• Director , Operational

    Molina Healthcare (Yonkers, NY)
    …operation process designs and establishes procedures and techniques for operational standards. Confers with customers to define and resolve. ... **Knowledge/Skills/Abilities** Responsible for the oversight of regulatory compliance of Corporate Operations functions, including but not limited to performance of… more
    Molina Healthcare (10/09/25)
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  • Senior Analyst, Operational Regulatory…

    Molina Healthcare (Syracuse, NY)
    …and regulations, contract provisions, and internal policies and procedures. * Supports the Operational Oversight Manager, Director , and team in the general ... reporting exists to demonstrate compliance to regulatory requirements. * Supports Manager and Director with developing the Operational Oversight Work Plan,… more
    Molina Healthcare (08/22/25)
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  • Director , Provider Network Management…

    Molina Healthcare (Buffalo, NY)
    …on increased responsibility and adding value to the organization + Ensures strong operational processes are in place to deliver across all areas of responsibility + ... Provides oversight analyses of demographic data to support accurate Network Adequacy Reporting and Directory development. + Manage multiple resources and projects… more
    Molina Healthcare (08/20/25)
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  • National Medical Director , Home-Based Care…

    CenterWell (Albany, NY)
    …improvement. + Work collaboratively with the Strategy Advancement and Operations Director to align clinical and operational priorities. **Quality Improvement ... and help us put health first** The National Medical Director for Home-Based Care Programs is a key clinical...skills; ability to collaborate effectively with clinicians, executives, and operational leaders. + Advanced knowledge of Medicare more
    CenterWell (10/02/25)
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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 (09/09/25)
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  • Director , Appeals & Grievances (Remote)

    Molina Healthcare (Buffalo, NY)
    …to members or authorized representatives in accordance with Centers for Medicare and Medicaid standards/requirements. * Provides direct oversight , monitoring ... and implements process improvements to achieve member/provider satisfaction or operational effectiveness/efficiencies which contribute to Molina Medicare 's… more
    Molina Healthcare (09/26/25)
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  • Deputy Director Ddso 2, Bridge Deputy…

    New York State Civil Service (NY)
    NY HELP No Agency People With Developmental Disabilities, Office for Title Deputy Director DDSO 2, Bridge Deputy Director - Downstate Occupational Category Other ... and system level to serve as the Bridge Deputy Director of State Operations Office Region 5. The Bridge...but are not limited to: - Direct support and oversight to a range of staff across a variety… more
    New York State Civil Service (10/08/25)
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  • Division of Operations and Systems Director

    New York State Civil Service (Albany, NY)
    …enterprise data warehouse and eligibility and enrollment systems; providing contractual and operational oversight for the Medicaid Data Warehouse, and design, ... No Agency Health, Department of Title Division of Operations and Systems Director , Chief Information Officer (Health Program Director 3) Occupational Category… more
    New York State Civil Service (10/08/25)
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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 (10/09/25)
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  • Senior Director of Clinical Operations

    Truecare Homecare Agency (Brooklyn, NY)
    Director of Clinical Operations will be responsible for the day-to-day and strategic oversight of all key operational functions of the agency. The ideal ... New York, Westchester, Long Island, and Colorado. Our focus is on compliance, compassion, and operational excellence as we serve diverse communities. The Senior … more
    Truecare Homecare Agency (10/09/25)
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