- Centene Corporation (New York, NY)
- …healthcare coverage, providing access to affordable, high-quality services to Medicaid and Medicare members, as well as to individuals and families served by the ... + Actively practices medicine **Position Purpose:** Assist the Chief Medical Director to direct and coordinate the medical management, quality improvement and… more
- Mount Sinai Health System (New York, NY)
- **Job Description** ** Director of Enterprise Charge Description Master (CDM) -Patient Financial Services-Corporate 42nd Street-Full-Time -Days- Hybrid** The ... Director of the Enterprise Chargemaster (CDM) for the Mount...and ICD 10. Extensive knowledge of NCCI edits, and Medicare LCD/NCDs. Extensive understanding of reimbursement theories to include… more
- Catholic Health Services (West Islip, NY)
- Overview The Director of Care Management is responsible for providing overall management of the Care Coordination department responsible for patient care ... Social Workers, and office administrative staff. In addition the director will oversee bed management including the Hub. Job...knowledge of NY Department of Health and Centers of Medicare and Medicaid regulations is required. + Knowledge of… more
- Otsuka America Pharmaceutical Inc. (Albany, NY)
- **Job Description** The Senior Director , Strategy & Analysis; Contract Operations works cross-functionally to develop and execute pricing strategies for pipeline and ... in-depth understanding of GPO/PBM/National and Regional Health Plan business models, Medicare Part D, Medicare Part B, 340B, and the changing market landscape +… more
- CVS Health (New York, NY)
- …it all with heart, each and every day. **Position Summary** The Lead Director , Technology Product Management for Medicare Messaging Orchestration and STARs ... such as architects, tech-ops, security, etc. to ensure overall cohesion for the Medicare technology product line. You will develop and lead a team of product… more
- Evolent (Albany, NY)
- …timely and accurate manner. + May assist the Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, ... by any state or federal health care program, including Medicare or Medicaid, and is not identified as an...General Service Administration (GSA), or reprimanded or sanctioned by Medicare . + No history of a major disciplinary or… more
- Molina Healthcare (Buffalo, NY)
- …Psychiatry **REQUIRED EXPERIENCE:** * 2 years previous experience as a Medical Director in clinical practice * 3 years' experience in Utilization/Quality Program ... State (TX) Medical License, free of sanctions from Medicaid or Medicare . **Preferred Experience** * Peer Review, medical policy/procedure development, provider… more
- Robert Half Finance & Accounting (New York, NY)
- …those most impacted by social determinants of health. Our client is seeking a Director of Finance to serve as a strategic and hands-on leader, reporting directly to ... cycle management and ensure accurate billing, coding, and claims across Medicaid, Medicare , and private insurers . Guide long-term financial strategy to support… more
- Access: Supports For Living (Poughkeepsie, NY)
- Clinic Director - Behavioral Health Location: Poughkeepsie, NY, United StatesDate Posted: Sep 11, 2025 Share: share to e-mail Apply Now Save JobSaved Description ... practice trainings. Summary of Professional Functions : The Behavioral Health Clinical Director partners in the leadership of a fully care-integrated clinic with the… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **Mount Sinai Health System is seeking a Senior Medical Director of Quality and Patient Engagement.** The Senior Medical Director (SMD) for ... + Focused on all payer classes, with deeper focus on patients who have Medicare and Commercial insuran This SMD will report to the CMO, Population Health and… more