- CVS Health (New York, NY)
- …databases relating to provider facilities and provider information. Assists in the development of policies and procedures. Manage the development of contracts ... internal staff. Responsible for other duties as assigned and required by the business and position. + Manages local Provider Experience team to deploy national… more
- City of New York (New York, NY)
- …pertaining to Medicaid . Manage the review and analysis of staff operations to ensure uniformity in the application of mandated state and federal regulations, ... Attendant and Housekeeping services for active cases. The Executive Director of Field Operations plans and manages the activities of the following units within the… more
- Bristol Myers Squibb (Madison, NJ)
- …Pharmacy products + Support a new brand or indication launch by leading development of program business rules, processes, materials, and hub, vendor, and ... . **Summary:** The Senior Manager of Access Support Program Operations & Above Brand Strategy will play a key...Management team on the creation and updating of program business rules, coordinating QBRs with hub vendors, and leading… more
- New York eHealth Collaborative (New York, NY)
- …Responsibilities: + Process incoming data-related requests working with requesters to development business requirements to create and/or modify existing datasets ... provides services to support the State's public health and Medicaid efforts. Position Summary: The Data Quality Business...their regional health information exchange (HIE) to support strategic development and services. In order to do this job… more
- The Cigna Group (Morris Plains, NJ)
- …of key operations accountabilities associated with all regulated lines of business including Medicare, Medicaid , and Marketplace (Exchange / Health Care ... **Product Management Lead Analyst - Centene Operations Management** **_This is a hybrid role and...management and correction of client PDE (Medicare) and Encounter ( Medicaid ) reporting + Process completion of all adjustment requests… more
- City of New York (New York, NY)
- …BE PERMANENT IN A COMPARABLE TITLE ELIGIBLE FOR 6.1.9 TITLE CHANGE. The Medicaid Audit and Quality Control's primary responsibility is to ensure that the eligibility ... to avoid potential financial sanctions being levied against the Medicaid Program. OQI/ MAQC is recruiting for (1) one...payment errors. Participate and assist the director in the development of corrective action plans aimed at reducing payment… more
- Atlantic Health System (Morristown, NJ)
- …information, data and maintains updated and accurate spreadsheets for operations . 3. Accurately collects and documents time-of-service payments. Verifies/collects: ... cost. This commitment is also echoed in the respect, development and opportunities we give to our more than...Partner of the New York Jets + NJ Sustainable Business Morristown Medical Center is a nationally-recognized leader in… more
- City of New York (New York, NY)
- …, and Fair Fares reporting unit, which provides support on the SNAP caseload, the operations of SNAP centers, the Medicaid caseload and operations , and the ... of Homeless Services (DHS), as well as to Human Resources Administration's (HRA) operations and program services. OPMDA is requesting to hire one (1) Admin Staff… more
- CenterLight Health System (Flushing, NY)
- …Medicaid regulations. + Work in conjunction with the other teams in the Business Development Department to identify referral trends that will lead to ... of prospect/participant Medicaid and/or Medicare status updates. + Supervise the development of the proposed service plan and work closely with intake and… more
- CVS Health (New York, NY)
- …improving quality, access, and client satisfaction for Aetna Commercial, Medicaid and Medicare membershipResponsibilities: + Development and accountability ... provider risk + Demonstrated experience with contracting for Commercial, Medicare and Medicaid lines of business . + Demonstrated success in developing and… more
- City of New York (New York, NY)
- …Office of Training Operations provides the critical link between staff development and worker understanding of policy for execution of agency programs. The ... of Training Operations who will: - Oversee the definition and development of curriculum standards, assess training needs, directs the design and development… more
- Healthfirst (New York, NY)
- …interactive learning experience, that lays a foundation for continued leadership development . Interns do impactful work, collaborating with other interns, employees, ... and business leaders to solve current business problems...Federal regulations while providing high quality care to Healthfirst Medicaid and Medicare members . Over their ten weeks… more
- Atlantic Health System (Morristown, NJ)
- …oversee physician, real estate and contract management process, including development of electronic databases. Assume primary responsibility for physician contract ... fraud and abuse issues, HIPAA compliance, EMTALA, Medicare and Medicaid compliance, licensure issues, pay-to-play issues, corporate governance and regulatory… more
- Educational Alliance, Inc. (New York, NY)
- …and interns. Assist the Director and Clinical Directors in day-to-day admissions operations . + Provide onsite and offsite intake and admissions services to adults ... quality admissions assessments in accordance with regulatory bodies (OASAS, CARF, and Medicaid ) + Support the training of new admissions staff + Track enrollments… more
- City of New York (New York, NY)
- …housing, and assistance with applying for public benefits and services including Medicaid , food stamps, and cash assistance. HASA also provides vocational services ... direction to HASA staff and develops and implements policies regarding the operations of these units, monitors their performance, and oversees the coordination of… more
- Atlantic Health System (Morristown, NJ)
- …support in evaluating the financial impact of potential contracts, partnerships, and business development opportunities. + Monitor and assess key performance ... the hospital's financial health. The ideal candidate is curious about numbers, data, business , and healthcare; Operations -based mindset is a plus. This is an… more
- CVS Health (New York, NY)
- …A&BC's Consumer Analytics organization. The team partners with Aetna's Government lines of business (Medicare, Duals, Medicaid , ACA) to consult with business ... are responsible for understanding the data flow from a business perspective to create a solution architecture to model...Plans for future years in terms of strategy and operations + Provides leadership and direction through multiple managers… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …+ Adaptable + Quick learner Preferred: + Public Speaking + Training + Marketing/ Business Development /Sales knowledge + Strong leadership and managerial skills + ... Training & Development team, handle office duties and optimize office operations . The Training Coordinator will provide oversight of the Tele-sales staff and… more
- Atlantic Health System (Morristown, NJ)
- Under the direction of the Laboratory Operations Manager and Laboratory Supervisor, The Lead Clinical Laboratory Assistant III will assist with the oversight of the ... daily operations in the Pathology Laboratory. This includes maintaining a...cost. This commitment is also echoed in the respect, development and opportunities we give to our more than… more
- Atlantic Health System (Morristown, NJ)
- Under the direction of the Laboratory Operations Manager and Pathology Laboratory Supervisor, The Lead Histotechnologist will assist with the oversight of the daily ... operations in the Histology Lab. + Assists with basic...cost. This commitment is also echoed in the respect, development and opportunities we give to our more than… more