- Molina Healthcare (Yonkers, NY)
- …operation process designs and establishes procedures and techniques for operational standards. Confers with customers to define and resolve. ... **Knowledge/Skills/Abilities** Responsible for the oversight of regulatory compliance of Corporate Operations functions, including but not limited to performance of… more
- Molina Healthcare (Syracuse, NY)
- …and regulations, contract provisions, and internal policies and procedures. * Supports the Operational Oversight Manager, Director , and team in the general ... reporting exists to demonstrate compliance to regulatory requirements. * Supports Manager and Director with developing the Operational Oversight Work Plan,… more
- Molina Healthcare (Buffalo, NY)
- …on increased responsibility and adding value to the organization + Ensures strong operational processes are in place to deliver across all areas of responsibility + ... Provides oversight analyses of demographic data to support accurate Network Adequacy Reporting and Directory development. + Manage multiple resources and projects… more
- CenterWell (Albany, NY)
- …improvement. + Work collaboratively with the Strategy Advancement and Operations Director to align clinical and operational priorities. **Quality Improvement ... and help us put health first** The National Medical Director for Home-Based Care Programs is a key clinical...skills; ability to collaborate effectively with clinicians, executives, and operational leaders. + Advanced knowledge of Medicare … more
- Ankura (New York, NY)
- …accreditations, operations, investigations, and/or litigation/dispute matters generally focused on Medicare and Commercial Risk Adjustment. The Senior Director ... class and globally recognized independent experts who tailor financial, operational , and compliance solutions to complex litigation, enforcement, and regulatory… more
- Molina Healthcare (Buffalo, NY)
- …to members or authorized representatives in accordance with Centers for Medicare and Medicaid standards/requirements. * Provides direct oversight , monitoring ... and implements process improvements to achieve member/provider satisfaction or operational effectiveness/efficiencies which contribute to Molina Medicare 's… more
- New York State Civil Service (NY)
- NY HELP No Agency People With Developmental Disabilities, Office for Title Deputy Director DDSO 2, Bridge Deputy Director - Downstate Occupational Category Other ... and system level to serve as the Bridge Deputy Director of State Operations Office Region 5. The Bridge...but are not limited to: - Direct support and oversight to a range of staff across a variety… more
- New York State Civil Service (Albany, NY)
- …enterprise data warehouse and eligibility and enrollment systems; providing contractual and operational oversight for the Medicaid Data Warehouse, and design, ... No Agency Health, Department of Title Division of Operations and Systems Director , Chief Information Officer (Health Program Director 3) Occupational Category… more
- Hillside Family of Agencies (Auburn, NY)
- Job Summary The Director II Residential Services ensures the delivery of high quality residential treatment to youth and families by coaching and mentoring teams and ... budget development and management, utilization, hiring, supervision, training, clinical oversight , regulatory compliance, and the safety of youth, families, and… more
- Truecare Homecare Agency (Brooklyn, NY)
- …Director of Clinical Operations will be responsible for the day-to-day and strategic oversight of all key operational functions of the agency. The ideal ... New York, Westchester, Long Island, and Colorado. Our focus is on compliance, compassion, and operational excellence as we serve diverse communities. The Senior … more
- Baylor Scott & White Health (Albany, NY)
- …, Denial Resource Center is responsible for the strategic planning, evaluation, and operational oversight of the clinical denial management function for Baylor ... Scott and White Health (BSWH). The Director , Denial Resource Center will lead a highly skilled...function for BSWH. + Recommends and implements strategic and operational plans and priorities for clinical denial management aligned… more
- Humana (Albany, NY)
- …to deliver agile, data-driven, and personalized member experiences at scale. As Director of Marketing Communication Operations, you will play a pivotal leadership ... approaches and compliance with CMS, Medicaid, and Pharmacy marketing standards ** Operational Excellence & Vendor Ecosystem** + Design and implement scalable… more
- Omnicell (Watertown, NY)
- **ASSOCIATE DIRECTOR , PHARMACY OPERATIONS** Omnicell Specialty Pharmacy is looking for an experienced pharmacy leader to oversee on-site operations for a new ... providers, and interacting with executive leadership to provide clear guidance operational challenges and growth opportunities. Responsible and accountable for all … more
- The New Jewish Home (Bronx, NY)
- …The HAPI Division of The New Jewish Home is seeking for a full time Director of Patient Care to join our team. Job Summary: Oversees all clinical operations, ... of quality metrics to support performance improvement initiatives and quality/compliance oversight . o Serves as quality subject matter expert with other stakeholders… more
- Molina Healthcare (Syracuse, NY)
- …Encounters is responsible for establishing enterprise-wide strategy, governance, and oversight of processes that track, evaluate, and submit encounter deletions ... for Medicare Advantage, ACA, and Medicaid lines of business. This...accuracy & completeness (ie, Encounter Production, Audit, Production Vendor Oversight ) for assigned lines of business. Responsible for increasing… more
- Callen-Lorde Community Health Center (New York, NY)
- …support compliance with health and safety regulations. Key Responsibilities Administrative & Operational Oversight + Manage all administrative support aspects of ... the smooth and efficient functioning of our dental services, with oversight of administrative workflows, scheduling, billing, and patient access. Reporting directly… more
- Mount Sinai Health System (New York, NY)
- …institution also received a Health Care Innovation Award from the Centers for Medicare and Medicaid Services to open the first geriatric emergency department in New ... the Hospital Epidemiologist, Pediatric Hospital Epidemiologist, and Infection Prevention Director in the development, application, education, and evaluation of… more