- CHINESE AMERICAN PLANNING COUNCIL (New York, NY)
- …education, school-age care, youth services, workforce development, community services, and senior services. CPC strives to be the premier social service and ... community for many years. JOB SUMMARY Reporting to the Program Director , the full-time Entitlement Benefits Specialist provides comprehensive prescreening and… more
- Molina Healthcare (Yonkers, NY)
- …3+ years HMO/Managed Care experience **OR** 5 years experience as a Molina Medical Director + Demonstrated experience in Utilization/Quality Program management + ... Summary** Responsible for serving as the primary liaison between administration and medical staff. Assures the ongoing development and implementation of policies and… more
- Molina Healthcare (Yonkers, NY)
- **JOB DESCRIPTION** **Job Summary** Responsible for analysis of Medicaid and Medicare financial reports, trend, and opportunities. Includes evaluation of and ... recommendations relating to business opportunities, Medicare bids, investments, financial regulations, and similar financial projects...early signs of trends or other issues related to medical care cost. + Design and perform actuarial studies… more
- Humana (Morristown, NJ)
- …of 8-12 Medicare Sales Agents, you'll work under the guidance of a Senior Manager and Regional Director who are committed to your success. Together, you'll ... of everything it does. The MarketPoint Career Channel Team is looking for skilled Medicare Field Sales Agents. This is a field-based role, and candidates must live… more
- Ankura (New York, NY)
- …matters generally focused on Medicare and Commercial Risk Adjustment. The Senior Director will also support practice and firmwide business development ... solutions to complex litigation, enforcement, and regulatory challenges. Role Overview The Senior Director will support the Healthcare Payer team within Ankura's… more
- Mount Sinai Health System (New York, NY)
- …in primary care + Based on experience and demonstrated skill set, could consider Senior Medical Director level and associated compensation Compensation range ... improve the status quo **Role Summary:** MSHP seeks a Medical Director (MD), Physician Engagement and CDQI,...all populations served, especially our patients covered under a Medicare arrangement (MSSP or MA). The MD will report… more
- The New Jewish Home (Bronx, NY)
- …foster the application of continuous improvement principles and best practices among Medicare and Medicaid products, in collaboration with senior leadership and ... New Jewish Home is seeking for a full time Director of Patient Care to join our team. Job...training and supervision of nursing and field staff and medical compliance issues. Reports To: AVP, Home & Community… more
- Robert Half Finance & Accounting (New York, NY)
- …those most impacted by social determinants of health. Our client is seeking a Director of Finance to serve as a strategic and hands-on leader, reporting directly to ... and working closely with the Board of Directors and senior leadership team. This is a unique opportunity to...and ensure accurate billing, coding, and claims across Medicaid, Medicare , and private insurers . Guide long-term financial strategy… more
- Insight Global (New York, NY)
- …and implement subsequent action plans. The role will report directly to the Senior Director of Operations. Responsibilities: * Develop and manage Payer ... 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… more
- Molina Healthcare (Yonkers, NY)
- …activities for the state health plan. Works with direct management, senior leadership/management, Corporate, and staff to develop and implement standardized provider ... and Joint Operating Committees. * Manages and reports network adequacy for Medicare , Marketplace, and Medicaid services. * In conjunction with direct management and… more
- Bristol Myers Squibb (Madison, NJ)
- …the impact of pricing policies across different therapeutic areas. + Support the Senior Director , Health Systems Analytics and Executive Director , Global ... their personal lives. Read more: careers.bms.com/working-with-us . **Summary:** The Senior Manager, Health Systems Analytics, supports the development and execution… more
- Sunrise Senior Living (Edison, NJ)
- **When you join Sunrise Senior Living, you will be able to use your unique skills to empower residents to live longer, healthier, and happier lives. Not only will ... meaningful ways to serve, grow, and shine together.** **Sunrise Senior Living was again certified as a Great Place...Care model. + Assists with case management of both Medicare and non- Medicare guests/residents as needed. +… more
- Mount Sinai Health System (New York, NY)
- …care and medical billing and reimbursement. This position will report to the Senior Director CDM of the Mount Sinai Health System This role will serve ... is required. Key skills include a strong understanding of medical terminology and patient care, expertise in medical...Behavior. + Performs other duties as required by the Senior Director of CDM **About Us** **Strength… more
