• Director, Appeals & Grievances (Medicare)

    Molina Healthcare (Yonkers, NY)
    …and Medicaid. This position will provide direct support to the implementation efforts specific to Medicare Duals. **Knowledge/Skills/Abilities** * Position requires ... of Medicare experience **Required Experience** * 7 years experience in healthcare claims review and/or member appeals and grievance processing/resolution, including… more
    Molina Healthcare (07/20/25)
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  • Director, Medicare Administration (Regulatory SME)…

    Molina Healthcare (Albany, NY)
    …and performs internal audits/risk assessments, monitoring program for Molina Healthcare departments. Provides post audit findings and recommendations to ensure ... Center for Medicare and Medicaid. + Responsible for development, implementation , and maintenance of department strategic initiatives. **JOB QUALIFICATIONS**… more
    Molina Healthcare (06/15/25)
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  • Senior Medical Director (Medicare)

    Molina Healthcare (Yonkers, NY)
    …liaison between administration and medical staff. Assures the ongoing development and implementation of policies and procedures that guide and support the provision ... Medicare) **PREFERRED EDUCATION:** Master's in Business Administration, Public Health, Healthcare Administration, etc. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** Board Certification… more
    Molina Healthcare (06/13/25)
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  • Occupational Therapist (OT) - Early Intervention

    Genesis Healthcare (Bronx, NY)
    …birth to three, including assessment, treatment, program planning and implementation , related documentation, and communication. Functions under physician's orders. ... required. Consistently demonstrates sound judgment in the evaluation, planning, implementation and follow-up of resident therapy programs. Communicates with… more
    Genesis Healthcare (07/11/25)
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  • Floating Pharmacist

    KPH Healthcare Services, Inc. (Whitesboro, NY)
    …plan and accomplish assigned tasks and goals. **Job Summary:** Responsible for the implementation and adherence to the Kinney Standard of Practice as it relates to ... deviations from said policies to Loss Prevention + Assist in the implementation of all corporate pharmacy marketing, advertising and promotional programs are fully… more
    KPH Healthcare Services, Inc. (06/09/25)
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  • Manager of Compliance and Clinical Operations

    KPH Healthcare Services, Inc. (East Syracuse, NY)
    …communicate relevant information to the organization. + Participate in development and implementation of initiatives to improve processes and procedures. + Acts as ... Pharmacy and related overseeing authorities throughout US + Oversee the development, implementation , and execution of all elements of accreditation standards. + Acts… more
    KPH Healthcare Services, Inc. (05/16/25)
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  • Chief Experience Officer & VP

    Catholic Health Services (Melville, NY)
    …feedback, data, and trends to identify areas for improvement and innovation in healthcare delivery. Lead the development and implementation of initiatives to ... are committed to caring for Long Island. Be a part of our team of healthcare heroes and discover why Catholic Health was named Long Island's Top Workplace! Job… more
    Catholic Health Services (05/15/25)
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  • Accounts Receivable Supervisor

    KPH Healthcare Services, Inc. (East Syracuse, NY)
    …meeting completion dates, complying with internal compliance and external healthcare industry regulatory requirements, creating and updating periodic reporting, ... auditors and outside agencies + Responsible for the assessment, evaluation and implementation of technologies needed to maximize efficiencies within the department +… more
    KPH Healthcare Services, Inc. (08/08/25)
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  • Manager, Enrollment - REMOTE

    Molina Healthcare (Buffalo, NY)
    …health plan partners as a SME for enrollment during project process and implementation + Participation in meetings/calls with the State agencies + Strong business ... for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare more
    Molina Healthcare (08/01/25)
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  • Lead Analyst, IT Systems

    Molina Healthcare (Albany, NY)
    …applications. + Assists in the project definition, execution, and implementation . Provides application, business process or functional domain leadership/expertise ... for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare more
    Molina Healthcare (07/25/25)
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