• Director Nursing Operations - CRH

    Bassett Healthcare (Cobleskill, NY)
    …required Experience: Minimum 5 years progressive leadership experience in healthcare operations and nursing management, required Licensure/Certifications: NYS ... best quality of life possible. What you'll do The Director of Nursing/ Operations is responsible for overall management, coordination, and direction of all nursing… more
    Bassett Healthcare (07/24/25)
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  • Project Manager ( Healthcare

    WMCHealth (Valhalla, NY)
    Project Manager ( Healthcare Operations ) On -site Company: NorthEast Provider Solutions Inc. City/State: Valhalla, NY Category: Executive/Management Department: ... be responsible for managing all aspects of projects to support hospital operations . This role involves working closely with various clinical and non-clinical… more
    WMCHealth (06/11/25)
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  • Supervisor, HCS Operations Support

    Molina Healthcare (Buffalo, NY)
    …of illness and the site of service. **KNOWLEDGE/SKILLS/ABILITIES** + Supervises operations support team members within Molina's Healthcare Services function, ... **JOB DESCRIPTION** **Job Summary** Molina Healthcare Services (HCS) works with members, providers and...the workflow of the department and offers suggestions for improvement and/or changes to management; assists with the implementation… more
    Molina Healthcare (08/15/25)
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  • Senior Benefit Operations Specialist

    KPH Healthcare Services, Inc. (Gouverneur, NY)
    …clients into the PBM adjudication platform. Works closely with the Benefit Operations Supervisor in ensuring the team's goals are met. Translates client benefit ... and adjust within the adjudication platform. **Job Summary:** Perform day-to-day operations supporting ProAct's adjudication platform and the Benefit Operations more
    KPH Healthcare Services, Inc. (07/18/25)
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  • Manager, HCS Operations Support

    Molina Healthcare (NY)
    …be considered in lieu of Degree) **Required Experience** * Min. 5 years operations or administrative experience in healthcare / health plan industry, including 1+ ... healthcare or health plan supervisory experience. Managed Care operations experience. Prior Medical Assistant experience. **Preferred License, Certification,… more
    Molina Healthcare (08/16/25)
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  • Health Plan Operations , Payment Integrity…

    Molina Healthcare (Albany, NY)
    **Job Description** **Job Summary** The Health Plan Operations , Payment Integrity Program Manager is an individual contributor role designed for a highly capable ... payment integrity issues, and process gaps. + Apply understanding of healthcare regulations, managed care claims workflows, and provider reimbursement models to… more
    Molina Healthcare (08/14/25)
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  • Program Manager - Network Solutions…

    Molina Healthcare (Syracuse, NY)
    …3-5 years of Program and/or Project management experience. + Operational Process Improvement experience. + Healthcare experience. + Experience with Microsoft ... and oversee the work of external vendors. + Focuses on process improvement , organizational change management, program management and other processes relative to the… more
    Molina Healthcare (08/02/25)
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  • Manager, Performance Improvement - Full…

    Mohawk Valley Health System (Utica, NY)
    Manager, Performance Improvement - Full Time - Days Department: PERFORMANCE EXCELLENCE OFFICE Job Summary The Manager, Performance Improvement has oversight and ... the quality management system. This position requires a deep understanding of process improvement methodologies, lean six sigma and ISO standards as well as an… more
    Mohawk Valley Health System (07/09/25)
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  • Program Manager of Quality Improvement

    Spectrum Health and Human Services (Orchard Park, NY)
    …requirements, and best practice guidelines. This role directs the day-to-day operations of the Quality Improvement Department, including utilization review, ... 227 Thorn Avenue, Orchard Park, NY SUMMARY OF POSITION FUNCTION: The Quality Improvement (QI) Program Manager leads the agency's quality improvement activities… more
    Spectrum Health and Human Services (08/19/25)
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  • Director, Clinical Documentation…

    Rochester Regional Health (Rochester, NY)
    …Per Week: 40Schedule: Monday - Friday, 8am - 4:30pmSUMMARY The Clinical Documentation Improvement Director provides a key role in advancing the long term success of ... the Clinical Documentation Improvement program at the system level. The Director is...the CDI clinicians, coders, and all members of the healthcare team to ensure accurate and timely clinical documentation… more
    Rochester Regional Health (07/04/25)
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