- Otsuka America Pharmaceutical Inc. (Albany, NY)
- …other. It's this deep-rooted dedication that drives us to uncover answers to complex , underserved medical needs, so that patients can push past the limitations of ... enhance communication strategies, ensuring seamless and personalized interactions with healthcare professionals (HCPs) and key opinion leaders (KOLs). **Job… more
- Evolent (Albany, NY)
- …to ensure clean and consistent tracking of Evolent's covered membership and claims + Synthesize complex analyses into succinct presentations for communication ... providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and...connected care journey. We are hiring for a Managing Director , Actuarial Services to join our Finance Team. The… 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
- Molina Healthcare (Buffalo, NY)
- …& ABILITIES** : 1 year customer service, provider service, contracting or claims experience in the healthcare industry. **PREFERRED EDUCATION** : Associate's ... adequacy, financial performance and operational performance, in alignment with Molina Healthcare 's overall mission, core values, and strategic plan and in compliance… 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
- Excellus BlueCross BlueShield (Rochester, NY)
- …and monitoring the utilization of physical health (PH) medical and healthcare services for members, ensuring compliance with internal and external standards ... set by regulatory and accreditation entities. Refers appropriate cases to the Medical Director for review. Refer to and work closely with Case Management to address… more
- J&J Family of Companies (New York, NY)
- At Johnson & Johnson, we believe health is everything. Our strength in healthcare innovation empowers us to build a world where complex diseases are prevented, ... uniquely positioned to innovate across the full spectrum of healthcare solutions today to deliver the breakthroughs of tomorrow,... innovation empowers us to build a world where complex diseases are prevented, treated, and cured, where treatments… more
- Mount Sinai Health System (New York, NY)
- …and opportunities in revenue trends. This position will report to the Senior Director of Revenue. This role will ensure the accurate recording, recognition, and ... reporting of hospital revenue, which includes focusing on the healthcare revenue cycle, patient billing, and maintaining compliance with US GAAP and ASC 606… more
- Pfizer (New York, NY)
- …industry and healthcare environment, specifically with an understanding of healthcare claims data and its application to marketing optimization + ... and visionary practitioners. This position will report to the Director , Measurement and Optimization, and will be a key...We look for prior experience in media analytics, healthcare claims data, and HCP data, especially… more