- Molina Healthcare (Syracuse, 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 (Syracuse, 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 (Syracuse, 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 (Syracuse, 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
- SUNY College of Environmental Science and Forestry (Syracuse, NY)
- …including name purchases snd other vehicles to develop prospect engagement. + Provide data -driven insights to inform recruitment and admissions ensuring goals ... a variety of activities and outreach efforts. The Associate Director will provide strategic direction with a...knowledge in educational policies, financial aid, large-scale computer systems, data management , and laws and policies affecting… more
- Trinity Health (Syracuse, NY)
- …the operations of the outpatient specialty offices, inpatient specialty groups, and provider functions. Focused on outcomes, the Director advances the clinical, ... are. **GENERAL SUMMARY AND PURPOSE:** The MGPS Medicine Specialties Director is responsible for creating a delivery system that...and other departments as required to meet operating needs. Provide needed data to physicians to understand… more
- Crouse Hospital (Syracuse, NY)
- …stratification, information system software to support work flow and house care management data . + Consistently ensures robust measurement and reporting ... Since 1887, Crouse Health has been a leading healthcare provider in Central New York. We've combined a family-friendly...We've combined a family-friendly culture with a passion to provide the best care, which creates an environment where… more
- YMCA of Central New York (Manlius, NY)
- …when school is closed due to inclement weather or other unexpected reasons. + Communicates with management on behalf of the Director . + Acts as a proxy for the ... Job Title: Assistant School Age & Family Director Reports To: School Age and Family ...& Decision Making: Makes informed decisions based on logic, data , and sound judgment. Essential Functions: + Models the… more
- Molina Healthcare (Syracuse, NY)
- …regarding utilization practices, guideline usage, pharmacy utilization and effective resource management . + Develops and implements a Utilization Management ... activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to Medicare, Medicaid,… more
- Molina Healthcare (Syracuse, NY)
- …of value-based care models, provider enablement strategies, and population health management . + Strong knowledge of data integration, EMR systems, and ... programs focused on provider enablement, ensuring access to tools, training, and data for success in VBC models. + Design and implement VBC training programs,… more
- Molina Healthcare (Syracuse, NY)
- …timely maintenance of critical provider information on all claims and provider databases. Synchronizes data among multiple claims systems when applicable, ... business rules as they apply to each database. Validate data to be housed on provider databases...Identified as contract system lead by developing and maintaining provider contracts in contract management software. *… more
- Molina Healthcare (Syracuse, NY)
- …HMO/Managed Care experience **OR** 5 years experience as a Molina Medical Director + Demonstrated experience in Utilization/Quality Program management + Previous ... Assists in recruitment, hiring and training of staff as needed. + Analyzes data and identifies medical cost savings and quality improvement opportunities. + Accounts… more
- SUNY Morrisville (Morrisville, NY)
- …2025 Job Description: Campus Title: Director of Finance Budget Title: Director of Business Affairs Unit: Management /Confidential 13, view our generous state ... Duties: SUNY Morrisville seeks a dynamic, forward-thinking, and engaging Director of Finance to join the finance and administration...+ Proficient in using Microsoft Excel and other business management tools to analyze and report financial data… more
- Aspen Dental (East Syracuse, NY)
- …**Preferred Skills** + Experience with electronic health record (EHR) systems and provider data management tools. + Excellent organizational skills ... issues related to application delays, denials, or discrepancies in provider data . + Responds to requests from management , staff, providers, outside entities,… more
- Molina Healthcare (Syracuse, NY)
- …* Provides direct oversight, monitoring and training of local plans' provider dispute and appeals units to ensure adherence with Medicare standards ... and requirements related to non-contracted provider dispute/appeals processing. * Establishes member and non-contracted provider grievance/dispute and appeals… more
- ASM Global (Syracuse, NY)
- POSITION: Director of Event Services DEPARTMENT: Event Services REPORTS TO: General Manager FLSA STATUS: Exempt/Full-Time VENUE: The Oncenter / Empower FCU ... to revenue strategy and hospitality. Legends brings a 360-degree, data -driven approach across Global Partnerships, Hospitality, Merchandise, and Attractions, working… more
- Merck (Syracuse, NY)
- **Job Description** **Position Responsibilities** + The Regional Medical Scientific Director (RMSD) is a credentialed (ie, PhD, PharmD, DNP, MD) therapeutic and ... (GCSA), + Initiates discussions with SLs and/or potential investigators that include scientific/ data exchange within our AOI to determine the alignment with our… more
- SUNY Upstate Medical University (Syracuse, NY)
- Job Summary: Medical Director -Associate Professor/Professor in the Division of Gynecologic Oncology, Department of Obstetrics and Gynecology. Clinical ... active clinical practice in Gynecologic Oncology including medical and surgical management and chemotherapy. Assume leadership role in maintaining high quality… more
- KPH Healthcare Services, Inc. (East Syracuse, NY)
- …for developing and growing clinical solutions for Vertex clients to include formulary management programs. **Job Summary:** The Director of Clinical & Formulary ... be responsible for developing and creating clinical and formulary management options for Vertex clients. This role will oversee...service needs are met and exceeded. + Analyze rebate data to provide recommendations and support for… more
- Molina Healthcare (Syracuse, NY)
- …compliance program, including annual, periodic, focal, etc. audits. * Performance Management & KPI Expertise: Develop, implement, and monitor KPIs, including leading ... adherence, diagnose root causes of misses, and drive accountability across functions. * Data Insight & Decision Support: Ingest and interpret complex data from… more