- Humana (Albany, NY)
- …Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The Corporate Medical Director works on problems ... and complexity ranging from moderate to substantial. The Corporate Medical Director provides medical interpretation and decisions about the appropriateness of… more
- City of New York (New York, NY)
- …people who enter our system are supervised according to their risk level and receive the support and services they need to abide by the law and be an asset to their ... The Department of Probation is seeking to hire a Timekeeping and Payroll Director who will oversee all agency's Timekeeping and Payroll functions using NYCAPS, PMS,… more
- City of New York (New York, NY)
- …develop and maintain a strong financial infrastructure to enable and support the delivery of high-quality, effective, and impactful contracted services. The ... Deputy Director of the Office of Contract Agency Audits will...independently audited financial statements. - Conducting reviews of monthly claims for reimbursement submitted by CBOs, as part of… more
- Travelers Insurance Company (Glens Falls, NY)
- …- $193,400.00 **Target Openings** 1 **What Is the Opportunity?** Travelers is seeking a Director , Agile Product Owner to join our organization to lead a team to ... years of work experience within the discipline being supported (eg: Claim , Risk Control, Technology, Project Management, Production, Application Development, etc.)… more
- Sedgwick (New York, NY)
- …Fortune Best Workplaces in Financial Services & Insurance Client Services Director | REMOTE | Casualty/Workers Compensation Experience required + **Program ... financial, and professional needs. **ARE YOU AN IDEAL CANDIDATE?** To provide support to clients; identifying and educating clients on issues and trends impacting… more
- Evolent (Albany, NY)
- …the mission. Stay for the culture. **Who You'll Be Working With:** The Director , Performance Suite Analytics, utilizes and develops analytic tools to solve complex ... business challenges as well as support decision making that can have a considerable impact...+ At least 5 years of professional experience in claims -based healthcare analytics with a payer, provider, vendor, managed… more
- NASCO (Albany, NY)
- **Overview** Under general direction, the Director of Data and AI Architecture will drive the evolution of our hybrid data strategy and AI architecture to enhance ... leadership regarding strategic direction, outcomes, staffing, and other assignments. The Director is a trusted advisor to technology and product leadership,… more
- Molina Healthcare (Albany, NY)
- …ongoing development and implementation of policies and procedures that guide and support the provisions of medical staff services. Maintains a working knowledge of ... activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to Medicare, Medicaid,… more
- City of New York (New York, NY)
- …increase transparency and accountability, promote integrity, and strengthen public trust. Director of Vendor Integrity, acting under the general supervision of the ... when present. Audit managers in this unit also oversee claims analysis at the request of the Bureau of...they are well structured, logical, persuasive, and impactful. - Support and drive efficiency, effectiveness, economy and equity within… more
- Astor Services (Poughkeepsie, NY)
- Regional Director of Outpatient Services Poughkeepsie, NY (http://maps.google.com/maps?q=46+Lincoln+Avenue+Poughkeepsie+NY+USA+12601) Job Type Full-time Description ... of clinic managers/supervisors and high-quality, well-trained clinicians. Assists the Director , Outpatient Counseling Services in the development of clinical… more