Univera Healthcare

Job Description: Summary:This position supports the workflow of the Long-Term Support and Services (LTSS) and Duals Special Needs (DSNP) department. Depending on the specific tasks assigned the LTSS/DUALs SN Project Coordinator provides administrative support for DUALs and/or LTSS sta

Job Description: Summary:This position supports the workflow of the Long-Term Support and Services (LTSS) and Duals Special Needs (DSNP) department. Depending on the specific tasks assigned the LTSS/DUALs SN Project Coordinator provides administrative support for DUALs and/or LTSS sta

Job Description: Summary:Conducts case management program activities in accordance with departmental corporate NYS Department of Health (DOH) Centers for Medicaid & Medicare Services (CMS) Federal Employee Program (FEP) and National Committee for Quality Assurance (NCQA) accreditation

Job Description: Summary:Conducts case management program activities in accordance with departmental corporate NYS Department of Health (DOH) Centers for Medicaid & Medicare Services (CMS) Federal Employee Program (FEP) and National Committee for Quality Assurance (NCQA) accreditation

Job Description: Summary:This role performs audits to ensure the organization is in compliance with federal state and Association regulatory requirements (Centers for Medicare and Medicaid Services Department of Health Department of Financial Services Department of Labor Blue Cross Bl

Job Description: Summary:This role performs audits to ensure the organization is in compliance with federal state and Association regulatory requirements (Centers for Medicare and Medicaid Services Department of Health Department of Financial Services Department of Labor Blue Cross Bl

Job Description: Summary:This position is the primary representative for Physician Ancillary and Facility reimbursement analysis. The incumbents analyses include but is not limited to contracting strategies; calculation and testing of provider rates; implementation oversight for all r

Job Description: Summary:This position is the primary representative for Physician Ancillary and Facility reimbursement analysis. The incumbents analyses include but is not limited to contracting strategies; calculation and testing of provider rates; implementation oversight for all r

Job Description: Summary:The Director Digital Delivery provides enterprise leadership in translating business strategy into scalable measurable digital outcomes across the health plan. This role owns the strategy roadmap delivery performance and continuous evolution of customer-facing

Job Description: Summary:The Director Digital Delivery provides enterprise leadership in translating business strategy into scalable measurable digital outcomes across the health plan. This role owns the strategy roadmap delivery performance and continuous evolution of customer-facing

Job Description: Summary:This position assists the Health Plan in establishing a presence in the community through home visits and community outreach bridging the gap between members and the Clinical Operations Department. Community Connections Representatives educate members about ac

Job Description: Summary:This position assists the Health Plan in establishing a presence in the community through home visits and community outreach bridging the gap between members and the Clinical Operations Department. Community Connections Representatives educate members about ac

Job Description: Summary:The Purchasing Specialist manages the processes and tools for automated and stand-alone procurement systems and communicates throughout the organization as needed. Incumbent works pro-actively with supply base and supports and/or leads strategic sourcing effor

Job Description: Summary:The Purchasing Specialist manages the processes and tools for automated and stand-alone procurement systems and communicates throughout the organization as needed. Incumbent works pro-actively with supply base and supports and/or leads strategic sourcing effor

Job Description: This position supports the health plans Personal Care Pharmacy Team by addressing the medication needs of members with multiple chronic conditions and open clinical collaboration with departments such as Quality Management Customer Care and Care Management the Person

Job Description: This position supports the health plans Personal Care Pharmacy Team by addressing the medication needs of members with multiple chronic conditions and open clinical collaboration with departments such as Quality Management Customer Care and Care Management the Person

Job Description: Summary:The Business Systems Analyst is a critical role in the delivery of products for Lifetime Healthcare Companies. This position collaborates with stakeholders throughout the organization to understand business objectives and defines IT system requirements and spe

Job Description: Summary:The Business Systems Analyst is a critical role in the delivery of products for Lifetime Healthcare Companies. This position collaborates with stakeholders throughout the organization to understand business objectives and defines IT system requirements and spe

Job Description: SummaryThe AI Engineer is part of a highly collaborative team that develops cutting-edge machine learning (ML) and artificial intelligence (AI) models to solve complex business challenges and improve member health this role you will work on high-impact projects invol

Job Description: SummaryThe AI Engineer is part of a highly collaborative team that develops cutting-edge machine learning (ML) and artificial intelligence (AI) models to solve complex business challenges and improve member health this role you will work on high-impact projects invol

