- MetroPlusHealth (New York, NY)
- …committed to building strong relationships with its members and providers.Position OverviewThe Director of State Product Compliance, reporting to the Vice ... not limited to, New York State Medicaid Managed Care, Medicare , Child Health Plus, Exchange, Partnership in Care, MetroPlus...Compliance, plays an integral role in the oversight and management of product regulatory compliance activities, for… more
- MetroPlusHealth (New York, NY)
- …team (PNO) Attend all needed HRP meetings through a phased roll out by product which includes prep, testing and post go live meetings Maintain PNO issue tracker ... convey HRP changes or updates Represent PNO VP or Director at HRP or other operational meetings as needed...education, training, and experience. Good understanding of provider network management and health system hierarchy set up at a… more
- CVS Health (New York, NY)
- …6 million members on its core administrative platforms. The Lead Director , Technology Product Management for our Medicare Enrollment & Billing will lead ... day. **Position Summary** Aetna is one of the largest Medicare plan carriers in the United States and supports... claims platform. You will lead a team of product management colleagues, creating a positive team… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **Mount Sinai Health System is seeking a Medical Director of Physician Engagement and CDQI!** **Background:** Mount Sinai is one of the largest ... We are accelerating a transition to a business model focused on population health management - our goal is to keep entire communities healthy and out of the… more
- Insight Global (New York, NY)
- Job Description About the Role: As Director of Payer Enrollment, you will play a crucial role in the leadership of our Payer Enrollment team. Our PE Team is core to ... plans. The role will report directly to the Senior Director of Operations. Responsibilities: * Develop and manage Payer...insights on renewal forecasts, customer health, customer surveys, and product usage. * Serve as the primary point of… more
