- Molina Healthcare (Buffalo, NY)
- …quality improvement activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to ... Medicare , Medicaid, NCQA and other regulatory requirements. + Reviews...experience, including: + 2 years previous experience as a Medical Director in a clinical practice. +… more
- Molina Healthcare (Buffalo, NY)
- …3+ years HMO/Managed Care experience **OR** 5 years experience as a Molina Medical Director + Demonstrated experience in Utilization/Quality Program management + ... Summary** Responsible for serving as the primary liaison between administration and medical staff. Assures the ongoing development and implementation of policies and… more
- Molina Healthcare (Buffalo, NY)
- **JOB DESCRIPTION** **Job Summary** Responsible for analysis of Medicaid and Medicare financial reports, trend, and opportunities. Includes evaluation of and ... recommendations relating to business opportunities, Medicare bids, investments, financial regulations, and similar financial projects...early signs of trends or other issues related to medical care cost. + Design and perform actuarial studies… more
- Elderwood (Wheatfield, NY)
- …Elderwood is seeking a clinical leader for the important role of Assistant Director of Nursing (ADON - RN). The ideal candidate has excellent communication skills ... and an ability to foster teamwork. Assistant Director of Nursing (RN) Position Overview: + The ADON...and assures delivery of quality nursing services in a medical facility. + Develops, implements, communicates, and interprets nursing… more
- Elderwood (Williamsville, NY)
- …at Williamsville is seeking a clinical leader for the important role of Assistant Director of Nursing (ADON - RN). This is an excellent opportunity for an RN ... Programs including Palliative Care, Respite Care andSeasons Memory Care. Responsibilities Assistant Director of Nursing (RN) Position: + Assume duties of the … more
- Molina Healthcare (Buffalo, NY)
- …reviews behavioral health portions of state contracts. * Assists behavioral health medical director lead trainers in the development of enterprise-wide education ... JOB DESCRIPTION Job SummaryProvides medical oversight and expertise related to behavioral health...National Committee for Quality Assurance (NCQA) and Centers for Medicare and Medicaid Services (CMS). * Assists with the… more
- Molina Healthcare (Buffalo, NY)
- …with the standards and requirements established by the Centers for Medicare and Medicaid **Knowledge/Skills/Abilities** * Leads, organizes, and directs the ... to members or authorized representatives in accordance with Centers for Medicare and Medicaid standards/requirements. * Provides direct oversight, monitoring and… more
- Molina Healthcare (Buffalo, NY)
- …and Joint Operating Committees. * Manages and reports network adequacy for Medicare , Marketplace, and Medicaid services. * In conjunction with direct management and ... recontracting initiatives. Implements cost control initiatives to positively influence the Medical Care Ratio (MCR) in each contracted region. * Leads preparation… more
- The Arc Erie County NY (Buffalo, NY)
- …TSSLD). Limited license may be required for CFY candidates (directly billing Medicare ). ASHA certification preferred. See our full Job Description listed below: Job ... the Office for People With Developmental Disabilities OPWDD, Medicaid, Medicare , insurance companies, municipalities, Department of Health, school districts, and… more
- Erie 2-Chautauqua-Cattaraugus BOCES (Williamsville, NY)
- …the Office for People With Developmental Disabilities OPWDD, Medicaid, Medicare , insurance companies, municipalities, Department of Health, school districts, and ... Receives direct supervision from the Coordinator of Speech Therapy and/or Associate Director of Clinical Services. Provides guidance and instruction to support staff… more
- The Arc Erie County NY (Williamsville, NY)
- …the Office for People With Developmental Disabilities OPWDD, Medicaid, Medicare , insurance companies, municipalities, Department of Health, school districts, and ... direct supervision from the Coordinator of Physical and Occupational Therapy, Associate Director of Related Services and/or Associate Director of Clinical… more
- The Arc Erie County NY (Williamsville, NY)
- …the Office for People With Developmental Disabilities OPWDD, Medicaid, Medicare , insurance companies, municipalities, Department of Health, school districts, and ... direct supervision from the Coordinator of Physical and Occupational Therapy, Associate Director of Related Services and/or Associate Director of Clinical… more