- Molina Healthcare (Yonkers, 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 (Yonkers, NY)
- …by owning Molina's entire CMS Complaints Tracking Module (CTM) life cycle. As Director of CTM Oversight & Resolution you set the standards and controls that ... for CMS audits and data-validation reviews * Ability to quantify financial, regulatory , and member-experience risk from complaint trends and to drive prioritized… more
- Molina Healthcare (Yonkers, 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
- Centene Corporation (Queens, NY)
- …Initiatives (VBP) will lead and support the expansion and optimization of Medicare -focused VBP arrangements across New York. This role is critical in managing ... end-to-end provider engagement, contract modeling, and performance oversight for Medicare Advantage and Dual Eligible Special Needs Plans (D-SNPs). The Manager will… more
- RWJBarnabas Health (Oceanport, NJ)
- …cost reports filings. In partnership with the Vice President of Corporate Reimbursement, the Director will manage the completion of DSH, Medicare Bad Debts, Wage ... as a key resource to department leadership for providing Medicare and Medicaid reimbursement support and implementing government payment...payments programs and will be asked to assist with regulatory research. The Director will also work… more
- Molina Healthcare (Yonkers, NY)
- …medical director , and quality improvement staff. + Facilitates conformance to Medicare , Medicaid, NCQA and other regulatory requirements. + Reviews quality ... without restrictions to practice and free of sanctions from Medicaid or Medicare . **PREFERRED EDUCATION:** Master's in Business Administration , Public Health,… more
- Molina Healthcare (Yonkers, NY)
- **Job Description** **Job Summary** The National Program Director - Value-Based Care is a strategic leadership role responsible for the development, implementation, ... evolution of value-based care (VBC) programs across all lines of business-Medicaid, Medicare , and Marketplace. This role is critical in driving clinical and… 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 ... care unit. **Qualifications** + 5 or more years of finance or administration building and developing teams, managing resources, and leading successful teams +… more
- New York State Civil Service (Montrose, NY)
- …HELP Yes Agency Health, Department of Title Supervisor Veterans Home Fiscal Administration (NY HELPS) (Veterans Home at Montrose) - 91128 Occupational Category ... the NYS Veterans Home at Montrose. The position reports to the Fiscal Director of the Health Facilities Management Group. The position also reports to Administrator… more
- New York State Civil Service (Jamaica, NY)
- NY HELP Yes Agency Health, Department of Title Supervisor Veterans Home Fiscal Administration (Veterans Home at St. Albans) (NY HELPS) - 31127 Occupational Category ... NYS Veterans Home at St. Albans. The position reports to the Fiscal Director of the Health Facilities Management Group. The position also reports to Administrator… more
- Project Renewal, Inc. (New York, NY)
- …(FQHC or Article 28 experience strongly preferred). + Strong knowledge of HIPAA, Medicaid/ Medicare , Stark Law, Part 2, and healthcare regulatory standards. + ... promotes ethical practices, and works closely with leadership to maintain regulatory compliance in healthcare and related human services. The Senior Manager,… more
- City of New York (New York, NY)
- …the Bureau of Equitable Health Systems and the Bureau of Finance, Administration , and Services. The division's Deputy Commissioner also serves as the Agency's ... the Bureau of Equitable Health Systems and the Bureau of Finance, Administration , and Services. The division's Deputy Commissioner also serves as the Agency's… more