- Molina Healthcare (Yonkers, NY)
- …3+ years HMO/Managed Care experience **OR** 5 years experience as a Molina Medical Director + Demonstrated experience in Utilization/Quality Program management + ... Summary** Responsible for serving as the primary liaison between administration and medical staff. Assures the ongoing development and implementation of policies and… more
- Amneal Pharmaceuticals (Bridgewater, NJ)
- Description: The Senior Director of Market Access Strategy is responsible for the development and execution of the value and market access strategy and strategic ... and government channels in the US payer landscape. The Senior Director will be responsible for the...formulary access go-to-market strategies and executional plans across both medical and pharmacy benefits, as well as unique business… more
- Daiichi Sankyo Inc. (Basking Ridge, NJ)
- …centered around rare diseases and immune disorders. **Summary** The purpose of the Senior Director , Forecasting & Business Analytics is to lead the forecasting ... pharmaceutical therapies to improve standards of care and address diversified, unmet medical needs of people globally by leveraging our world-class science and… more
- Lumeris (New York, NY)
- …values its people and empowers you to make an impact. **Position:** Senior Director , Partner Operations **Position Summary:** Provides executive leadership and ... in Health Administration, or similar degree + Experience in managed care and/or Medicare Advantage **Working Conditions** + While performing the duties of this job,… more
- The Cigna Group (Morris Plains, NJ)
- …to protect formulary and trend solutions from unintended conflicts across commercial, Medicare , and product offerings that depend on those contracts. + Support of ... Strong relationship development capabilities with ability to work effectively with Senior Management. + Strong detail orientation, organization, and management of… more
- Mount Sinai Health System (New York, NY)
- …in primary care * Based on experience and demonstrated skill set, could consider Senior Medical Director level and associated compensation Compensation range ... improve the status quo **Role Summary:** MSHP seeks a Medical Director (MD), Physician Engagement and CDQI,...all populations served, especially our patients covered under a Medicare arrangement (MSSP or MA). The MD will report… more
- Daiichi Sankyo Inc. (Basking Ridge, NJ)
- …pharmaceutical therapies to improve standards of care and address diversified, unmet medical needs of people globally by leveraging our world-class science and ... areas centered around rare diseases and immune disorders. **Summary:** The Associate Director , Oncology Value & Market Dynamics Training Manager is responsible for… more
- The Cigna Group (Morris Plains, NJ)
- **Job Description: Director for Regulated Markets - CDAG/ODAG** **Excited to grow your career?** We value our talented employees, and whenever possible strive to ... the difference in our success. **Role Summary** : The Director of Regulated Markets is responsible for Coverage Review...Markets is responsible for Coverage Review and Determinations for Medicare Part B and Part D, Medicaid, Marketplace or… more
- RWJBarnabas Health (Livingston, NJ)
- …Director , Patient Access & Revenue Cycle Location:Cooperman Barnabas Medical Ctr Department Name:Patient Access Services Req #:0000204879 Status:Salaried ... Director , Patient Access & Rev CycleReq #:0000204879 Category:Billing/Collections/Registration...Services Salary:$100,619.00 - $142,124.00 per year Location: Cooperman Barnabas Medical Ctr, 94 Old Short Hillls Road, Livingston, NJ… more
- Teva Pharmaceuticals (Parsippany, NJ)
- …**The opportunity** Reporting to the Senior Vice President and US CFO, the Senior Director , Market Access Finance and Gross to Net Forecasting will be ... Sr Director , Market Access Finance & Gross to Net...contracting team to challenge, evaluate and align on Commercial, Medicare & Medicaid supplemental contracting proposals both in terms… 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...logical work flows where applicable. + Collaborates with department senior leadership and/ or Chairman to develop short term… more
- City of New York (New York, NY)
- …health outcomes for all New Yorkers. CHECW sits under the Agency's Chief Medical Officer. The Bureau of Equitable Health Systems (BEHS) is the healthcare systems ... health outcomes for all New Yorkers. CHECW sits under the Agency's Chief Medical Officer. The Bureau of Equitable Health Systems (BEHS) is the healthcare systems… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Senior CBO Appeals Analyst position requires an in-depth knowledge of healthcare pricing/reimbursement processes and procedures including ... fashion. In collaboration with the Underpayment Team manager, the Senior CBO Appeals Analyst will work to further the...meetings. 6. Routinely meets with underpayment team manager and director to provide updates on KPI's. 7. Research and… more
- Atlantic Health System (Morristown, NJ)
- …with the Service Line Manger, Director and System Medical Director for Psychiatry. Collaborates with practice managers, Senior Managers and AMG ... Integration and Hospital Based BH Services and the System Medical Director of Psychiatry. Job Functions: Job...and direct supported CoCM practices. Interfaces with practice managers, senior managers, AMG leadership and practice medical … more
- Terumo Medical Corporation (Somerset, NJ)
- …08873 Company: Terumo Americas Holding, Inc. Department: TAH Legal Terumo Medical Corporation (TMC) develops, manufactures, and markets a complete, solutions-based ... portfolio of high-quality medical devices used in a broad range of applications...go next!** **_Advancing healthcare with heart_** **Job Summary** The Senior Compliance Manager -Monitoring & Transparency, will support the… more
- Sunrise Senior Living (Edison, NJ)
- **When you join Sunrise Senior Living, you will be able to use your unique skills to empower residents to live longer, healthier, and happier lives. Not only will ... meaningful ways to serve, grow, and shine together.** **Sunrise Senior Living was again certified as a Great Place...Care model. + Assists with case management of both Medicare and non- Medicare guests/residents as needed. +… 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
- Westside Federation for Senior Supportive Housing (New York, NY)
- …MISSION STATEMENT The mission of WSFSSH is to provide safe, affordable, senior housing that integrates compassionate property management with supportive services to ... the development of healthy neighborhoods. JOB SUMMARY The Caseworker reports to the Director of the Center and will provide a comprehensive range of case management… more
- Charles B. Wang Community Health Center (Queens, NY)
- Full-Time Outreach Worker/Enroller Reports To: Director of Social Work Queens/Manhattan, New York United States Responsibilities : + Work closely with Community ... and conduct outreach (ie street outreach, community events, and presentations senior centers) to educate prospective applicants on their health insurance options… more