- Stony Brook University (St. James, NY)
- …health information management , and patient accounting systems. **Duties of a Director Revenue Cycle Applications IT may include the following but are not limited ... encompassing systems expertise, patient registration and throughput, health information management , claims processing and reimbursement, payer contracts, and… more
- Humana (Albany, NY)
- …a Lead Medical Director , depending on the line of business. The Medical Director conducts Utilization Management or clinical validation of the care ... **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement… more
- MTA (Brooklyn, NY)
- …TA/OA Department: Law Division/Unit: Torts Reports to: Assistant General Counsel / Director of Claims Work Location: 130 Livingston Street, Brooklyn Hours ... aid defense counsel; reviewing and drafting reports for senior management ; serving as liaison between the torts department and...damage claims brought against MTA agencies. Review claims and relevant factual and medical records… more
- Humana (Albany, NY)
- …community and help us put health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work ... Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in an… more
- Otsuka America Pharmaceutical Inc. (Albany, NY)
- …medicines for those with CNS disorders, we are seeking a skilled and experienced Medical Director of CNS Early Assets, Global Medical Affairs, responsible ... , Franchise Lead CNS Early Assets. **Position Summary:** The Medical Director , Global Medical Affairs,...for any assigned assets in development. + Support lifecycle management initiatives and planning for assigned assets as applicable.… more
- Centene Corporation (New York, NY)
- …the Chief Medical Director to direct and coordinate the medical management , quality improvement and credentialing functions for the business unit. + ... 28 million members as a clinical professional on our Medical Management /Health Services team. Centene is a...performance improvement initiatives for capitated providers. + Assists Chief Medical Director in planning and establishing goals… more
- Elevance Health (New Hyde Park, NY)
- **Manager, Medical Director - Transformation Initiatives** Location: This role requires associates to be in-office 3 days per week, fostering collaboration and ... is granted as required by law. Alternate locations may be considered. The **Manager, Medical Director ** will serve as a clinical and strategic advisor to… more
- Excellus BlueCross BlueShield (Buffalo, NY)
- …the Chief Medical Director to direct and coordinate the medical management , quality improvement and credentialing functions for the business unit. This ... implementation of performance improvement initiatives for capitated providers. + Assists Chief Medical Director in planning and establishing goals and policies… more
- Humana (Albany, NY)
- …put health first** The Corporate Medical Director (CMD) relies on medical background to review health claims and preservice appeals. The Corporate ... Medical Director works on problems of diverse scope and complexity...focused on continuously improving consumer experiences **Preferred Qualifications** + Medical utilization management experience + Working with… more
- AECOM (New York, NY)
- …**Job Description** **AECOM Technical Services is currently looking for an experienced Program Management Director to join our team, leading on a complex program ... for ethical and safe working practices. + Drives innovation in program management approaches and methodology to achieve marketplace differentiation. + Works with… more
- Molina Healthcare (NY)
- …quality improvement activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to ... claims and appeals and resolves grievances related to medical quality of care. + Attends or chairs committees...experience, including: + 2 years previous experience as a Medical Director in a clinical practice. +… more
- Humana (Albany, NY)
- …us put health first** The Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The Corporate ... Medical Director works on problems of diverse scope and complexity...focused on continuously improving consumer experiences **Preferred Qualifications** + Medical utilization management experience, + working with… more
- CVS Health (New York, NY)
- …supports over 6 million members on its core administrative platforms. The Lead Director , Technology Product Management for our Medicare Enrollment & Billing will ... security, etc. to ensure overall cohesion for the Medicare claims platform. You will lead a team of product... platform. You will lead a team of product management colleagues, creating a positive team culture through development… more
- Celestica (New York, NY)
- Req ID: 129127 Remote Position: Hybrid Region: Americas Country: USA **Summary** The Director , Strategic Supply Chain Management is a global supply chain focal ... provides guidance to ensure capacity is installed as needed. + Supports E&O claims , shortage management and follow up escalations with customers for resolutions.… more
- AON (NY)
- Aon Is Looking for a Director of Travel Insurance Program Development We currently have an exciting career opportunity for a Director of Travel Insurance Program ... implementation, and performance tracking to ensure successful launches and lifecycle management . + Collaborate with carriers on underwriting strategy and contribute… more
- Otsuka America Pharmaceutical Inc. (Albany, NY)
- **_Associate Director , Established Brands Marketing_** **Position Summary** The Associate Director , Established Brands Marketing is responsible for driving ... CNS portfolio. The individual will work closely with market access, sales, medical affairs, and finance to implement commercial strategies that sustain product… more
- Mount Sinai Health System (New York, NY)
- …initiatives to maximize the effectiveness of Mount Sinai Health System's EPIC electronic medical record (EMR) platform for Revenue Cycle Management . This leader ... **Job Description** ** Director of RCM EPIC Optimization Patient Financial Services...relevant RCM modules (eg, Resolute Professional Billing, Hospital Billing, Claims , Contract Management ) strongly preferred. + Minimum… more
- Otsuka America Pharmaceutical Inc. (Albany, NY)
- **Position Summary:** The Director GVE Operations oversee and coordinates projects within the department to ensure alignment with organizational goals. This role is ... other integrated data generation initiatives. This position reports to the Senior Director , Global Integrated Evidence & Innovation Operations and can be based in… more
- Ross Stores, Inc. (New York, NY)
- …and options in order to facilitate business decisions and outcomes\. * Claims management : Effectively and efficiently resolve demand letters and pre\-litigation ... effectively managing projects/ claims \. The position will report to the Sr\. Director , Employment Law, and will work directly with Human Resources and merchant… more
- City of New York (New York, NY)
- …- Provide direct supervision to issues relating to social services, facilities management , transportation, access to medical services, food services, special ... Job Description APPLICANTS MUST BE PERMANENT IN THE ADMINISTRATIVE DIRECTOR OF SOCIAL SERVICES CIVIL SERVICE TITLE OR BE PERMANENT IN A COMPARABLE TITLE ELIGIBLE FOR… more
