- MVP Health Care (Schenectady, NY)
- …Children's Services , to join #TeamMVP. If you have a passion for clinical excellence and innovation, Systemic Change and Policy Leadership, and team empowerment and ... with children in BH managed care settings or BH clinical settings (at least two years must be in...needed. Identifies and implements initiatives in collaboration with other senior leaders to promote appropriate care quality, service utilization,… more
- Parexel (Albany, NY)
- …Provide necessary support to cross-functional teams including Start up, Global Clinical Operations , Investigator Payments, Business Development and Feasibility + ... Site Contract Leader is responsible for overseeing the site contracting process for clinical trials. The Site Contract Lead will manage the site contracting process… more
- CenterWell (Albany, NY)
- **Become a part of our caring community and help us put health first** The Senior Clinical Operations Training Professional provides training support ... and existing clinics across the US and participate in go-live support. The Senior Clinical Operations Training Professional collaborates with training… more
- Sumitomo Pharma (Albany, NY)
- …seeking a dynamic, highly motivated, and experienced individual for the position of Senior Medical Director, Clinical Research (Ophthalmology) to join our R&D ... a global pharmaceutical company based in Japan with key operations in the US (Sumitomo Pharma America, Inc.), Canada...individual will contribute to the design and execution of clinical development plan(s) for assigned asset(s) and serve as… more
- Molina Healthcare (Albany, NY)
- …Health Insurance Operations ; particularly Utilization Management, Care Management, and Clinical Operations + Ability to work occasional late nights, ... + Knowledge of Health Insurance Utilization Management, Care Management, and Clinical Operations + Ability to work occasional late nights, weekends,… more
- Molina Healthcare (Albany, NY)
- …knowledge although they may have technical team members. **Expanded Scope:** The Senior Project Manager for Claims Operations drives complex, multi-workstream ... /coursework in project management, process improvement, change management, or healthcare operations . + Specialized training in Salesforce administration, process… more
- Trinity Health (Troy, NY)
- …of clinical intakes for community-based client referrals. + Consultation with senior clinical team. + Maintain records both electronic and paper in ... allowance and career development **What you will do:** The Senior Social Worker/LMHC will have strong clinical ...areas of opportunity + Evaluate and share opportunities for clinical training and professional development + Audit… more
- Cardinal Health (Albany, NY)
- …manufacturers to rethink the reach and impact of their products. The Supervisor, Clinical Operations provides management and clinical oversight to a ... positive and satisfactory experience for all customers. The Supervisor, Clinical Operations monitors nurse to patient contact...product training and adverse event/product quality complaint training . + Oversight of clinical training… more
- Norstella (Albany, NY)
- …of solutions that drive customer success and internal alignment. You will operate as a senior leader within the PER Operations team, reporting to the Director of ... Project Manager / Senior Project Manager, Patient Engagement and Recruitment Company:...roadmap development, and risk mitigation. + Deep understanding of clinical trial operations , patient recruitment strategies, regulatory… more
- Molina Healthcare (Albany, NY)
- …and cost-effective member care. Essential Job Duties * Under the direction of clinical operations leadership, responsible for oversight of internal and external ... health care experience, including 6 years of managed care experience supporting clinical operations and clinical /quality improvement activities, or… more
- WelbeHealth (Albany, NY)
- WelbeHealth is a value-based healthcare organization that's transforming the future of senior care by providing an all-inclusive care option to our most vulnerable ... senior population. Under the direction of the VP, Compliance,...and Related Entity (FDR) compliance + Collaborate with operational, clinical , and quality leadership to ensure that audit findings… more
- Norstella (Albany, NY)
- …and forecasting + Protocol Design, Country, Site and Investigator Feasibility + Clinical trials operations , cost benchmarking & landscapes + Performance ... Sr. Director/VP/ Clinical Delivery Lead, Advisory Services Company: Citeline Location:...industry suppliers, advisors, and investors. Our clients are generally senior -level decision makers in need of support to ensure… more
- Molina Healthcare (Albany, NY)
- **Job Description** **Job Summary** The Director, Clinical Data Acquisition for Risk Adjustment, is responsible for the implementation, monitoring, and oversight of ... well as Electronic Medical Record (EMR) access. This position oversees management of training for all CDA team members as well as company Risk Adjustment retrieval… more
- Humana (Albany, NY)
- …**Preferred Qualifications** + Advanced degree (MPH, MBA, or similar). + Experience in clinical operations or medical coding. + Strong financial acumen. + ... **Become a part of our caring community and help us put health first** Senior Insurance Product Manager - Medicaid & Duals Humana Medicaid is seeking a dynamic and… more
- Humana (Albany, NY)
- …part of our caring community and help us put health first** The Senior Fraud and Waste Professional conducts investigations of allegations of fraudulent and abusive ... practices. The Senior Fraud and Waste Professional work assignments involve moderately...be required, plus occasional travel to Humana's offices for training or meetings may be required. **WORK HOURS:** Typical… more
- Humana (Albany, NY)
- …a part of our caring community and help us put health first** The Senior Fraud and Waste Professional (Program Integrity Lead) is responsible for overseeing the ... in Virgina to enhance the program's transparency and accountability. The Senior Fraud and Waste Professional also conducts investigations into allegations of… more
- Norstella (Albany, NY)
- Senior Solutions Consultant, Life Sciences Forecasting Company: Evaluate Location: Remote, United States Date Posted: Sep 11, 2025 Employment Type: Full Time Job ID: ... solutions and provide customized forecasting solutions. We are seeking a Senior Solution Consultant with an entrepreneurial mindset who can drive pre-sales… more
- Albany Medical Center (Albany, NY)
- …Shift: Day (United States of America) Salary Range: $60,367.47 - $90,551.20 The Senior Professional Coder will apply an advanced professional coding skill set to act ... regulations and insurance carrier guidelines. Provide education, instruction and training to providers and coding staff. Act as an...service line expert. + Assist Supervisor in the daily operations of coding team(s) in a Team Lead position,… more
- Cardinal Health (Albany, NY)
- …of data to create innovative solutions that improve patient outcomes, streamline operations , and enhance the overall healthcare experience. We are seeking a highly ... motivated and experienced Senior Data Scientist to join our team as a...embeddings model. + Extensive knowledge of healthcare data, including clinical data, patient demographics, and claims data. Understanding of… more
- CenterWell (Albany, NY)
- …help us put health first** The Program Management Lead, Offshore Coding Operations conducts quality assurance audits of medical records and ICD-9/10 diagnosis codes ... (CMS) and other government agencies. The Program Management Lead, Offshore Coding Operations works on problems of diverse scope and complexity ranging from moderate… more