- Elevance Health (New Hyde Park, NY)
- ** Medicare Medical Director - Part time** Location: This role requires associates to be in-office 3 days per week, fostering collaboration and ... be able to work Eastern Time Zone hours. The ** Medicare Medical Director ** is responsible...specific position is $125,118 to $214,488. Prorated based on part -time hours. Locations: Illinois, Washington DC, New York In… 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)
- …to our current Market Access landscape (ie IRA and its impact on Amneal products for Medicare Part D). Manage to a market access budget throughout the year, as ... Description: The Senior Director of Market Access Strategy is responsible for...formulary access go-to-market strategies and executional plans across both medical and pharmacy benefits, as well as unique business… more
- Atlantic Health System (Morristown, NJ)
- … Director or Director + Demonstrated success working individually and as part of a team ID: 00006572 ABOUT US At Atlantic Health System, our promise to ... Atlantic Health System/Goryeb Children's Hospital is Seeking a Program Director for our Pediatric Residency Training Program located in Morristown, New Jersey The… more
- Teva Pharmaceuticals (Parsippany, NJ)
- …into clear, actionable contract language + Deep experience within Commercial GPO/PBM/MBMs, Medicare Part D/B and Medicaid contracting channels + Understanding of ... 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
- Bausch Health (Bridgewater, NJ)
- …of products, primarily in gastroenterology, hepatology, neurology, dermatology, medical aesthetic devices, international pharmaceuticals. Our 7,000 employees share ... in it together to make a difference. Be a part of a culture that doesn't just wait for...and values drive our collective progress and impact. The Director /Senior Director , Strategic Pricing will lead the… 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
- 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)
- …create a system of care that every doctor wants for their own family and become part of a community that values its people and empowers you to make an impact. ... **Position:** Senior Director , Partner Operations **Position Summary:** Provides executive leadership and...or similar degree + Experience in managed care and/or Medicare Advantage **Working Conditions** + While performing the duties… more
- Terumo Medical Corporation (Somerset, NJ)
- …08873 Company: Terumo Americas Holding, Inc. Department: TAH Legal Terumo Medical Corporation (TMC) develops, manufactures, and markets a complete, solutions-based ... portfolio of high-quality medical devices used in a broad range of applications...and improved quality of life for patients. TMC is part of Tokyo-based Terumo Corporation; one of the world's… more
- Hackensack Meridian Health (Edison, NJ)
- …patient demographics to validate patient identity. Conducts intensive screening of all Medicare , Medicaid and managed care patients to identify network status and ... of service cash collection and financial clearance under the direction of the Supervisor/Manager/ Director for these designated areas. Must adhere to the Medical … more
- Hackensack Meridian Health (Neptune City, NJ)
- …+ Recent hospital experience. + Knowledge of Pathophysiology and Disease Process. + Knowledge of Medicare Part A. + Familiar with Medicare Part B. ... facilitates improvement in the overall quality, completeness and accuracy of medical record documentation for assigned hospital/s of Hackensack Meridian Health… more
- Novo Nordisk (Plainsboro, NJ)
- …profitability of customer segments (eg, Managed Care, Non-Federal Hospitals, Long-Term Care, Medicare Part D, Medicaid (FFS & MM), Exchanges and Federal), ... therapy products. Relationships The position reports to a Senior Manager, an Associate Director , or a Director in Strategic Pricing and Contracting. The… more
- Hackensack Meridian Health (Iselin, NJ)
- …change. At Hackensack Meridian Health at Home, we recognize our full- and part -time benefit eligible team members by offering a Total Rewards package including ... other clinical assessment tools as needed. + Review every Medicare and Managed Medicare admission chart to...through focused coding audits. Report coding issues to the Director of the certified operation, Hospice Clinical Director… more
- Erickson Living (Tinton Falls, NJ)
- …department managers, nursing staff, resident services, social workers, accounting, medical staff, and sales while maintaining all confidential information regarding ... and transfer of residents throughout the continuum. + Notifies the physician, Director of Nursing, and Administrator of any medically complex resident seeking… more
- Sunrise Senior Living (Edison, NJ)
- …and workplace designation, highlighting the special place Sunrise is to be a part of.** **COMMUNITY NAME** Brighton Gardens of Edison **Job ID** 2025-227949 **JOB ... Sunrise, our Resident Assessment Coordinator is responsible for all of the facility Medicare and Managed Care residents as directed by the Resident Assessment … more
- FlexStaff (New York, NY)
- …the DTC clinical staff as needed. In the absence of, or at the direction of, the Medical Director , the NPS will represent or serve as the Medical Director ... transition of care follow-up visits. Reviews the patient's past medical history at least every six (6) months and...providers as needed. On-call rotation will be expected as part of the job duties. Only act within the… more
- Mount Sinai Health System (New York, NY)
- …to collaborate with our BioMedical Engineering and Imaging Institute (BMEII) **Qualifications** + Medical Degree from an Accredited University + New York Medical ... status for nursing care, and it is the only medical center in New York State to earn Disease-Specific...a Health Care Innovation Award from the Centers for Medicare and Medicaid Services to open the first geriatric… more
- Mount Sinai Health System (New York, NY)
- **Job Description** Under direct supervision of the Director of Specialty Pharmacy, the Specialty Pharmacy Manager and the Specialty Pharmacy Clinical Liaison, the ... with clinical employees on multiple levels, including pharmacists, nurses, medical /clinical staff, Finance personnel, department managers, access services staff, and… more
- New York State Civil Service (Brooklyn, NY)
- …RN1 as needed.*Ensure nursing case management of multiple locations; caseload based on medical acuity.*Oversee and supervise RNs and LPNs who will supervise the AMAP ... Assistants health care per the nurse Act Exemption.*Ensure all medical follow-up is done timely.Responsible for in-service on nursing...the cluster, work closely with the Nursing Supervisor / Director of Nursing and Team to review findings, and… more