- Elevance Health (New Hyde Park, NY)
- …the afternoons. Candidates must be able to work Eastern Time Zone hours. The ** Medicare Medical Director ** is responsible for the administration of physical ... ** Medical Director - Medicare (Part-time)** Location: This role enables associates to work virtually full-time, with the exception of required in-person… more
- RVO Health (New York, NY)
- **AT A GLANCE** RVO Health is looking for an Associate Director , Medicare Product Manager to improve how seniors find and select their Medicare plans. 88% of ... seniors report that they find enrolling in a Medicare plan to be confusing and overwhelming. Our mission...different subjects at your fingertips + Health Insurance Coverage ( medical , dental, and vision) + Life Insurance + Short… more
- Centene Corporation (Queens, NY)
- …for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering ... will lead and support the expansion and optimization of Medicare -focused VBP arrangements across New York. This role is...position will be responsible for working with the VBP Director , other VBP Managers, and Analysts, as well as… more
- RWJBarnabas Health (Oceanport, NJ)
- …cost reports filings. In partnership with the Vice President of Corporate Reimbursement, the Director will manage the completion of DSH, Medicare Bad Debts, Wage ... Director , Corporate Reimbursement (Hybrid/Remote) - Oceanport, NJReq #:0000180233...as a key resource to department leadership for providing Medicare and Medicaid reimbursement support and implementing government payment… more
- Molina Healthcare (New York, NY)
- **JOB DESCRIPTION** **Job Summary** The Medical Director for Specialty Medical Services & Market Performance will provide clinical expertise and support to ... quality improvement activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to… more
- Mount Sinai Health System (New York, NY)
- …environments + Seek to improve the status quo **Role Summary:** MSHP seeks a Medical Director (MD), Physician Engagement and CDQI, who will (1) be responsible ... to drive accurate risk adjustment throughout the system. This Medical Director must be effective at influencing...all populations served, especially our patients covered under a Medicare arrangement (MSSP or MA). The MD will report… more
- Amneal Pharmaceuticals (Bridgewater, NJ)
- Description: The Senior Director of Market Access Strategy is responsible for the development and execution of the value and market access strategy and strategic ... commercial and government channels in the US payer landscape. The Senior Director will be responsible for the go-to-market commercialization strategy for the… more
- Molina Healthcare (New York, NY)
- …Certification in Psychiatry **REQUIRED EXPERIENCE:** * 2 years previous experience as a Medical Director in clinical practice * 3 years' experience in ... State Medical License, free of sanctions from Medicaid or Medicare . **Preferred Experience** * Peer Review, medical policy/procedure development, provider… more
- Northwell Health (Westbury, NY)
- **Req Number** 158136 Job Description The Director , Corporate Finance (RIO) promotes the financial viability of Northwell Health by effectively managing the ... organization's revenue capture operations. The Director works in close partnership with many aspects of...master. + Oversees and assists in the resolution of Medicare / Medicaid edits generated on hospital outpatient and… more
- Molina Healthcare (Yonkers, 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
- Atlantic Health System (Morristown, NJ)
- Atlantic Health System/Goryeb Children's Hospital is Seeking a Program Director for our Pediatric Residency Training Program located in Morristown, New Jersey The ... Health System, is a branch campus of Sidney Kimmel Medical College at Thomas Jefferson University. The role of...College at Thomas Jefferson University. The role of Program Director involves a commitment of 60% administrative responsibilities and… more
- Daiichi Sankyo Inc. (Basking Ridge, NJ)
- …pharmaceutical therapies to improve standards of care and address diversified, unmet medical needs of people globally by leveraging our world-class science and ... areas centered around rare diseases and immune disorders. **Summary:** The Associate Director , Oncology Value & Market Dynamics Training Manager is responsible for… more
- New York State Civil Service (New York, NY)
- …the Chief Medical Officer/Clinical DirectorUnder the general direction of the Director of NYSPI and in close collaboration with other facility executive staff, ... NY HELP No Agency Mental Health, Office of Title Deputy Director , Psychiatric Research Institute, M-8, New York State Psychiatric Institute, P26164 Occupational… more
- Bayer (Stamford, CT)
- …diverse minds to make a real difference, there's only one choice.** **Associate Director - Field Reimbursement - Oncology - (Northeast USA)** **Associate Director ... HCPs and Office staff in navigating therapy Prior Authorizations (PAs), Medical Necessity documentation and therapy PA denial appeals. Develop collaborative working… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Director , Managed Care Payer Contracting (V&A) Date: May 6, 2025 Location: Parsippany, United States, New Jersey, 07054 Company: Teva Pharmaceuticals Job Id: 61853 ... a difference, and new people to make a difference with. **The opportunity** The Director , Managed Care Payer Contracting is a key leadership role within Value &… more
- Teva Pharmaceuticals (Parsippany, NJ)
- …and Drafting: + Author and manage the lifecycle of National pharmacy and medical benefit payer contracts, including Commercial, Medicare and Managed Medicaid + ... Associate Director , Managed Care Payer Contracting (V&A) Date: May...Understanding of healthcare reimbursement models and benefit designs (pharmacy, medical benefit, innovative and value-based contracting, etc.), regulatory environments,… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Sr Director , Market Access Finance & Gross to Net Forecasting Date: May 1, 2025 Location: Parsippany, United States, New Jersey, 07054 Company: Teva Pharmaceuticals ... the Senior Vice President and US CFO, the Senior Director , Market Access Finance and Gross to Net Forecasting...contracting team to challenge, evaluate and align on Commercial, Medicare & Medicaid supplemental contracting proposals both in terms… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **Billing Director -Patient Financial Services- Corporate (ON SITE) Full-Time -Days** Responsible for direction and management responsibility over ... the business and operational activities of a department or medical care unit. **Qualifications** + 5 or more years...standards and billing regulations set by governmental agencies like Medicare and Medicaid. + May chair or participate in… more
- Lumeris (New York, NY)
- …its people and empowers you to make an impact. **Position:** Senior Director , Partner Operations **Position Summary:** Provides executive leadership and oversight of ... in Health Administration, or similar degree + Experience in managed care and/or Medicare Advantage **Working Conditions** + While performing the duties of this job,… more
- Catholic Health Services (Melville, NY)
- …Qualifications: 1. Minimum Education/Training Required: Graduate of an accredited medical school. Completion of specialty residency (ie, Internal Medicine, Emergency ... their practical application preferred. Working knowledge of third-party payor guidelines/ medical necessity criteria such as InterQual(R) (ie, knowledge of admission… more