthcare, pharmacy, Case Review, Processing, incoming coverage-related requests, Accurately set up cases, review documentation, apply work instructions, business, medical correspondence, technical procedures, Medicare regulations, Outreach, Information Gathering, Conduct outbound calls, positive business image, Documentation, Accuracy, Compliance Standards, CMS-mandated timelin

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Contract

47 - 52

Data Modeler with Medicare Advantage

Remote

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12d ago

Enterprise Data Modeler (Medicare Advantage) Position Summary We are seeking a highly experiencedEnterprise Data Modelerto lead the development of enterprise and domain data models that will serve as the foundation of a strategic enterprise data transformation program. This role will be responsible for creating and maintaining: Enterprise Business Data ModelsCanonical Data ModelsLogical Data ModelsPhysical Data ModelsDomain Data Models across prioritized business domainsCritical Success Factors

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Contract

Depends on Experience

Healthcare Informatics Analyst (Pharmacy OR Medicare Advantage - Fully Remote Contract Role )

Remote

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24d ago

Position 2: Sr. Healthcare Informatics Analyst (Medicare Advantage)Seeking a Senior Healthcare Informatics Analyst! The selected candidate will independently provide analytics in understanding and improving how health care is valued, utilized and provided. This position will develop analytic attributes that pertain to patient level health utilization/outcome, provider performance measures, risk-adjusted revenue optimization, medical cost management, and behavior attributes on patient/provider en

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Contract

75 - 80

Functional Business Analyst with SNAP, TANF, QHP, Medicaid/Medicare programs exp - 100% Remote - W2

Remote

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11d ago

WHO WE ARE: Founded in 2007, DTI (Diversified Technology, Inc.) is a successful African American owned IT Consulting/Staffing firm based in Chicago''s Loop. WHAT WE DO: We focus on providing delivery, staffing, and supported services such as enterprise integration/implementations including, but not limited to, CRM, EAM, ERP, PMO, and QA. We service clients in SLED (state/local gov''t & education), financial services, fortune, public utility, as well as regularly partnering with Big 4 SI partner

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Contract

40 - 40

Senior SAS programmer (RWE)

Remote or New York, New York

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Today

Summary: The senior programmer position will be responsible for manipulating large databases and generating reports to enable analysts to explore real world healthcare data assets. Candidates must have excellent SAS and SQL programming skills and the ability to implement complex logic. Candidates must be comfortable with creating complex analysis data sets derived from various data sources with a careful eye for outliers and errors. Prior experience building patient cohorts and evaluating patien

Full-time

Plant Utilities Engineer 1 (NY HELPS), New York City Children's Center, Queens Campus, P27448

Bellerose, New York

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Today

Duties Description Are you interested in starting a career with New York State? Do you have commercial/industrial operation and maintenance experience with HVAC or boiler equipment? New York City Children's Center is recruiting for a Plant Utilities Engineer 1 for their physical plant operations. Candidates from outside or within State Service can apply. As a Plant Utilities Engineer 1, you will be responsible for a variety of maintenance and repair tasks including: Operating, maintaining, and

Full-time

USD 56,506.00 - 68,630.00 per year

Experienced Project Manager

New York, New York

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Today

Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. You'll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. We also have

Full-time

USD 86,800.00 - 124,000.00 per year

Assistant Director, Engineering and Support Services

New York, New York

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Today

NYC Health + Hospitals is the largest public health care system in the United States. We provide essential outpatient, inpatient and home-based services to more than one million New Yorkers every year across the city's five boroughs. Our large health system consists of ambulatory centers, acute care centers, post-acute care/long-term care, rehabilitation programs, Home Care, and Correctional Health Services. Our diverse workforce is uniquely focused on empowering New Yorkers. At NYC Health + Ho

Full-time

Assistant Supervisor IT Help Desk

New York, New York

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Today

Company Description Job Description The Office of Labor Relations (OLR) represents the Mayor in the conduct of all labor relations between the City of New York and labor unions representing employees of the City. The Commissioner serves on behalf of the Mayor as the City's liaison with both labor and management in the private sector. The office is authorized by Executive Order 38 (February 7, 1967), amended by Executive Order 13 (July 24, 1990). Additionally, OLR administers the Health Benefit

