- Molina Healthcare (Yonkers, NY)
- …compliance by owning Molina's entire CMS Complaints Tracking Module (CTM) life cycle. As Director of CTM Oversight & Resolution you set the standards and ... related field (advanced degree a plus). **Experience** * 7+ years managing Medicare CTM, appeals & grievances, or related compliance functions-hands-on with CMS CTM… more
- Centene Corporation (Queens, NY)
- …is critical in managing end-to-end provider engagement, contract modeling, and performance oversight for Medicare Advantage and Dual Eligible Special Needs Plans ... incentive programs, attribution logic, and provider engagement strategies. + Represent Medicare VBP in governance discussions and escalate operational issues… more
- Mitsubishi Chemical Group (Jersey City, NJ)
- …researching on real-world evidence, and creating hope for all facing illness. The Associate Director of Market Access Services will be a key contributor to a team ... and PAP. This role will report directly to the Director of Trade & Market Access Strategy and be...Market Access Strategy and be responsible for the daily oversight of all patient access and support services as… more
- WTW (Fort Lee, NJ)
- …insurance brands in the US This role requires both strategic vision and operational management, with direct oversight of campaign planning, optimization, and ... leading direct-to-consumer insurance services business, specializing in the distribution of Medicare Advantage, Medicare Supplement and Life & Supplemental… 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
- 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....training materials and train employees when necessary. + Provides oversight to management staff to ensure compliance with established… more
- Molina Healthcare (Yonkers, NY)
- …in collaboration with the Manager or Director . * Keeps Manager or Director apprised of operational issues, including staffing resources, program and system ... drug regimen review, patient education, and medical staff interaction), and oversight (establishing and measuring performance metrics with regard to patient… more
- WTW (Fort Lee, NJ)
- …all outputs meet quality, compliance, and business expectations before reaching the Senior Director for final strategic oversight . This position will act as the ... leading direct-to-consumer insurance services business, specializing in the distribution of Medicare Advantage, Medicare Supplement and Life & Supplemental… more
- New York State Civil Service (Bronx, NY)
- …Duties Description The incumbent will be responsible for administrative duties for the Director , Assistant Director , and facility. Duties include, but are not ... purchase of goods and services. Maintain facilities financial records. Provide oversight of confidential client information. * Manage central files, printing,… more
- Molina Healthcare (Yonkers, NY)
- …strategy and development with respect to adequacy, financial performance and operational performance, in alignment with Molina Healthcare's overall mission, core ... contracts. Issue escalations, network adequacy, Joint Operating Committees, and delegation oversight . Tighter knit proximity ongoing after contract. * In conjunction… more