• Program Director - Medicare Duals…

    Molina Healthcare (Rochester, NY)
    …abilities; ability to handle multiple priorities and deal with ambiguity; provide oversight over the strategic and operational portfolios; manage strategic ... Program Management professional. Responsible for overall governance across all operational and strategic portfolio of projects; strong management and leadership… more
    Molina Healthcare (01/09/26)
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  • Director of Home Health Authorizations,…

    CenterWell (Albany, NY)
    …paths, and performance accountability across a complex, multi-site organization. ** Operational Oversight ** * Direct day-to-day authorization, eligibility ... caring community and help us put health first** A ** Director of Authorizations & Eligibility** is a senior revenue...a senior revenue cycle leader responsible for the strategic oversight , operational execution, and continuous improvement of… more
    CenterWell (01/08/26)
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  • Health Care Disputes - Compliance Risk Adjustment,…

    Ankura (New York, NY)
    …accreditations, operations, investigations, and/or litigation/dispute matters generally focused on Medicare and Commercial Risk Adjustment. The Senior Director ... class and globally recognized independent experts who tailor financial, operational , and compliance solutions to complex litigation, enforcement, and regulatory… more
    Ankura (12/09/25)
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  • Director , System Payer Contracting…

    Albany Medical Center (Albany, NY)
    …leadership. The Director oversees and leads the day to day operational , programmatic, financial, and employee related activities, as applicable, under the System ... candidate will be required to attend and host in person meetings. The Director is responsible for overseeing as well as implementing, developing, maintaining, and… more
    Albany Medical Center (11/13/25)
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  • Director of Revenue Cycle Management…

    Mount Sinai Health System (New York, NY)
    …initiatives with the organization's goals and evolving healthcare regulations. The Director partners closely with executive leadership, operational teams, and ... **Job Description** ** Director of Revenue Cycle Management Training & Education-Patient...Plan) is responsible for the strategic development, implementation, and oversight of comprehensive training programs for all revenue cycle… more
    Mount Sinai Health System (12/19/25)
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  • Medical Director , Medical Policy

    Highmark Health (Albany, NY)
    …**JOB SUMMARY** This role supports the Medical Policy team by bringing medical director level expertise, experience and knowledge to the team. They support the ... full-cycle ownership of commercial and Medicare Advantage medical policies, both developed internally and by...research, engagement of clinical and non-clinical team members for operational guidelines. The incumbent must have an understanding of… more
    Highmark Health (12/24/25)
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  • Director II Residential Services

    Hillside Family of Agencies (Auburn, NY)
    Job Summary The Director II Residential Services ensures the delivery of high quality residential treatment to youth and families by coaching and mentoring teams and ... budget development and management, utilization, hiring, supervision, training, clinical oversight , regulatory compliance, and the safety of youth, families, and… more
    Hillside Family of Agencies (01/08/26)
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  • Director , IT (Telecom / Genesys Cloud)…

    Molina Healthcare (NY)
    …The Director of IT (Telecom) provides strategic and operational leadership for the organization's enterprise communication, collaboration, and digital engagement ... and secure interactions for members, providers, and employees. The director leads multidisciplinary teams responsible for communication engineering, AI innovation,… more
    Molina Healthcare (11/21/25)
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  • Director Utilization Management

    Healthfirst (NY)
    …authorizations, concurrent reviews, and service requests + Develop strong operational and leadership capabilities within the organization through performance ... New York State Department of Health (DOH), and other oversight entities + Develop and monitor appropriate metrics to...the implementation of new technology + Serve as the operational subject matter expert on business development efforts related… more
    Healthfirst (12/04/25)
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  • Therapy Clinical Manager - North Country/Catskill…

    HCR Home Care (Plattsburgh, NY)
    …This person, or similar alternate, is available at all times during operational hours and participates in activities with respect to professional services. ... visits to direct and evaluate patient care . + Proactively address operational and clinical practices to prevent patient harm and/or organizational deficiencies or… more
    HCR Home Care (01/06/26)
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