- SUNY Upstate Medical University (Syracuse, NY)
- Job Summary: Medical Director -Associate Professor/Professor in the Division of Gynecologic Oncology, Department of Obstetrics and Gynecology. Clinical ... or Professor level. Must have NPI and be eligible to participate with Medicare and Medicaid programs. Appointment contingent on obtaining and maintaining New York… more
- Molina Healthcare (Yonkers, NY)
- …clinical leadership and quality improvement teams. * Facilitates conformance to Medicare , Medicaid, NCQA and other regulatory requirements. * Reviews quality ... referred issues, focused reviews and recommends corrective actions. * Conducts retrospective reviews of claims and appeals and resolves grievances related to medical quality of care. * Attends or chairs committees as required such as credentialing, Pharmacy… more
- Molina Healthcare (NY)
- …successful launches of new processes, systems, and operational models across Medicaid, Medicare , and Marketplace lines of business. We are seeking a leader with ... proven experience in **launch planning, execution, and post-implementation stabilization** . **Key responsibilities include:** + Leading operational readiness efforts for new processes, systems, and operational initiatives across provider data and… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …a fast-paced environment + Managed long-term care knowledge + Medicaid knowledge + Medicare knowledge SCOPE INFORMATION # Direct Reports: Director Training and ... The Training Coordinator works directly with Trainer/Auditors and reports to the Director of Training and Development. The primary objective is to provide overall… more
- New York State Civil Service (Brooklyn, NY)
- …Brooklyn State NY Zip Code 11233 Duties Description NYCCC is recruiting a Director of Clinical Risk Management Department to oversee their Risk Management Department ... will supervise the Clinical Risk Managers (CRM) assigned to the department. The Director will have on-call and recall responsibilities along with evening work hours.… more
- Guidehouse (New York, NY)
- …remote **What You Will Do** **:** + Under the direction of the Director of Revenue Integrity, the Revenue Integrity Coding Billing Specialistprovides revenue cycle ... services through efficient review and timely resolution of assigned Medicare and third party payer accounts that are subject...commensurate with skills and experience as determined by the Director of Revenue Integrity. **What You Will Need** **:**… more
- The Arc Erie County NY (Tonawanda, NY)
- …TSSLD). Limited license may be required for CFY candidates (directly billing Medicare ). ASHA certification preferred. See our full Job Description listed below: Job ... the Office for People With Developmental Disabilities OPWDD, Medicaid, Medicare , insurance companies, municipalities, Department of Health, school districts, and… more
- Bassett Healthcare (Little Falls, NY)
- …possible. What you'll do Under general supervision by the Supervisor, Manager, and Director of Respiratory Care Services and working closely with the Medical ... Director of Respiratory Care Services, the Respiratory Specialist is...policies and procedures related to compliance to assure current Medicare regulations are upheld as indicated by departmental feedback… more
- Humana (Albany, NY)
- …segment's highest priority projects and initiatives, with an emphasis on Medicare Advantage strategy development. As a Senior Strategy Advancement Professional, you ... of strategic initiatives and business areas, evolving key facets of the Medicare Advantage growth strategy, leading the development of the annual Medicare… more
- Catholic Health (Buffalo, NY)
- …Days Hours: 8a-4p Summary: The Manager Government Reimbursement reports to the Director Government Reimbursement and Managed Care. The Manager is responsible for the ... coordination, preparation, and timely filing of the various Medicare , Medicaid, Champus cost reports, surveys, rate reviews, filing of rate appeals, determination of… more