Care Manager Visa Sponsorship Jobs in New York
Care manager visa sponsorship jobs in New York are concentrated in the state's large hospital systems and managed care organizations, including NewYork-Presbyterian, Northwell Health, and Mount Sinai. Demand spans New York City, Buffalo, and Albany, where Medicaid-heavy patient populations and complex discharge planning needs drive steady hiring of credentialed care managers.
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Get Access To All JobsINTRODUCTION
The Senior Manager, Fee Schedules, Total Cost of Care, will develop analyses and tools to help monitor financial performance and provide analytic insights into all products offered within the Healthfirst portfolio. This key role will serve as healthcare analytics and data subject matter expert, supporting all areas of medical trend, medical cost savings, provider network informatics, and reimbursement accuracy. The ideal candidate will come from a managed care, medical economics, insurance, actuarial, or hospital background, and will be a results-oriented individual who enjoys working in a fast-paced and challenging environment.
SCOPE OF RESPONSIBILITIES:
- Evaluate the financial impact of changes in CMS and NY State published fee schedules, applying financial modeling expertise and using independent judgement to determine best valuation methods.
- Understand and describe applicability of government fee schedule changes to provider reimbursement within the HF reimbursement model.
- Evaluation of reimbursement changes by provider group within the unit cost management workflows.
- Provide actionable data driven analysis to Finance, Claims, Pharmacy, Payment Integrity, Medical Management, Network, and other departments to enable critical decision making.
- Evaluate data to identify and root cause of fee schedule related payment integrity issues and lead cross-functional efforts to problem-solve.
- Develop interactive financial models to evaluate the impact of provider reimbursement changes.
- Keep abreast of New York Medicaid and Medicare reforms, reimbursement methodologies, and their impact on Healthfirst and their owner hospital performance.
- Perform ad hoc analyses.
MINIMUM QUALIFICATIONS
- Bachelor’s Degree from an accredited institution.
- At least three (3) years of healthcare analytics experience, with at least two (2) years of experience in contract evaluation, medical economics, medical cost containment, actuarial, healthcare reimbursement model design.
- Extensive knowledge of managed care financial metrics (PMPM, util/k, cost/unit).
- Experience utilizing healthcare claims data to uncover valuable insights to improve financial performance.
- Expert in Government fee schedules and proprietary payor reimbursement methodologies and unit cost management.
- Experience with SAS or SQL (creates queries and manipulation of data).
- Extensive experience with Microsoft Excel (building financial models, utilizing pivot tables, vlookups, index match, and calculated fields).
- Claims experience including root-cause analysis, system set-up, etc.
- Ability to work with large data sets.
- Strong written and verbal communication skills.
- Resourceful and creative in solving complex issues and working collaboratively with others on a solution.
- Ability to manage projects and project plans within stated timelines.
PREFERRED QUALIFICATIONS
- Expertise in key managed care concepts and provider reimbursement principles such as risk adjustment, capitation, FFS (Fee-for-Service), Diagnosis Related Groups (DRG’s), Ambulatory Patient Groups (APG’s), Ambulatory Payment Classifications (APC’s), and other payment mechanisms.
- Understanding of value-based risk arrangements.
- Experience using Tableau, Python.
- Experience mentoring other team members.
HIRING RANGE:
- Greater New York City Area (NY, NJ, CT residents): $122,900 - $188,020
- All Other Locations (within approved locations): $105,100 - $160,480
As a candidate for this position, your salary and related elements of compensation will be contingent upon your work experience, education, licenses and certifications, and any other factors Healthfirst deems pertinent to the hiring decision.
In addition to your salary, Healthfirst offers employees a full range of benefits such as, medical, dental and vision coverage, incentive and recognition programs, life insurance, and 401k contributions (all benefits are subject to eligibility requirements). Healthfirst believes in providing a competitive compensation and benefits package wherever its employees work and live.
The hiring range is defined as the lowest and highest salaries that Healthfirst in “good faith” would pay to a new hire, or for a job promotion, or transfer into this role.
INTRODUCTION
The Senior Manager, Fee Schedules, Total Cost of Care, will develop analyses and tools to help monitor financial performance and provide analytic insights into all products offered within the Healthfirst portfolio. This key role will serve as healthcare analytics and data subject matter expert, supporting all areas of medical trend, medical cost savings, provider network informatics, and reimbursement accuracy. The ideal candidate will come from a managed care, medical economics, insurance, actuarial, or hospital background, and will be a results-oriented individual who enjoys working in a fast-paced and challenging environment.
SCOPE OF RESPONSIBILITIES:
- Evaluate the financial impact of changes in CMS and NY State published fee schedules, applying financial modeling expertise and using independent judgement to determine best valuation methods.
- Understand and describe applicability of government fee schedule changes to provider reimbursement within the HF reimbursement model.
- Evaluation of reimbursement changes by provider group within the unit cost management workflows.
- Provide actionable data driven analysis to Finance, Claims, Pharmacy, Payment Integrity, Medical Management, Network, and other departments to enable critical decision making.
