- MVP Health Care (Rochester, NY)
- …(at least two years must be in a clinical setting). Previous experience as a medical director in a managed care /health plan is desirable. + Individuals must ... improvement. To achieve this, we're looking for a **Medical Director , Behavioral Health Children's Services** , to join #TeamMVP....five years of experience working with children in BH managed care settings or BH clinical settings… 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
- Catholic Health Services (West Islip, NY)
- …not limited to, Medical Staff, Quality/Risk Management, CH Utilization and Central Appeals, Managed Care and Revenue Cycle and Patient Access departments to ... Overview The Director of Care Management is responsible...is required. + Experience in utilization management, working with managed care organizations, and discharge planning is… 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 ... Assistant Program Program Director - Care Coordination Job Details Job Location...of NYS DOH Health Home standards, MAPP/HHTS workflows, and managed care billing requirements. + Experience using… 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; write ... for one City Research Scientist IVA to function as the Complex Care Program Director who will. Report directly to the Department of Social Services Chief… more
- Humana (Albany, NY)
- …services such as inpatient rehabilitation **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage and Managed ... help us put health first** The Behavioral Health Medical Director is responsible for behavioral health care ...medical management review organization, such as Medicare Advantage and managed Medicaid + Experience with national guidelines such as… more
- Humana (Albany, NY)
- …services (such as inpatient rehabilitation). **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed ... management. The clinical scenarios arise from outpatient, inpatient or post-acute care environments. The Medical Director will have discussions with external… 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
- CenterWell (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 , Primary Care relies on medical background and reviews health claims. The Medical … more
- Cardinal Health (Albany, NY)
- …covering both strategic hunting and complex account management with payers and managed care organizations. By combining rigorous performance management with ... and products company headquartered in Dublin, OH. The _National Director of Sales, Market Access_ serves as the dynamic...seasoned expertise in the managed care industry, this leader translates the… more