- Elevance Health (New Hyde Park, NY)
- …the afternoons. Candidates must be able to work Eastern Time Zone hours. The ** Medicare Medical Director ** is responsible for the administration of physical ... ** Medical Director - Medicare (Part-time)** Location: This role enables associates to work virtually full-time, with the exception of required in-person… more
- RVO Health (New York, NY)
- **AT A GLANCE** RVO Health is looking for an Associate Director , Medicare Product Manager to improve how seniors find and select their Medicare plans. 88% of ... seniors report that they find enrolling in a Medicare plan to be confusing and overwhelming. Our mission...different subjects at your fingertips + Health Insurance Coverage ( medical , dental, and vision) + Life Insurance + Short… more
- Centene Corporation (Queens, NY)
- …for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering ... will lead and support the expansion and optimization of Medicare -focused VBP arrangements across New York. This role is...position will be responsible for working with the VBP Director , other VBP Managers, and Analysts, as well as… more
- Molina Healthcare (New York, NY)
- **JOB DESCRIPTION** **Job Summary** The Medical Director for Specialty Medical Services & Market Performance will provide clinical expertise and support to ... quality improvement activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to… more
- Mount Sinai Health System (New York, NY)
- …environments + Seek to improve the status quo **Role Summary:** MSHP seeks a Medical Director (MD), Physician Engagement and CDQI, who will (1) be responsible ... to drive accurate risk adjustment throughout the system. This Medical Director must be effective at influencing...all populations served, especially our patients covered under a Medicare arrangement (MSSP or MA). The MD will report… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **The Mount Sinai Health System seeks an Obstetrics and Gynecology Medical Director for its Ambulatory Services at Mount Sinai Hospital!** ... status for nursing care, and it is the only medical center in New York State to earn Disease-Specific...a Health Care Innovation Award from the Centers for Medicare and Medicaid Services to open the first geriatric… more
- Molina Healthcare (New York, NY)
- …Certification in Psychiatry **REQUIRED EXPERIENCE:** * 2 years previous experience as a Medical Director in clinical practice * 3 years' experience in ... State Medical License, free of sanctions from Medicaid or Medicare . **Preferred Experience** * Peer Review, medical policy/procedure development, provider… more
- Northwell Health (Westbury, NY)
- **Req Number** 158136 Job Description The Director , Corporate Finance (RIO) promotes the financial viability of Northwell Health by effectively managing the ... organization's revenue capture operations. The Director works in close partnership with many aspects of...master. + Oversees and assists in the resolution of Medicare / Medicaid edits generated on hospital outpatient and… more
- Molina Healthcare (Yonkers, NY)
- …with the standards and requirements established by the Centers for Medicare and Medicaid **Knowledge/Skills/Abilities** * Leads, organizes, and directs the ... to members or authorized representatives in accordance with Centers for Medicare and Medicaid standards/requirements. * Provides direct oversight, monitoring and… more
- New York State Civil Service (New York, NY)
- …the Chief Medical Officer/Clinical DirectorUnder the general direction of the Director of NYSPI and in close collaboration with other facility executive staff, ... NY HELP No Agency Mental Health, Office of Title Deputy Director , Psychiatric Research Institute, M-8, New York State Psychiatric Institute, P26164 Occupational… more
- Bayer (Stamford, CT)
- …diverse minds to make a real difference, there's only one choice.** **Associate Director - Field Reimbursement - Oncology - (Northeast USA)** **Associate Director ... HCPs and Office staff in navigating therapy Prior Authorizations (PAs), Medical Necessity documentation and therapy PA denial appeals. Develop collaborative working… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **Billing Director -Patient Financial Services- Corporate (ON SITE) Full-Time -Days** Responsible for direction and management responsibility over ... the business and operational activities of a department or medical care unit. **Qualifications** + 5 or more years...standards and billing regulations set by governmental agencies like Medicare and Medicaid. + May chair or participate in… more
- Lumeris (New York, NY)
- …its people and empowers you to make an impact. **Position:** Senior Director , Partner Operations **Position Summary:** Provides executive leadership and oversight of ... in Health Administration, or similar degree + Experience in managed care and/or Medicare Advantage **Working Conditions** + While performing the duties of this job,… more
- Catholic Health Services (Melville, NY)
- …Qualifications: 1. Minimum Education/Training Required: Graduate of an accredited medical school. Completion of specialty residency (ie, Internal Medicine, Emergency ... their practical application preferred. Working knowledge of third-party payor guidelines/ medical necessity criteria such as InterQual(R) (ie, knowledge of admission… more
- Mount Sinai Health System (New York, NY)
- …Description** The Manager, Government Model Operations will lead operational execution for Medicare value-based care programs, beginning with the Medicare Shared ... governance activities for the Mount Sinai Health Partner IPA and Medicare Accountable Care Organization (ACO), and lead internal coordination across cross-functional… more
- New York State Civil Service (Orangeburg, NY)
- …Duties Description The incumbent of this position is intended to serve as the ATC Medical Director and will function as part of a multidisciplinary team with ... NY HELP Yes Agency Addiction Services and Supports, Office of Title Medical Specialist 2 (Blaisdell ATC) Occupational Category Health Care, Human/Social Services… more
- Option Care Health (New Rochelle, NY)
- …is maintained by providing direct patient care 20-40% of the time. In a Medicare Certified Home Health agency, this position may also serve as the alternate ... administrator and or alternate director of nursing. **Job Description:** **Job Responsibilities** (listed... of Nursing of the Home Health Agency for Medicare certified home health agencies in the absence of… more
- New York State Civil Service (Bronx, NY)
- …Bronx State NY Zip Code 10461 Duties Description NYCCC is recruiting a Director of Clinical Risk Management Department to oversee their Risk Management Department ... will supervise the Clinical Risk Managers (CRM) assigned to the department. The Director will have on-call and recall responsibilities along with evening work hours.… more
- RWJBarnabas Health (Newark, NJ)
- …of specimens, Supervises duties related to record documentation, consults with the Medical Director and Administrative Director on regulatory compliance ... Supervisor- Blood Bank ( Medical Technologist)Req #:0000194737 Category:Laboratory and Medical ...experience equivalent to the guidelines mandated by Centers for Medicare and Medicaid Services (CMS), CLIA and the New… more
- Atlantic Health System (Pompton Plains, NJ)
- …and monitors them for side effects and reactions. 3. Prescribes assistive medical devices and related treatments. 4. Monitors, reports, and records symptoms or ... healthcare team members. 6. Records patient vital signs and medical information. 7. Performs other related duties as assigned....highest - twelve consecutive times, and the Centers for Medicare and Medicaid Services awarded us again with its… more