• Medical Director ( Medicare )

    Molina Healthcare (Syracuse, NY)
    …quality improvement activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to ... Medicare , Medicaid, NCQA and other regulatory requirements. + Reviews...experience, including: + 2 years previous experience as a Medical Director in a clinical practice. +… more
    Molina Healthcare (05/02/25)
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  • Medical Director Specialty…

    Molina Healthcare (Syracuse, 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
    Molina Healthcare (04/09/25)
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  • Medical Director /Associate…

    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 ... Responsibilities: Maintain an active clinical practice in Gynecologic Oncology including medical and surgical management and chemotherapy. Assume leadership role in… more
    SUNY Upstate Medical University (04/16/25)
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  • Assistant Director of Nursing 1…

    New York State Civil Service (Syracuse, NY)
    NY HELP Yes Agency Mental Health, Office of Title Assistant Director of Nursing 1 Psychiatric- Quality, Education, and Training (NY HELPS), Hutchings Psychiatric ... Mental Health (OMH) Joint Commission accredited hospital, is recruiting an Assistant Director of Nursing 1, Psychiatric (ADON) for Quality, Education, & Training for… more
    New York State Civil Service (05/07/25)
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  • Assistant Director of Nursing 1…

    New York State Civil Service (Syracuse, NY)
    NY HELP Yes Agency Mental Health, Office of Title Assistant Director of Nursing 1 Psychiatric- Inpatient (NY HELPS), Hutchings Psychiatric Center, P26078 ... of Mental Health (OMH) Joint Commission accredited hospital, is recruiting an Assistant Director of Nursing 1, Psychiatric (ADON) to serve as the Inpatient Assistant… more
    New York State Civil Service (05/07/25)
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  • Medical Director , Behavioral Health

    Molina Healthcare (Syracuse, 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
    Molina Healthcare (04/26/25)
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  • Director , Appeals & Grievances (Texas)

    Molina Healthcare (Syracuse, 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
    Molina Healthcare (05/14/25)
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  • Associate Director - Field Reimbursement…

    Bayer (Syracuse, NY)
    …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
    Bayer (05/08/25)
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  • Regional Director , Quality Solutions…

    Molina Healthcare (Syracuse, NY)
    …ideally suited for candidates living in the Eastern Time Zone. Regional Director Quality Solutions (QS) is responsible for contributing to the strategic performance ... + Serves as the subject matter expert for all, Medicaid / Medicare / Marketplace quality, and data acquisition functions to ensure participants understands… more
    Molina Healthcare (04/30/25)
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  • NP/PA - General Medicine

    SUNY Upstate Medical University (Syracuse, NY)
    …patient needs and suggests solutions to patient care problems. In conjunction with Medical Director and Practice Manager interviews clinical staff and has input ... Orients, trains, evaluates (in conjunction with Practice Manager and/or Medical Director ) all clinical staff in the...consistent with practice). Must have NPI number and be Medicare Enrolled with Medicare Identification Number (or… more
    SUNY Upstate Medical University (04/16/25)
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  • Nephrology - Nurse Practitioner/Physician…

    SUNY Upstate Medical University (Syracuse, NY)
    …patient needs and suggests solutions to patient care problems. In conjunction with Medical Director and Practice Manager interviews clinical staff and has input ... Orients, trains, evaluates (in conjunction with Practice Manager and/or Medical Director ) all clinical staff in the...consistent with practice). Must have NPI number and be Medicare Enrolled with Medicare Identification Number (or… more
    SUNY Upstate Medical University (03/04/25)
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  • RN Clinical Manager

    CenterWell (Liverpool, NY)
    …audits/billing are completed timely and in compliance with Medicare regulations. + Coordinates communication between team members/attending physicians/caregivers ... of care and outcome planning. + Works in conjunction with the Branch Director and Company Finance Department to establish location's revenue and budget goals. +… more
    CenterWell (05/13/25)
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  • Specialty Sales Representative, Immunology…

    Grifols Shared Services North America, Inc (Syracuse, NY)
    …business customers. The SSR will liaise with Marketing, Managed Markets, Operations, CL&D, Medical Affairs and Telesales to achieve the goals of the company. The SSR ... and commercial insights and monthly business planning discussions with Regional Sales Director *Better use of existing tools like Excel, Word *Use of Technology… more
    Grifols Shared Services North America, Inc (05/09/25)
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  • RN Clinical Educator/Case Mgr (Lhcsa)

    HCR Home Care (East Syracuse, NY)
    …- $98,000.00 Annually Role and Responsibilities: Under the leadership of the Director , and in collaboration with the Clinical Education Dept., the Staff Educator ... guidelines. Includes but is not limited to obtaining a medical history, particularly as it relates to the present...skills. * Knowledge of State and Federal Regulations and Medicare /Medicaid Guidelines for home care. * Knowledge in theories… more
    HCR Home Care (04/11/25)
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