- Humana (Albany, NY)
- …a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical Director ... or data requires an in-depth evaluation of variable factors. The Medical Director provides medical interpretation and decisions about the appropriateness of services… more
- New York State Civil Service (Bronx, NY)
- NY HELP No Agency Mental Health, Office of Title Deputy Director , Psychiatric Center 2 - Administration, M-6, Bronx Psychiatric Center, P26649 Occupational Category ... Commission accredited Office of Mental Health (OMH) facility is recruiting a Deputy Director , Psychiatric Center 2 - Administration (DDPC 2 - Admin) to serve as… more
- New York State Civil Service (New York, NY)
- NY HELP Yes Agency Mental Health, Office of Title Assistant Director of Nursing 1 Psychiatric (NY HELPS), New York State Psychiatic Institute (NYSPI), P26543 ... NY Zip Code 10032 Duties Description As an Assistant Director Nursing 1 Psychiatric, you will assist in the...or entity on any of the Federal and/or State Medicaid and Medicare exclusion lists (or excluded from any… more
- New York State Civil Service (Brooklyn, NY)
- NY HELP Yes Agency Mental Health, Office of Title Director Nursing 3 Psychiatric (NY HELPS), Kingsboro Psychiatric Center, P26813 Occupational Category Health Care, ... Office of Mental Health (OMH) facility is recruiting a Director Nursing 3 (Psychiatric) to serve as the Chief...or entity on any of the Federal and/or State Medicaid and Medicare exclusion lists. If appointed and subsequently… more
- New York State Civil Service (Binghamton, NY)
- NY HELP Yes Agency Mental Health, Office of Title Director Nursing 3 Psychiatric (NY HELPS), Greater Binghamton Health Center, P26584 Occupational Category Health ... Office of Mental Health (OMH) facility is recruiting a Director Nursing 3 (Psychiatric) to serve as the Chief...or entity on any of the Federal and/or State Medicaid and Medicare exclusion lists (or excluded from any… more
- City of New York (New York, NY)
- …for (1) Administrative Staff Analyst NM III to function as an Executive Director , Data Analytics & Verification who will: - Oversee the management, administration, ... program eligibility. Additionally, designing and operating analytics processes to identify Medicaid savings, both within DSS and State Department of Health (SDOH),… more
- Centene Corporation (Queens, NY)
- …a fresh perspective on workplace flexibility. **Position Purpose:** The Senior Director , Healthcare Analytics leads analytic service delivery by aligning strategic ... of tools and capabilities and appropriate deployment of supporting analytic teams. The director serves in a leadership function spanning the needs of multiple health… more
- Research Foundation CUNY (New York, NY)
- Job Title: Benefits Hub Director PVN ID: PH-2506-006902 Category: Managerial and Professional Location: CUNY SCHOOL OF PUBLIC HEALTH & HEALTH POLICY Job Description ... practices and infrastructure to support benefits enrollment. The Hub and its director represent our commitment to building specialized capacity to navigate this… more
- Humana (Albany, NY)
- …a part of our caring community and help us put health first** The Medical Director relies on broad clinical expertise to review Medicare drug appeals (Part D & B). ... The Medical director work assignments involve moderately complex to complex issues...medical management review organization such as Medicare Advantage, managed Medicaid , or Commercial health insurance + Experience with national… more
- Stony Brook University (Commack, NY)
- Director of Managed Care Contracting **Position Summary** Stony Brook Medicine is seeking an experienced and strategic Director of Managed Care Contracting to ... alignment with organizational financial goals. Under the direct supervision of the Assistant Director of Managed Care, the Director will oversee the daily… more