• Director , Medicare

    Molina Healthcare (Albany, NY)
    …of the benefits, operations, communication, reporting, and data exchange of the Medicare product in support of strategic and corporate business objectives. Develops ... infrastructure, standards, and policies and procedures for the Medicare and Dual Eligible Program and participates in the strategic development of its products and… more
    Molina Healthcare (06/15/25)
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  • Senior Medical Director ( Medicare )

    Molina Healthcare (Albany, NY)
    …Medical License without restrictions (free of sanctions from Medicaid or Medicare ) **PREFERRED EDUCATION:** Master's in Business Administration , Public Health, ... **Job Summary** Responsible for serving as the primary liaison between administration and medical staff. Assures the ongoing development and implementation of… more
    Molina Healthcare (06/13/25)
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  • Director , Compliance - Specialty…

    Humana (Albany, NY)
    …part of our caring community and help us put health first** The Director of Regulatory Compliance develops and implements compliance programs aimed at governmental ... requirements and regulations across Humana Specialty and Military products. The Director manages dedicated compliance teams of associates who oversee compliance… more
    Humana (06/14/25)
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  • Director , System Payer Contracting

    Albany Medical Center (Albany, NY)
    …Day (United States of America) Salary Range: $133,724.95 - $213,959.93 The Director is responsible for overseeing as well as implementing, developing, maintaining, ... stakeholders to optimize contracts or mediate issues requires the Director to possess exceptional leadership, organizational, analytic, and communication… more
    Albany Medical Center (04/16/25)
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  • Medical Director (Marketplace)

    Molina Healthcare (Albany, NY)
    …without restrictions to practice and free of sanctions from Medicaid or Medicare . **PREFERRED EDUCATION:** Master's in Business Administration , Public Health, ... **Job Summary** Responsible for serving as the primary liaison between administration and medical staff. Assures the ongoing development and implementation of… more
    Molina Healthcare (06/06/25)
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  • Medical Director , MSK Surgery

    Evolent (Albany, NY)
    …General of the Department of Health and Human Services or the General Service Administration (GSA), or reprimanded or sanctioned by Medicare . + No history of ... for the culture. **What You'll Be Doing:** The Medical Director for MSK Surgery is a key member of...by any state or federal health care program, including Medicare or Medicaid, and is not identified as an… more
    Evolent (05/20/25)
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  • Field Medical Director , Cardiology

    Evolent (Albany, NY)
    …General of the Department of Health and Human Services or the General Service Administration (GSA), or reprimanded or sanctioned by Medicare . + No history of ... **What You'll Be Doing:** As a Cardiology, Field Medical Director you will be a key member of the...by any state or federal health care program, including Medicare or Medicaid, and is not identified as an… more
    Evolent (05/16/25)
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  • Field Medical Director , Interventional…

    Evolent (Albany, NY)
    …General of the Department of Health and Human Services or the General Service Administration (GSA), or reprimanded or sanctioned by Medicare . + No history of ... Join our Utilization Management team as a Field Medical Director , Cardiovascular Specialist and use your expertise in interventional...by any state or federal health care program, including Medicare or Medicaid, and is not identified as an… more
    Evolent (04/30/25)
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  • Field Medical Director , Musculoskeletal…

    Evolent (Albany, NY)
    …General of the Department of Health and Human Services or the General Service Administration (GSA), or reprimanded or sanctioned by Medicare . + No history of ... culture. **What You'll Be Doing:** As a Field Medical Director , MSK Surgery you will be a key member...by any state or federal health care program, including Medicare or Medicaid, and is not identified as an… more
    Evolent (06/11/25)
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  • Field Medical Director , Oncology

    Evolent (Albany, NY)
    …General of the Department of Health and Human Services or the General Service Administration (GSA), or reprimanded or sanctioned by Medicare . . No history of ... culture. **What You'll Be Doing:** As a Field Medical Director , Oncology, you will be a key member of...by any state or federal health care program, including Medicare or Medicaid, and is not identified as an… more
    Evolent (05/20/25)
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  • IPA Coding Associate Director

    CenterWell (Albany, NY)
    …to travel up to 20% **Preferred Qualifications** + Proven experience with Medicare Advantage risk adjustment functions. + Proven track record of working ... the organization. + Bachelor's degree in business in business, healthcare administration , or related field. **Knowledge, Skills, and Abilities:** + Comprehensive… more
    CenterWell (04/24/25)
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  • Senior Director , Quality Improvement.

    Centene Corporation (Latham, NY)
    …perspective on workplace flexibility. **This role will be responsibel for all non- Medicare Strategy. The ideal candidate will have a strong Medicaid background.** ... all policies and standards **Education/Experience:** Bachelor's degree in Nursing, Business Administration , or Health Care Administration . 8+ years of quality… more
    Centene Corporation (06/21/25)
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  • Senior Strategy Advancement Professional

    CenterWell (Albany, NY)
    …Education and/or Work Experience: * Graduate degree in Business or Healthcare Administration preferred * Previous experience supporting Medicare payment model ... will be responsible for supporting the CenterWell ACO and Medicare payment model programs via the Center for ...models. Under general direction and supervision from the ACO Director , the Senior Strategy Advancement Professional will bring a… more
    CenterWell (06/24/25)
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  • Program Manager - Center of Excellence…

    Albany Medical Center (Albany, NY)
    …the general supervision of Albany Medical College, Department of Neurology and Director of Alzheimer's Program, the Program Manager will oversee the day-to-day ... points for the mandatory quarterly reports and work plans, assisting the Program Director with the development of all applicable work plans and reports required by… more
    Albany Medical Center (05/26/25)
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  • Community Health Program Manager 2 (NY Helps)

    New York State Civil Service (Albany, NY)
    …Duties Description The Community Health Program Manager 2 (CHPM2) serves as Assistant Director of the Bureau of Tobacco Control (BTC) and will assist in directing ... rules or regulations; reviewing appropriateness of services for insurance companies, Medicare , Medicaid, governmental agencies or other third-party payors; or other… more
    New York State Civil Service (06/14/25)
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