- Eisai, Inc (Nutley, NJ)
- At Eisai, satisfying unmet medical needs and increasing the benefits healthcare provides to patients, their families, and caregivers is Eisai's human health care ... difference. If this is your profile, we want to hear from you. The Associate Director , Compliance Operations will be a key member of Eisai's US Ethics & Compliance… more
- AIG (Jersey City, NJ)
- Claims Complex Director - Healthcare Professional Liability (HPL) Join us as a Claims Complex Director to take on key responsibilities within ... an impact + This position will ensure high quality claims handling within the Healthcare Professional Liability...+ 7+ years of medical malpractice / professional liability complex claims and/or complex litigation… more
- Molina Healthcare (Yonkers, NY)
- **Job Summary** The Program Director , TechOps Core Systems provides department-level oversight for TechOps Core Systems performance and initiatives with emphasis on ... QNXT platform evolution, AI adoption, claims adjudication, provider/benefit configuration, and payments modernization. The role orchestrates cross‑functional… more
- Mount Sinai Health System (New York, NY)
- **Job Description** ** Director of RCM EPIC Optimization Patient Financial Services -Corporate 42** **nd** **Street- Full-Time-Days (Hybrid)** The Director of ... in financial performance, operational efficiency, and patient experience. The Director will collaborate closely with operational, clinical, and IT stakeholders… more
- Elevance Health (New Hyde Park, NY)
- …payment integrity, or provider performance programs preferred. + Strong understanding of healthcare data systems ( claims , EHR, analytics platforms) and payer ... **Manager, Medical Director - Transformation Initiatives** Location: This role requires...initiatives that impact providers, members, and clients across the healthcare ecosystem. **How you will make an impact:** **Strategic… more
- City of New York (New York, NY)
- …for the City of New York, you will receive excellent benefits, including healthcare , vision benefits, dental benefits, as well as the opportunity to participate in ... York City Employees' Retirement System Membership and Service Division seeks a Deputy Director . Under the direction of the Membership and Service Director , the… more
- Centene Corporation (New York, NY)
- …to providers that would improve utilization and health care quality. + Reviews claims involving complex , controversial, or unusual or new services in order ... Directors** Centene Corporation is a leading provider of government-sponsored healthcare coverage, providing access to affordable, high-quality services to Medicaid… more
- Danaher Corporation (New York, NY)
- …System (https://www.danaher.com/how-we-work/danaher-business-system) which makes everything possible. The Senior Director of Data & AI is responsible for the ... 5+ years in leadership roles in diagnostics, medtech, biopharma, or healthcare . + Deep understanding of clinical development for diagnostics (analytical/clinical… more
- Organon & Co. (Jersey City, NJ)
- **Job Description** **The Position** The Scientific Publications Director will support all aspects of global biomedical publications development, with minimal ... and vendor interactions. + Competency in writing, editing, reviewing and managing complex publications for various audiences across the product life cycle. +… more
- BD (Becton, Dickinson and Company) (Franklin Lakes, NJ)
- …talent trends, culture, reward systems, and organization models + Works on complex issues where analysis of situations or data requires an in-depth knowledge ... compensation changes and follow-up with leaders + Provides strategic HR advisory support for complex HR issues and activities (eg RIF) + Looks for trends and root… more
- Molina Healthcare (Yonkers, NY)
- …adequacy, financial performance and operational performance, in alignment with Molina Healthcare 's overall mission, core values, and strategic plan and in compliance ... for accurate and timely maintenance of critical provider information on all claims and provider databases. Synchronizes data among multiple claims systems… more
- Molina Healthcare (Yonkers, NY)
- …This role has decision-making accountability for ensuring compliance with complex regulatory requirements, protecting the integrity of enterprise revenue, and ... of encounters as well as provides leadership support at managing overall healthcare costs. + Ability to influence across multiple organizational functions - Payment… more
- Mount Sinai Health System (New York, NY)
- …and other accrediting agencies. This individual, in conjunction with the Senior Director , participates in the orienting, training and mentoring new staff to the ... Management & Patient Safety Department. This involves collaborating with the Senior Director to develop educational plans for instructing staff about the medical… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Clinical Risk Manager reports to the Director of Risk Management and Patient Safety and is responsible for reviewing, summarizing, analyzing, ... presenting and monitoring safety events, claims management, loss prevention and reduction, patient safety related quality improvement activities and supporting the… more
- BD (Becton, Dickinson and Company) (Franklin Lakes, NJ)
- …plays a key role in providing medical devices critical to the delivery of healthcare . The team is comprised of individuals passionate about our role and our legacy ... a company and excited about our continued contribution to healthcare . We're seeking a dynamic leader to join our...join our team and report directly to the Business Director of our Medication Delivery business. This is your… more
- City of New York (New York, NY)
- …sources, including an electronic case management and claiming system, to ensure claims for payment are supported and compliant Create reports, analyses, and ... completeness and correctness of work. Ability to learn a complex service program and to interpret Federal, State and...the job application or interview process, contact Sye-Eun Ahn, Director of the Office of Equal Employment Opportunity, at… more
