- City of New York (New York, NY)
- …Control Bank Disbursement System. Under the direction of the Bureau's Executive Director and with wide latitude for independent judgment and decision-making, the ... Director of Human Services Payments will report to the...- Direct the processing of approximately 30,000 Medicaid reimbursement claims per month, related to a class-action settlement. -… more
- United Therapeutics (Albany, NY)
- …compliance risks and responds effectively and efficiently. The Senior Corporate Compliance Director , Risk Management reports to the Chief Compliance Officer and is ... leading the Department's risk management activities. The Senior Corporate Compliance Director will develop the auditing and monitoring strategy for the Department,… more
- SUNY Upstate Medical University (Syracuse, NY)
- Job Summary: The Associate Director of Risk Management is responsible for an integrated, hospital-wide program for the prevention, monitoring, and control of areas ... Hospital through Risk detection, evaluation, and prevention. Will provide support to the Director of Risk Management on matters related to liability loss and the… more
- Centene Corporation (New York, NY)
- …+ Actively practices medicine **Position Purpose:** Assist the Chief Medical Director to direct and coordinate the medical management, quality improvement and ... of performance improvement initiatives for capitated providers. + Assists Chief Medical Director in planning and establishing goals and policies to improve quality… more
- City of New York (New York, NY)
- …Health and Mental Hygiene, Division of Mental Hygiene seeks one (1) full-time Director of the Epidemiology Unit for the Bureau of Health Promotion for ... Justice-Impacted Populations. The Director of the Epidemiology Unit, reporting to the Assistant...Youth Risk Behavior Survey, SPARCS, Salient or other Medicaid claims databases, MEPS, BRFSS. - Ability to quickly familiarize… more
- Excellus BlueCross BlueShield (Buffalo, NY)
- …you to apply! Job Description: This position assists the Chief Medical Director to direct and coordinate the medical management, quality improvement and ... of performance improvement initiatives for capitated providers. + Assists Chief Medical Director in planning and establishing goals and policies to improve quality… more
- Mount Sinai Health System (New York, NY)
- **Job Description** ** Director Pre Appeals Management-HSO Appeals Management -Corporate 42nd Street-Full-Time-Days -Remote** The Director , Pre Appeals Management ... coordination of care to improve patient outcomes while controlling costs. The Director collaborates closely with medical staff, vendors, case management, and payers… more
- The Estee Lauder Companies (New York, NY)
- …product texture and fragrance benchmark, usage, product. ingredients/technologies, positioning and claims with input from Executive Director and/or supervisor. * ... and formula dossiers and turnover presentations under the supervision of Executive Director and/or supervisor. * Responsible for sending out product samples and… more
- Otsuka America Pharmaceutical Inc. (Albany, NY)
- …**Data Integration & Management** + Explore and analyze common pharmaceuticals data (eg, claims ) as well as novel data sets based on lab and EHR systems. ... you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more
- Molina Healthcare (NY)
- …for accurate and timely maintenance of critical provider information on all claims and provider databases. Maintains critical provider information on all claims ... the development, implementation and maintenance of provider data in the claims payment system. * Supports critical business strategies by providing systematic… more