- 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)
- **Job Description** **Job Summary** The Director , Clinical Data Acquisition for Risk Adjustment, is responsible for the implementation, monitoring, and oversight ... and data completeness training, onboarding for CDA team members, vendor management for chart collection vendors, Supplemental data , and chart collection… more
- Lotte Biologics USA LLC (Syracuse, NY)
- …to reliably deliver benefits for patients worldwide. Position Summary The Associate Director , Project Management Office (PMO) will play a key leadership ... stakeholder management . Duties & Responsibilities Leadership & Strategy + Provide experience-based mentorship and guidance to a team of project managers… more
- Molina Healthcare (Syracuse, NY)
- …or Contact Center technology leadership. + 5+ years in a senior management or director -level role overseeing **large-scale, cloud-based UCaaS/CCaaS environments ... **Job Description** **Job Summary** The Director of IT (Telecom) provides strategic and operational...and simplify secure access across channels. + Collaborate with data and analytics teams to leverage AI-driven insights for… more
- SUNY Upstate Medical University (Syracuse, NY)
- … Credentialing Specialist (CPCS) - Certified Professional in Medical Services Management (CPMSM) - Certified Provider Enrollment Specialist (CPES) Preferred ... Job Summary: Under the direction of the Director of Medical Staff Services, the Associate Director provides strategic and operational oversight of the Medical… 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)
- …and problem-solving capabilities. + **Preferred Experience** 10 years + of IT Data Center Operations, Project Management , Cyber Recovery, Business Continuity ... **Job Description** **Job Summary** The Director of Cyber Recovery will oversee and manage...the Network Operating Center (NOC) and Enterprise Business Continuity Management (EBCM) Team. This role is primarily responsible for… more
- Turner & Townsend (Syracuse, NY)
- …markets around the world. **Job Description** **Turner & Townsend** are seeking an experienced ** Director of Estimating & Cost Management ** to lead and develop a ... success. Our capabilities include programme, project, cost, asset and commercial management , controls and performance, procurement and supply chain, net zero and… more
- State University of New York at Oswego (Oswego, NY)
- …content management systems. + Ability to analyze digital engagement data and apply insights to improve donor acquisition and retention. Preferred Qualifications: ... Association, Inc., located at SUNY Oswego, invites applications for a full-time Assistant Director of Annual Giving. While this position is located on the campus of… more
- State University of New York at Oswego (Oswego, NY)
- …of New York at Oswego invites applications to fill a full time Director , TRIO-Student Support Services (SSS) While this position is affiliated with the SUNY ... + Administer federal grant program budget in collaboration with the project director + Work with admissions, financial aid, accessibility services, and advisement to… 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
- 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
- Molina Healthcare (Syracuse, NY)
- **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect to financial and ... of Value Based Contracts (VBCs) post execution, including but not limited to, data analysis and reporting that ensures VBCs fulfill APM provider payment… more
- SUNY Upstate Medical University (Syracuse, NY)
- …Units, the Clinical Provider (PHD Psychology or Behavior Analyst) will provide clinical services, clinical supervision and case management for inpatient ... cases as specified by the Program Director ; participate in promotion, supervising and evaluating of Direct...Provide direct clinical services, clinical supervision and case management of patients including but not limited to: behavior… more
- Molina Healthcare (Syracuse, NY)
- …care in the most effective setting. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties * Determines ... health care services provided to plan members. * Supports plan utilization management program and accompanying action plan(s), which includes strategies to ensure… more
- CenterWell (Liverpool, NY)
- …of care and outcome planning. + Works in conjunction with the Branch Director and Company Finance Department to establish location's revenue and budget goals. + ... objectively, in consultation with the Human Resources Department and the Executive Director / Director of Operations. + Participates in the interviewing, hiring,… more