- Molina Healthcare (Yonkers, NY)
- **JOB DESCRIPTION** **Job Summary** Responsible for analysis of Medicaid and Medicare financial reports, trend, and opportunities. Includes evaluation of and ... recommendations relating to business opportunities, Medicare bids, investments, financial regulations, and similar financial projects or programs. Duties include… more
- Outreach Development Corporation (Richmond Hill, NY)
- …behavioral health services and training. For more information, please visit www.opiny.org. The Sr. Director of Finance will serve a key member of the financial ... is $125,000 - $150,000. Job Scope Working closely with the CFO, the Sr. Director for Finance will provide Financial Leadership and Strategy + Collaborate to… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Director , Value & Access Finance and Gross to Net Forecasting Date: Oct 8, 2025 Location: Parsippany, United States, New Jersey, 07054 Company: Teva ... people to make a difference with. **The opportunity** The director of gross to net forecasting will be responsible...Monitor and track claims data for Commercial, Medical Commercial, Medicaid , Medicare , 340B and other government segments… more
- Robert Half Finance & Accounting (New York, NY)
- …for those most impacted by social determinants of health. Our client is seeking a Director of Finance to serve as a strategic and hands-on leader, reporting ... revenue cycle management and ensure accurate billing, coding, and claims across Medicaid , Medicare , and private insurers . Guide long-term financial strategy… more
- City of New York (New York, NY)
- …millions of dollars in annual Medicaid spending. This work includes identifying Medicaid clients who should apply for Medicare , identifying Medicaid ... for (1) Administrative Staff Analyst NM III to function as an Executive Director , Data Analytics & Verification who will: - Oversee the management, administration,… more
- Teva Pharmaceuticals (Parsippany, NJ)
- …the lifecycle of National pharmacy and medical benefit payer contracts, including Commercial, Medicare and Managed Medicaid + Assess contract language risks and ... Associate Director , Managed Care Payer Contracting Date: Oct 17,...with Account Management, Payer Contracting Analytics, Payer Marketing, Legal, Finance , Compliance, and Commercial teams to develop payer contracting… more
- Sanofi Group (Morristown, NJ)
- …responsible for executing all government pricing calculations in full compliance with all Medicaid , Medicare and VA Healthcare Act regulations. + Ensure timely ... **Job Title:** Director , Government Pricing **Location:** Morristown, NJ **About the...JOB-RELATED EXPERIENCE** + MBA or equivalent experience in business, finance , accounting, policy, or health care + Position requires… more
- Regeneron Pharmaceuticals (Sleepy Hollow, NY)
- …the biopharmaceutical industry + Strong understanding of US Payer system (Commercial, Medicare , Medicaid ), International HTA and payer systems, reference pricing ... reach patients who need it most. As the Senior Director , Global Pricing Strategy - Rare Disease, you will...across Commercial, HEOR, Market Access, Medical Affairs, Regulatory, and Finance teams + Actively participate and provide strategic pricing… more
- Molina Healthcare (Yonkers, NY)
- …and oversight of processes that track, evaluate, and submit encounter deletions for Medicare Advantage, ACA, and Medicaid lines of business. This role has ... in Director level role or above. + Extensive understanding of Medicare Advantage, ACA and Medicaid risk adjustment processes, including encounter data… more
- Mount Sinai Health System (New York, NY)
- …physician service charges to ensure they align with payer regulations, Medicare / Medicaid reimbursement methodologies, and managed care contracts. + Provides ... quality reporting measures. This position will report to the Director of the Enterprise CDM. **Qualifications** + Bachelor's degree...compliance regulations set by entities like the Centers for Medicare and Medicaid Services (CMS). + Mitigate… more
- Callen-Lorde Community Health Center (New York, NY)
- …Ability to lead, train, and mentor teams on complex processes. + Experience with Medicaid , Medicare , ACA plans, and private insurance. + Proficiency with EPIC ... health issues. About the Role TheManager of Billingworks directly with the Director of Billing Operations to oversee all billing, reconciliation, and collections for… more
- WMCHealth (Valhalla, NY)
- …Prepares surveys and reports to external agencies. + Gathers data in preparation of Annual Medicare & Medicaid Cost Reports. + Aid in the preparation of the ... Site Company: NorthEast Provider Solutions Inc. City/State: Valhalla, NY Category: Finance /Info Systems Department: Revenue Integrity Union: No Position: Full Time… more
- Callen-Lorde Community Health Center (New York, NY)
- …coaching, mentoring, and leading/building a team is required. + Knowledge of Medicaid /Managed Care, Medicare , HIPAA, ADA compliance, and state health ... workflows, scheduling, billing, and patient access. Reporting directly to the Director of Dentistry, the Manager of Dental Operations will supervise dental… more
- City of New York (New York, NY)
- …clients in applying for other government sponsored programs such as SNAP benefits; SSI or Medicaid , Medicare , and the Medicare Savings Program (MSP) for the ... Building, the Bureau of Equitable Health Systems and the Bureau of Finance , Administration, and Services. The division's Deputy Commissioner also serves as the… more
- City of New York (New York, NY)
- …products and insurance affordability programs; Aged 65 or older, Blind and Disabled (ABD) Medicaid and Medicare Savings program (MSP); applying for Medicare ; ... Building, the Bureau of Equitable Health Systems and the Bureau of Finance , Administration, and Services. The division's Deputy Commissioner also serves as the… more
- WMCHealth (Valhalla, NY)
- …practice and practice standards for Utilization Management as related to Medicare , Medicaid and HMO's. Working knowledge clinical criteria/guidelines such ... necessary. + Incorporates knowledge of clinical expertise, quality, insurance and finance into decision making and problem solving regarding denial management. +… more
- Bristol Myers Squibb (Madison, NJ)
- …access policies. It includes providing analytical support for strategies related to Medicare and Medicaid reforms, Pharmacy Benefit Manager (PBM) reforms, ... and Government Affairs (GPGA), Legal, Health Economics & Outcomes Research (HEOR), Finance , and Business Insights & Technology (BIT). + Build and maintain dynamic… more
- Mount Sinai Health System (New York, NY)
- …procurement of financial assistance for patients with government-sponsored health plans including Medicare , Medicaid and TriCare. Preferred: 3 years of health ... **Job Description** Under direct supervision of the Director of Specialty Pharmacy, the Specialty Pharmacy Manager and the Specialty Pharmacy Clinical Liaison, the… more