• Director Clinical and DRG Denials

    Kaleida Health (Buffalo, NY)
    ** Director Clinical and DRG Denials** **Location:** Larkin Bldg @ Exchange Street Location of Job: US:NY:Buffalo Work Type: Full-Time **Shift:** Shift 1 Job ... Description **Summary:** The Director , Clinical & DRG Denials provides clinical leadership and...preferred. **Experience** **Other information:** 10 years of experience in Healthcare environment required. 8 years of experience in Insurance… more
    Kaleida Health (06/19/25)
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  • Director and Chair, Otolaryngology

    WMCHealth (Valhalla, NY)
    Director and Chair, Otolaryngology Company: WMC Advanced Physician Services PC City/State: Valhalla, NY Category: Physicians Department: ENT Union: No Position: Full ... to serve as the Department Chair at New York Medical College (NYMC) and Director at Westchester Medical Center Health Network (WMC). Overall, the Chair/ Director … more
    WMCHealth (06/12/25)
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  • Regional Account Medical Lead (Associate…

    Takeda Pharmaceuticals (New York, NY)
    …Description** About the role: Join Takeda as a Regional Account Medical Lead (Associate Director ) where you will work with Account Management (AM) and serve as the ... key accounts. As part of the US Medical team, you will report to the Regional Director , Account Medical Lead Team. This is a field-based role and covers IL, KY, WI,… more
    Takeda Pharmaceuticals (09/06/25)
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  • Medical Director -General Otolaryngology

    WMCHealth (Suffern, NY)
    Medical Director -General Otolaryngology Company: WMC Advanced Physician Services PC City/State: Suffern, NY Category: Physicians Department: ENT Union: No Position: ... (WMCHealth) is seeking a board certified or board eligible Otolaryngologist to serve as Director ; This position will report to the WMCHealth Network Director of… more
    WMCHealth (08/19/25)
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  • Director Clinical Pathology (Physician)

    UHS (Johnson City, NY)
    …Details Primary Department or Practice: Pathology, UHS Wilson Medical Center The Director of Clinical Pathology will organize and direct the operations of the ... Clinical Laboratories Department. The director will report to the Medical Director ...the current medico-political climate in the country and pertinent reimbursement issues. EXPERIENCE: Previous general laboratory experience is preferred.… more
    UHS (06/20/25)
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  • Associate Director , National Account…

    Sanofi Group (New York, NY)
    **Job Title:** Associate Director , National Account Operations CVS - US Remote **Location:** Remote/Field Based **About the Job** The **Associate Director , ... problem solver with deep operational knowledge of the US healthcare system, including formulary operations, claims adjudication, specialty pharmacy networks,… more
    Sanofi Group (09/06/25)
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  • Director of Compliance

    WMCHealth (Valhalla, NY)
    Director of Compliance Company: NorthEast Provider Solutions Inc. City/State: Valhalla, NY Category: Executive/Management Department: Compliance- WMC Health Union: ... (https://pm.healthcaresource.com/cs/wmc1/#/preApply/30138) Internal Applicant link Job Details: Job Summary: The Director of Compliance reports to the VP, Compliance in… more
    WMCHealth (08/14/25)
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  • Director , Performance Suite Analytics

    Evolent (Albany, NY)
    …professional billing and various sites of care/service + Previous Experience with healthcare reimbursement methodologies and calculations such as DRGs, Revenue ... the mission. Stay for the culture. **Who You'll Be Working With:** The Director , Performance Suite Analytics, utilizes and develops analytic tools to solve complex… more
    Evolent (07/09/25)
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  • Director of Care Management - Mount Sinai…

    Mount Sinai Health System (Long Island City, NY)
    **Job Description** The Director will direct and manage departmental activities involved in utilization review, appeals management and discharge planning to ... facilitate the case management process and maximize reimbursement to the hospital. Must be able to navigate...a major in nursing Master?s degree in nursing or healthcare -related field **Experience Requirements** 5 years of Case Management… more
    Mount Sinai Health System (07/24/25)
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  • Medical Director

    Centene Corporation (New York, NY)
    …Directors** Centene Corporation is a leading provider of government-sponsored healthcare coverage, providing access to affordable, high-quality services to Medicaid ... + Actively practices medicine **Position Purpose:** Assist the Chief Medical Director to direct and coordinate the medical management, quality improvement and… more
    Centene Corporation (09/07/25)
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