- Molina Healthcare (Yonkers, 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
- Lumeris (New York, NY)
- …values its people and empowers you to make an impact. **Position:** Senior Director , Partner Operations **Position Summary:** Provides executive leadership and ... in Health Administration, or similar degree + Experience in managed care and/or Medicare Advantage **Working Conditions** + While performing the duties of this job,… more
- Centene Corporation (Latham, NY)
- …perspective on workplace flexibility. **This role will be responsibel for all non- Medicare Strategy. The ideal candidate will have a strong Medicaid background.** ... Present results and analysis of improvement efforts and ongoing performance measures to senior management + Performs other duties as assigned + Complies with all… more
- Albany Medical Center (Albany, NY)
- …and utilization management, quality, credentialing, and other related departments. The Director builds external relationships with payers' senior network ... States of America) Salary Range: $133,724.95 - $213,959.93 The Director is responsible for overseeing as well as implementing,...contracting, as well as the provision and reimbursement of medical services including, but not limited, to Medicare… more
- Evolent (Albany, NY)
- …Participates in on-going training per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to ... for utilization management while working in conjunction with the Senior Medical Director . **Qualifications -...by any state or federal health care program, including Medicare or Medicaid, and is not identified as an… more
- Evolent (Albany, NY)
- …Participates in on-going training per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to ... for utilization management while working in conjunction with the Senior Medical Director . **Qualifications** +...by any state or federal health care program, including Medicare or Medicaid, and is not identified as an… more
- Mount Sinai Health System (New York, NY)
- …in primary care * Based on experience and demonstrated skill set, could consider Senior Medical Director level and associated compensation Compensation range ... improve the status quo **Role Summary:** MSHP seeks a Medical Director (MD), Physician Engagement and CDQI,...all populations served, especially our patients covered under a Medicare arrangement (MSSP or MA). The MD will report… more
- Evolent (Albany, NY)
- …MD provider is recorded in a timely and accurate manner. . May assist the Senior Medical Director in research activities/questions related to the Utilization ... the culture. **What You'll Be Doing:** As a Field Medical Director , Oncology, you will be a...by any state or federal health care program, including Medicare or Medicaid, and is not identified as an… more
- Evolent (Albany, NY)
- …MD provider is recorded in a timely and accurate manner. + May assist the Senior Medical Director in research activities/questions related to the Utilization ... the culture. **What You'll Be Doing:** As a Field Medical Director , MSK Surgery you will be...by any state or federal health care program, including Medicare or Medicaid, and is not identified as an… more
- Evolent (Albany, NY)
- …Stay for the culture. **What You'll Be Doing:** Evolent is seeking an **Associate Medical Director - Cardiovascular Medicine** to play a critical role in ... with cross-functional teams, including **clinical reviewers, product, management, and senior leadership,** to improve decision-making and care outcomes. + Assist… 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...logical work flows where applicable. + Collaborates with department senior leadership and/ or Chairman to develop short term… more
- CenterLight Health System (NY)
- JOB PURPOSE: The Assistant Director , Revenue Cycle is responsible for the management and execution of enterprise-wide (CenterLight and its associated entities ... including C2Q Health Solutions, and Team Care Medical ) billing and revenue maximization activities, including analysis, reconciliation, and operational procedures to… more
- CenterWell (Albany, NY)
- …Leaders to identify and influence enhancements to technology to improve the medical coder experience. + Oversees coding operations by identifying business partner ... of management experience + 8 or more years of Medical Coding, IPA, or similar experience + Medical...up to 20% **Preferred Qualifications** + Proven experience with Medicare Advantage risk adjustment functions. + Proven track record… more
- Stony Brook University (Stony Brook, NY)
- Senior Accounting Assistant **Position Summary:** At the Long Island State Veterans Home, our Senior Accounting Assistants are responsible for ensuring ... consulting firms may also be expected. **Duties of a** ** Senior Accounting Assistant** **may include the following but are...following but are not limited to:** + Billing for Medicare (Part A & B), Medicaid, Private, Insurance, NAMI,… more
- City of New York (New York, NY)
- …health outcomes for all New Yorkers. CHECW sits under the Agency's Chief Medical Officer. The Bureau of Equitable Health Systems (BEHS) is the healthcare systems ... health outcomes for all New Yorkers. CHECW sits under the Agency's Chief Medical Officer. The Bureau of Equitable Health Systems (BEHS) is the healthcare systems… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Senior CBO Appeals Analyst position requires an in-depth knowledge of healthcare pricing/reimbursement processes and procedures including ... fashion. In collaboration with the Underpayment Team manager, the Senior CBO Appeals Analyst will work to further the...meetings. 6. Routinely meets with underpayment team manager and director to provide updates on KPI's. 7. Research and… more
- New York State Civil Service (Bronx, NY)
- …Bronx State NY Zip Code 10461 Duties Description NYCCC is recruiting a Director of Clinical Risk Management Department to oversee their Risk Management Department ... will supervise the Clinical Risk Managers (CRM) assigned to the department. The Director will have on-call and recall responsibilities along with evening work hours.… more
- CenterWell (Westbury, NY)
- …audits/billing are completed timely and in compliance with Medicare regulations. + Coordinates communication between team members/attending physicians/caregivers ... of care and outcome planning. + Works in conjunction with the Branch Director and Company Finance Department to establish location's revenue and budget goals. +… more
- University of Rochester (Rochester, NY)
- …health counseling) to identify high-risk patients with behavioral health and medical comorbidities, and facilitates access to other specialty psychiatric and ... the Department of Psychiatry, receiving clinical and administrative supervision by senior staff and/or faculty. Supervises other clinicians, and trainees as… more
- Westside Federation for Senior Supportive Housing (New York, NY)
- …MISSION STATEMENT The mission of WSFSSH is to provide safe, affordable, senior housing that integrates compassionate property management with supportive services to ... the development of healthy neighborhoods. JOB SUMMARY The Caseworker reports to the Director of the Center and will provide a comprehensive range of case management… more