- Molina Healthcare (Yonkers, NY)
- …operation process designs and establishes procedures and techniques for operational standards. Confers with customers to define and resolve. ... **Knowledge/Skills/Abilities** Responsible for the oversight of regulatory compliance of Corporate Operations functions, including but not limited to performance of… more
- Molina Healthcare (Yonkers, NY)
- …and regulations, contract provisions, and internal policies and procedures. * Supports the Operational Oversight Manager, Director , and team in the general ... reporting exists to demonstrate compliance to regulatory requirements. * Supports Manager and Director with developing the Operational Oversight Work Plan,… more
- Molina Healthcare (Yonkers, NY)
- …**Job Duties** + Enable market P&L success through support and oversight for assigned markets, including D-SNP market performance management. + Function ... as Medicare subject matter expert and point of contact for...drive compliance and performance objectives as well as provide oversight , including service level agreements. + Works with staff… more
- Molina Healthcare (Yonkers, NY)
- …on increased responsibility and adding value to the organization + Ensures strong operational processes are in place to deliver across all areas of responsibility + ... Provides oversight analyses of demographic data to support accurate Network Adequacy Reporting and Directory development. + Manage multiple resources and projects… more
- Ankura (New York, NY)
- …accreditations, operations, investigations, and/or litigation/dispute matters generally focused on Medicare and Commercial Risk Adjustment. The Senior Director ... class and globally recognized independent experts who tailor financial, operational , and compliance solutions to complex litigation, enforcement, and regulatory… more
- Softheon (New York, NY)
- Job Title: Director of GRC & EPMO Team: Finance Job Location: Remote, Up to 25% Travel About Us: Join us in revolutionizing healthcare! We build software that ... our health plan and government customers with the administration, reporting, and operational requirements of their plans. By tackling the complexities of enrollment,… more
- Molina Healthcare (Yonkers, NY)
- …to members or authorized representatives in accordance with Centers for Medicare and Medicaid standards/requirements. * Provides direct oversight , monitoring ... and implements process improvements to achieve member/provider satisfaction or operational effectiveness/efficiencies which contribute to Molina Medicare 's… more
- Truecare Homecare Agency (Brooklyn, NY)
- …Director of Clinical Operations will be responsible for the day-to-day and strategic oversight of all key operational functions of the agency. The ideal ... New York, Westchester, Long Island, and Colorado. Our focus is on compliance, compassion, and operational excellence as we serve diverse communities. The Senior … more
- The New Jewish Home (Bronx, NY)
- …The HAPI Division of The New Jewish Home is seeking for a full time Director of Patient Care to join our team. Job Summary: Oversees all clinical operations, ... of quality metrics to support performance improvement initiatives and quality/compliance oversight . o Serves as quality subject matter expert with other stakeholders… more
- Molina Healthcare (Yonkers, NY)
- …Encounters is responsible for establishing enterprise-wide strategy, governance, and oversight of processes that track, evaluate, and submit encounter deletions ... for Medicare Advantage, ACA, and Medicaid lines of business. This...accuracy & completeness (ie, Encounter Production, Audit, Production Vendor Oversight ) for assigned lines of business. Responsible for increasing… more
- Callen-Lorde Community Health Center (New York, NY)
- …support compliance with health and safety regulations. Key Responsibilities Administrative & Operational Oversight + Manage all administrative support aspects of ... the smooth and efficient functioning of our dental services, with oversight of administrative workflows, scheduling, billing, and patient access. Reporting directly… more
- Mount Sinai Health System (New York, NY)
- …institution also received a Health Care Innovation Award from the Centers for Medicare and Medicaid Services to open the first geriatric emergency department in New ... the Hospital Epidemiologist, Pediatric Hospital Epidemiologist, and Infection Prevention Director in the development, application, education, and evaluation of… more