- 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
- 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
- Molina Healthcare (Yonkers, NY)
- …+ Integrates work with other teams including New Markets team, Network Management , Product Teams, PDM and IT. **Job Qualifications** **REQUIRED EDUCATION:** ... to business, system and regulatory requirements of Provider Data Management /Network Adequacy. **Knowledge/Skills/Abilities** + Contributes as a key member of… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …current members. MAP Advisor Primary Responsibilities: + Educate prospects on CPHL MAP product designed for Full Medicaid and Medicare recipients that need in ... CPHL sites located throughout the five (5) boroughs. Territory Management + Maintain CPHL MAP and Medicare ... or Sales experience SCOPE INFORMATION # Direct Reports: Director of Medicare Marketing Physical Requirements: The… more
- Sanofi Group (Morristown, NJ)
- **Job Title:** Director , Government Pricing **Location:** Morristown, NJ **About the job** **Job Summary:** The Director will lead the team responsible for ... Average Selling Price ("ASP") and state price reporting requirements. The Director will interpret complex government pricing regulations and oversee system… 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
- 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, ... staff as required. o Leads the quality assessment, quality program management and quality 2. Performance improvement strategies for TNJH in collaboration… more
- Sanofi Group (Morristown, NJ)
- …MicroStrategy/Power BI, and RMGP/Model N from a master data user functionality ( product management , contract setup & pricing, and adjudications & settlements) ... the VA FSS Sales and Industrial Fee (IFF) and Medicare Part D Manufacturer Discount Program. + Day-to day...audit requests by the required deadlines. + Support the Director , Government Accounts on various account management … more
- Molina Healthcare (Yonkers, NY)
- …oversight of processes that track, evaluate, and submit encounter deletions for Medicare Advantage, ACA, and Medicaid lines of business. This role has ... to reconcile data. + Responsible for encounter submissions, rejection management & resolution for all lines of business including...experience in related job. + 2 years minimum in Director level role or above. + Extensive understanding of… more
- Comunilife (New York, NY)
- …$155000.00 Salary Travel Percentage Up to 25% Job Shift Day Job Category Management Description Comunilife Inc.is looking for an experienced Senior leader for its ... Vice Presidents for Programs (AVP) for Transitional Housing, Program Director for Medical Respite, Program Director for...SCN Services. The Vice President is responsible for program management and the quantity and quality of services provided… more