- Evaluate data to identify and root cause of fee schedule related payment integrity issues and lead cross-functional efforts to problem-solve.
- Develop interactive financial models to evaluate the impact of provider reimbursement changes.
- Keep abreast of New York Medicaid and Medicare reforms, reimbursement methodologies, and their impact on Healthfirst and their owner hospital performance.
- Perform ad hoc analyses.
MINIMUM QUALIFICATIONS
- Bachelor’s Degree from an accredited institution.
- At least three (3) years of healthcare analytics experience, with at least two (2) years of experience in contract evaluation, medical economics, medical cost containment, actuarial, healthcare reimbursement model design.
- Extensive knowledge of managed care financial metrics (PMPM, util/k, cost/unit).
- Experience utilizing healthcare claims data to uncover valuable insights to improve financial performance.
- Expert in Government fee schedules and proprietary payor reimbursement methodologies and unit cost management.
- Experience with SAS or SQL (creates queries and manipulation of data).
- Extensive experience with Microsoft Excel (building financial models, utilizing pivot tables, vlookups, index match, and calculated fields).
- Claims experience including root-cause analysis, system set-up, etc.
- Ability to work with large data sets.
- Strong written and verbal communication skills.
- Resourceful and creative in solving complex issues and working collaboratively with others on a solution.
- Ability to manage projects and project plans within stated timelines.
PREFERRED QUALIFICATIONS
- Expertise in key managed care concepts and provider reimbursement principles such as risk adjustment, capitation, FFS (Fee-for-Service), Diagnosis Related Groups (DRG’s), Ambulatory Patient Groups (APG’s), Ambulatory Payment Classifications (APC’s), and other payment mechanisms.
- Understanding of value-based risk arrangements.
- Experience using Tableau, Python.
- Experience mentoring other team members.
HIRING RANGE:
- Greater New York City Area (NY, NJ, CT residents): $122,900 - $188,020
- All Other Locations (within approved locations): $105,100 - $160,480
As a candidate for this position, your salary and related elements of compensation will be contingent upon your work experience, education, licenses and certifications, and any other factors Healthfirst deems pertinent to the hiring decision.
In addition to your salary, Healthfirst offers employees a full range of benefits such as, medical, dental and vision coverage, incentive and recognition programs, life insurance, and 401k contributions (all benefits are subject to eligibility requirements). Healthfirst believes in providing a competitive compensation and benefits package wherever its employees work and live.
The hiring range is defined as the lowest and highest salaries that Healthfirst in “good faith” would pay to a new hire, or for a job promotion, or transfer into this role.
Care Manager Job Roles in New York
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Search Care Manager Jobs in New YorkCare Manager Jobs in New York: Frequently Asked Questions
Which companies sponsor visas for care managers in New York?
Large integrated health systems are the most active sponsors. NewYork-Presbyterian, Northwell Health, Mount Sinai Health System, Montefiore Medical Center, and NYC Health + Hospitals have all filed H-1B visa petitions for care management roles. Managed care organizations such as EmblemHealth and MetroPlus also hire care managers and have documented sponsorship histories through Department of Labor LCA disclosures.
Which visa types are most common for care manager roles in New York?
The H-1B is the most common visa category for care managers, provided the role requires a relevant bachelor's degree or higher, typically in nursing, social work, or health administration. Social workers holding a master's degree may also qualify. Nurses pursuing care management roles sometimes enter on TN visas if Canadian or Mexican citizens, or on EB-3 immigrant visas through employer-sponsored green card processes.
Which cities in New York have the most care manager sponsorship jobs?
New York City accounts for the majority of care manager sponsorship opportunities, driven by its density of academic medical centers, hospital networks, and managed care plans. Buffalo has a growing presence through Kaleida Health and Catholic Health, while Albany sees demand tied to state government health programs and Albany Medical Center. Rochester, home to the University of Rochester Medical Center, is also an active hiring market.
How to find care manager visa sponsorship jobs in New York?
Migrate Mate filters job listings specifically by visa sponsorship availability, so you can search care manager roles in New York without sorting through positions that won't support international candidates. The platform surfaces openings at hospitals, managed care organizations, and community health systems across New York City, Buffalo, Albany, and Rochester, helping you focus on employers who have sponsored care managers before.
Are there any New York-specific considerations for care managers seeking visa sponsorship?
New York's large Medicaid population means many care manager roles are tied to managed long-term care (MLTC) plans and health homes, which creates consistent demand for credentialed professionals. The state requires licensure for clinical social workers and registered nurses, so foreign credentials may need evaluation by an approved body before an employer can complete sponsorship paperwork. New York City's high prevailing wage requirements under H-1B rules also influence which employers actively sponsor.
What is the prevailing wage for sponsored care manager jobs in New York?
U.S. employers sponsoring a visa must pay at least the prevailing wage, which is what workers in the same role, area, and experience level typically earn. The Department of Labor sets this rate to make sure companies aren't hiring foreign workers simply because they'd accept lower pay than a U.S. worker. It varies by job title, location, and experience. You can look up current prevailing wage rates for any occupation and location using the OFLC Wage Search page.