Job Description: Summary:The Business Systems Analyst is a critical role in the delivery of products for Lifetime Healthcare Companies. This position collaborates with stakeholders throughout the organization to understand business objectives and defines IT system requirements and spe

Job Description: Summary:The Business Systems Analyst is a critical role in the delivery of products for Lifetime Healthcare Companies. This position collaborates with stakeholders throughout the organization to understand business objectives and defines IT system requirements and spe

Job Description: Summary:Conducts case management program activities in accordance with departmental corporate NYS Department of Health (DOH) Centers for Medicaid & Medicare Services (CMS) Federal Employee Program (FEP) and National Committee for Quality Assurance (NCQA) accreditation

Job Description: Summary:Conducts case management program activities in accordance with departmental corporate NYS Department of Health (DOH) Centers for Medicaid & Medicare Services (CMS) Federal Employee Program (FEP) and National Committee for Quality Assurance (NCQA) accreditation

Job Description: Summary:This position plans directs and controls the contracting activities related to all professional (e.g. physician dentist and non-physician including but not limited to psychologist LCSW podiatrist audiologist etc.) and assigned ancillary (e.g. Homecare agency)

Job Description: Summary:This position plans directs and controls the contracting activities related to all professional (e.g. physician dentist and non-physician including but not limited to psychologist LCSW podiatrist audiologist etc.) and assigned ancillary (e.g. Homecare agency)

Job Description: Summary:The Vendor Manager (VM) is responsible for strategically managing vendor portfolios and vendor relationships which may vary in complexity risk size and spend etc. The incumbent acts as a strategic trusted advisor to the business unit and business partners and

Job Description: Summary:The Vendor Manager (VM) is responsible for strategically managing vendor portfolios and vendor relationships which may vary in complexity risk size and spend etc. The incumbent acts as a strategic trusted advisor to the business unit and business partners and

Job Description: Summary:This position is responsible for the design and development of curriculum for instructor-led and online learning programs throughout the Enterprise. The Instructional Designer will partner with authors managers and subject matter experts in curriculum developm

Job Description: Summary:This position is responsible for the design and development of curriculum for instructor-led and online learning programs throughout the Enterprise. The Instructional Designer will partner with authors managers and subject matter experts in curriculum developm

Job Description: Based on the book of business and geographic territory associated with this opening were exclusively seeking candidates who reside within our 8 county WNY Service Region (Allegany Cattaraugus Chautauqua Erie Genesee Niagara Orleans & Wyoming)Summary:Under the supervis

Job Description: Based on the book of business and geographic territory associated with this opening were exclusively seeking candidates who reside within our 8 county WNY Service Region (Allegany Cattaraugus Chautauqua Erie Genesee Niagara Orleans & Wyoming)Summary:Under the supervis

Job Description: SummaryThe Fixed Asset and Lease Accountant will be a part of a team responsible for the accounting and financial reporting functions of the Lifetime Healthcare Companies fixed asset and leases including but not limited to the preparation of external (U.S. generally a

Job Description: SummaryThe Fixed Asset and Lease Accountant will be a part of a team responsible for the accounting and financial reporting functions of the Lifetime Healthcare Companies fixed asset and leases including but not limited to the preparation of external (U.S. generally a

Job Description: Summary:This position serves as the expert and leader for clinical and care management activities and overall coordination of Case and Disease Management specifically related to transplants and catastrophic conditions. This position oversees the clinical and administr

Job Description: Summary:This position serves as the expert and leader for clinical and care management activities and overall coordination of Case and Disease Management specifically related to transplants and catastrophic conditions. This position oversees the clinical and administr

Job Description: Summary:Conducts case management program activities in accordance with departmental corporate NYS Department of Health (DOH) Centers for Medicaid & Medicare Services (CMS) Federal Employee Program (FEP) and National Committee for Quality Assurance (NCQA) accreditation

Job Description: Summary:Conducts case management program activities in accordance with departmental corporate NYS Department of Health (DOH) Centers for Medicaid & Medicare Services (CMS) Federal Employee Program (FEP) and National Committee for Quality Assurance (NCQA) accreditation

Job Description: Summary:The Investment Accountant will be a part of a team responsible for the accounting and financial reporting functions of the Lifetime Healthcare Companies investments including but not limited to the preparation of external (generally accepted accounting princip

Job Description: Summary:The Investment Accountant will be a part of a team responsible for the accounting and financial reporting functions of the Lifetime Healthcare Companies investments including but not limited to the preparation of external (generally accepted accounting princip