- Molina Healthcare (Yonkers, 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
- RVO Health (New York, NY)
- **AT A GLANCE** RVO Health is looking for an Associate Director , Medicare Product Manager to improve how seniors find and select their Medicare plans. 88% of ... seniors report that they find enrolling in a Medicare plan to be confusing and overwhelming. Our mission...different subjects at your fingertips + Health Insurance Coverage ( medical , dental, and vision) + Life Insurance + Short… more
- Molina Healthcare (Yonkers, 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
- Mount Sinai Health System (New York, NY)
- …environments + Seek to improve the status quo **Role Summary:** MSHP seeks a Medical Director (MD), Physician Engagement and CDQI, who will (1) be responsible ... to drive accurate risk adjustment throughout the system. This Medical Director must be effective at influencing...all populations served, especially our patients covered under a Medicare arrangement (MSSP or MA). The MD will report… more
- Molina Healthcare (Yonkers, 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 (Yonkers, 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
- New York State Civil Service (New York, NY)
- …the Chief Medical Officer/Clinical DirectorUnder the general direction of the Director of NYSPI and in close collaboration with other facility executive staff, ... NY HELP No Agency Mental Health, Office of Title Deputy Director , Psychiatric Research Institute, M-8, New York State Psychiatric Institute, P26164 Occupational… more
- Bayer (Stamford, CT)
- …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
- Genesis Healthcare (Ridgefield, CT)
- …Powerback is the place for you. **Why Powerback?** + **Benefits:** We offer Medical , Dental, and Vision plans to Full-Time and Part-Time team members. + **Support ... Clinicians in Action professional development program. Responsibilities As a Director of Rehabilitation, you are leading a team of...in the state of practice 3. Thorough knowledge of Medicare and third party billing required 4. Must have… 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...standards and billing regulations set by governmental agencies like Medicare and Medicaid. + May chair or participate in… more
- Lumeris (New York, NY)
- …its people and empowers you to make an impact. **Position:** Senior Director , Partner Operations **Position Summary:** Provides executive leadership and oversight of ... in Health Administration, or similar degree + Experience in managed care and/or Medicare Advantage **Working Conditions** + While performing the duties of this job,… more
- Mount Sinai Health System (New York, NY)
- …Description** The Manager, Government Model Operations will lead operational execution for Medicare value-based care programs, beginning with the Medicare Shared ... governance activities for the Mount Sinai Health Partner IPA and Medicare Accountable Care Organization (ACO), and lead internal coordination across cross-functional… more
- New York State Civil Service (Orangeburg, NY)
- …Duties Description The incumbent of this position is intended to serve as the ATC Medical Director and will function as part of a multidisciplinary team with ... NY HELP Yes Agency Addiction Services and Supports, Office of Title Medical Specialist 2 (Blaisdell ATC) Occupational Category Health Care, Human/Social Services… 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
- Genesis Healthcare (Danbury, CT)
- …Powerback is the place for you. **Why Powerback?** + **Benefits:** We offer Medical , Dental, and Vision plans to Full-Time and Part-Time team members. + **Support ... our Clinicians in Action professional development program. Responsibilities The Director of Rehab PTA is responsible for the efficient...period of one year. 5. A thorough knowledge of Medicare and third party billing is also required. Posted… more
- Genesis Healthcare (Ridgefield, CT)
- …Powerback is the place for you. **Why Powerback?** + **Benefits:** We offer Medical , Dental, and Vision plans to Full-Time and Part-Time team members. + **Support ... better, and living better. The Senior Therapist is responsible for assisting the Director of Rehab in the efficient Clinical management of rehabilitation services in… 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
- Nuvance Health (Danbury, CT)
- …DME, medications and transportation. Enters referral information into the Electronic Medical Record, completes the referral process and forwards hospital documents ... referred for care, to include an in-depth knowledge of Medicare , private insurance, HMO and Title 19 and all...duties as assigned by the Clinical Supervisors or Executive Director . 9. Fulfills all compliance responsibilities related to the… 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 is the healthcare systems bureau ... supporting the strategic plan and vision of the Chief Medical Officer. Our mission is to apply policy, evidence,...65 or older, Blind and Disabled (ABD) Medicaid and Medicare Savings program (MSP); applying for Medicare ;… more
- FlexStaff (New York, NY)
- …the DTC clinical staff as needed. In the absence of, or at the direction of, the Medical Director , the NPS will represent or serve as the Medical Director ... transition of care follow-up visits. Reviews the patient's past medical history at least every six (6) months and...contact. Must have a Medicaid Provider ID and a Medicare Provider ID in good standing. It is Northwell… more