- Molina Healthcare (Buffalo, NY)
- …including clinical practice in behavioral health and at least 3 years as a medical director in a managed care setting supporting utilization management and ... programs, utilization management standardization, and cost-effective quality outcomes in a managed care environment. Contributes to overarching strategy to… more
- BlackRock (New York, NY)
- …We are seeking a **Principal Engineer** to join our Platform Engineering Cloud Managed Services team to help us design cloud platforms for mass adoption. The ... (eg containerization, serverless, advanced analytics) that could enhance our managed platform. Drive continuous improvement in deployment processes, reliability… more
- Abbott House (Bronx, NY)
- Job Summary: The Medicaid Managed Care Liaison is the primary contact person for the Medicaid Managed Care Plans (MMCP). MMC Liaison must have ... requirements + The unique complex needs of the foster care population + Medicaid Managed Care...+ Perform other secretarial duties as requested by Medical Director . + Any other related duties as required Educational… more
- Comunilife (Bronx, NY)
- …New York State Department of Health (NYS DOH), Health Home Lead agencies, and Managed Care Organization (MCO) requirements. The APD oversees the full continuum ... Comunilife Inc. is looking to fill an Assistant Program Director position for its Care Coordination program....of NYS DOH Health Home standards, MAPP/HHTS workflows, and managed care billing requirements. + Experience using… more
- Option Care Health (Albany, NY)
- …sales teams and key supporting functions is a major focus. The Specialty Sales Director will work collaboratively with Option Care Health Operations to resolve ... no limit to the growth of your career.** Option Care Health, Inc. is the largest independent home and...talent in healthcare. **Job Description Summary:** The Specialty Sales Director will develop and implement the Specialty business sales… more
- Humana (Albany, NY)
- …services such as inpatient rehabilitation. **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed ... a medical management review organization, such as Medicare Advantage, managed Medicaid, or Commercial health insurance. + Experience with...size of region or line of business. The Medical Director conducts Utilization Management of the care … more
- Catholic Health Services (Roslyn, NY)
- …+ Maintains knowledge of requirements by third party payers, regulatory agencies, and managed care entities concerning levels of care , continuity of ... Overview Director - Care Management Are you exceedingly driven, dedicated, and passionate about caring for your patients? Do you consistently create and nurture… more
- Humana (Albany, NY)
- …services such as inpatient rehabilitation. **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed ... of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations… more
- Humana (Albany, NY)
- …services such as inpatient rehabilitation. **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed ... a medical management review organization, such as Medicare Advantage, managed Medicaid, or Commercial health insurance. + Experience with...to a Lead Medical Director . The Medical Director conducts post-service, inpatient care reviews for… more
- City of New York (New York, NY)
- …State agencies (eg, SDOH, SOMH, OASAS, OPWDD), community health, mental health, and managed care organizations around child mental health services at DHS. ... for two (2) City Research Scientist-III to function as a Family Care Coordination Assistant Director who will: - Direct program development and research in the… more
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