Full-time

USD 100,000.00 - 125,000.00 per year

Lead AI Technical Product Manager

New York, New York

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Today

Become a part of our caring community As Humana continues its transformation into an AI-first enterprise, we are looking for a hands-on, technically proficient Lead Product Manager to lead the design, prototyping, and scaling of AI solutions across our business. You will work with cross-functional teams of engineers, designers, data scientists, and business stakeholders to build AI-powered solutions that solve real enterprise problems. You will lead and drive a complex product area within our AI

Full-time

USD 151,600.00 - 208,400.00 per year

Medical Management Data Analyst

New York, New York

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Today

Empower. Unite. Care. MetroPlusHealth is committed to empowering New Yorkers by uniting communities through care. We believe that Health care is a right, not a privilege. If you have compassion and a collaborative spirit, work with us. You can come to work being proud of what you do every day. About NYC Health + Hospitals MetroPlusHealth provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of produc

Full-time

USD 70,000.00 - 80,000.00 per year

PeopleSoft Developer

New York, New York

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Today

Company Description Job Description Job Description The Financial Information Services Agency (FISA) is seeking a PeopleSoft Developer to support ongoing production maintenance and the implementation of new and enhanced functionality for the PeopleSoft Human Capital Management (HCM) application, with a primary focus on the Human Resources and Benefits Administration modules. Responsibilities include: Under the direction of the Development Lead, the PeopleSoft Developer will support existing

Full-time

USD 125,000.00 - 150,000.00 per year

Oliver Wyman Actuarial - Health Consultant

New York, New York

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7d ago

Company: Oliver Wyman Description: Company Overview The Health Practice of Oliver Wyman strives to be the consulting firm of choice for clients and employees, and to be recognized as the premier health actuarial consultancy by fostering the power of ideas to lead our industry, consistently helping clients achieve their strategic objectives, and gaining trusted advisor status. The practice seeks to inspire a team-oriented culture which fosters free flowing ideas, values diversity, and allows f

Full-time

USD 80,000.00 - 135,000.00 per year

Senior AI Applied Engineer

New York, New York

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Today

Become a part of our caring community Most AI engineering jobs are a thin wrapper around a model API. This role is different. We build the platform that transforms millions of clinical documents into trusted, actionable data. Our systems use large language models (LLMs) to read medical records, extract structured facts, answer complex questions with citations back to the source document, and route ambiguous cases to human experts for review. Our users make decisions that impact real healthcare

Full-time

USD 141,100.00 - 194,000.00 per year

Principal AI Applied Engineer

New York, New York

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Today

Become a part of our caring community Every large organization is making critical decisions today about how it will leverage AI over the next decade. Few have leaders who can both define that vision and demonstrate its viability through hands-on engineering. This role requires both. We build the platform that transforms millions of clinical documents into trusted, actionable data. Our systems use large language models (LLMs) to read medical records, extract structured facts, answer complex ques

Full-time

USD 206,600.00 - 284,300.00 per year

Product Owner – Capitation & Value-Based Care

Remote

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21d ago

Job Title: Product Owner Capitation & Value-Based Care Location: Remote/Hybrid Experience: 712 Years Position Summary We are looking for a Product Owner with deep experience in Capitation, Value-Based Care (VBC), and Provider Reimbursement. This role will own products supporting capitation payments, provider incentives, attribution, quality programs, and population health analytics while partnering with payer and provider stakeholders. Capitation is a payment model where providers receive a fix

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Contract

Depends on Experience

HRSN Medicaid Claims Analyst With QNXT

Remote

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6d ago

Position- HRSN Medicaid Claims Analyst Type- 100% Remote (PST Hours) Visa- No H1 What you'll do: Review and resolve HRSN claims assigned through QNXT work queues including rent, rental arrears, utility assistance, storage, and housing support claims. You'll analyze pended, denied, and audit-flagged claims, correct claim data, resolve QNXT edits, review potential duplicate submissions, and move valid claims through adjudication and payment. Much of the initial work focuses on reducing the existin

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Third Party, Contract

Depends on Experience

Medicare jobs in New York, NY, USA