- Otsuka America Pharmaceutical Inc. (Albany, NY)
- **Job Summary** The Associate Director (AD), Commercial Data Management (CDM) within Data Enablement (DE) for Business Analysis (BA) is accountable for ... the data lifecycle. The CDMs will be data owners and provide strategic input and...Required + Experience working within the pharmaceutical industry within data operations/ data management environments. +… more
- Molina Healthcare (Albany, NY)
- …design solutions utilizing provider data such as the Provider Online Directory, Utilization Management , Customer Experience, Enrollment, and Claims ... **Job Description** **Job Summary** The Network Solutions Director is responsible for leading a team designing...combination of education and experience **Required Experience** 7-9 years Provider Data **Preferred Education** Graduate Degree or… more
- Molina Healthcare (Albany, NY)
- … Information process functions. * Directs the development, implementation and maintenance of provider data in the claims payment system. * Supports critical ... databases. Maintains critical provider information on all claims and provider databases. Synchronizes data among multiple claims systems and application of… more
- Molina Healthcare (Albany, NY)
- …optimization, and service delivery + Overseeing implementation of scalable solutions for provider onboarding, data management , and credentialing operations + ... **JOB DESCRIPTION** **Job Summary** Lead operational readiness initiatives across provider data and credentialing functions, supporting both new implementations… more
- Molina Healthcare (Albany, NY)
- …and ensure adherence to business, system and regulatory requirements of Provider Data Management /Network Adequacy. **Knowledge/Skills/Abilities** + ... work with other teams including New Markets team, Network Management , Product Teams, PDM and IT. **Job Qualifications** **REQUIRED...EXPERIENCE:** + Advanced Excel skills. + Power BI. + Provider Data Analytics. To all current Molina… more
- Evolent (Albany, NY)
- …OR THE SOUTHWEST REGION We are seeking a strategic and collaborative Associate Director , Provider Engagement to lead our oncology-focused provider engagement ... in the **New Mexico** . Reporting to the National Provider Engagement Sr. Director , you will be...+ Own market level engagement strategy and collaborate with provider engagement market managers to ensure change management… more
- CVS Health (Albany, NY)
- …**Position Summary** CVS Health is seeking an experienced analytics leader to join our Clinical Data Science team as the Lead Director , Data Science. This ... Provide technical coaching and professional development opportunities for data scientists, enhancing their skills and capabilities to meet organizational needs.… more
- Datavant (Albany, NY)
- …to customer outcomes, regulatory drivers, and market trends in risk adjustment, care management , and provider enablement. + Identify and prioritize use cases ... KPIs that measure both risk adjustment performance and interoperability success ( data exchange rates, provider adoption). **Stakeholder Engagement:** + Serve… more
- Elevance Health (Latham, NY)
- …guidance across multiple enterprise transformation initiatives, including: + **Medical Cost Management ** + **HealthOS and enterprise data platforms** + ... Payment Integrity** + **Care Management / Utilization Management (CM/UM) Modernization** + ** Provider Networking &...teams on ethical and clinically appropriate use of healthcare data . + Partner with Provider Network leaders… more
- CenterWell (Albany, NY)
- …improve clinical workflows, and drive scalable models of care. The Medical Director will provide medical leadership to multidisciplinary teams, partner with ... trends, evidence-based guidelines, and regulatory requirements impacting home-based care. **Resource Management and Clinical Oversight** + Provide clinical input… more
- Hilton (Albany, NY)
- …receive the combined benefits of scale, access, competence, and experience\. As a Director , Global Travel Partnerships _,_ you will oversee a portfolio of global ... travel management companies, implementing commercial strategies to increase revenue with...focus on growing market share, reporting to the Executive Director , Travel Partners\. **HOW WE WILL SUPPORT YOU** Hilton… more
- St. Mary's Healthcare (Amsterdam, NY)
- …be determined based on experience and other factors permitted by law. The Director , Environmental Safety and Emergency Management is responsible for achieving ... 24/7 to respond to disaster or potential disaster situations. Provide warnings and emergency data to the...updating disaster plans, including internal and external event response. Provide necessary project management and support for… more
- Datavant (Albany, NY)
- …of Internal Audit will evaluate the effectiveness of internal controls, risk management practices, and governance processes across Datavant's Provider , Payer, ... Datavant is a data platform company and the world's leader in...realize our bold vision for healthcare. **Role Summary:** The ** Director of Internal Audit** will design, implement, and oversee… more
- Trinity Health (Albany, NY)
- …referrals. + Lead and collaborate on efforts to strengthen patient and provider access across THNY oncology services. **Financial Management :** + Manage ... patient care protocols, and healthcare regulations. + Proficiency in financial management , budgeting, forecasting, and healthcare data analytics. + Knowledge… more
- Humana (Albany, NY)
- …part of our caring community and help us put health first** The Director , Internal Audit develops, plans and evaluates internal audit programs for the organization's ... ensure compliance with the organization's policies, procedures and standards. The Director , Internal Audit requires an in-depth understanding of how organization… more
- New York State Civil Service (Albany, NY)
- …(desktop and network support), cybersecurity, eDiscovery, application development, and case data management coordination.* Ensuring critical IT resources and ... No Agency Attorney General, Office of the Title Deputy Director of EISG: Position for Expr. IT Manager(6406) Occupational...skills.* Working knowledge in major IT technologies, such as data storage systems (SANs), database management and… more
- CenterWell (Albany, NY)
- …forecasting, and cross-functional collaboration, and can influence executive decision-making through data -driven insights. The Associate Director of WFM Capacity ... expansion, vendor allocation, outsourcing, and automation. Additionally, the Associate Director collaborates with Real-Time Management , Scheduling, and… more
- CenterWell (Albany, NY)
- …of our caring community and help us put health first** The Associate Director , Informatics coordinates with other analytics, IT and business areas across the ... organizational capabilities intersect within and across departments. The **Associate Director , Informatics** will be responsible for supporting Patient Safety… more
- Humana (Albany, NY)
- … Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in an ... community and help us put health first** The Medical Director relies on medical background and reviews health claims....to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. The… more
- Highmark Health (Albany, NY)
- …partnership director who manages non-clinical workforce activity. + **Relationship Management & Communication:** Ensure the team has established key contacts in ... clinical programs in a large multi-hospital health system + Experience working in provider partnerships + Experience with data analytics and medical economics … more