- CVS Health (Albany, NY)
- …Hearings / Special Projects and Committee participation when needed. The Medical Director will provide clinical, coding, and reimbursement expertise as well ... Pediatrics (Med / Peds) Board Certification. In the Medical Director role, you will provide oversight for medical policy...consistent responses to members and providers. As a Medical Director you will focus primarily on review appeal cases… more
- Centene Corporation (Queens, NY)
- …Initiatives (VBP) will lead and support the expansion and optimization of Medicare -focused VBP arrangements across New York. This role is critical in managing ... end-to-end provider engagement, contract modeling, and performance oversight for Medicare Advantage and Dual Eligible Special Needs Plans (D-SNPs). The Manager will… more
- SUNY Upstate Medical University (Syracuse, NY)
- …Nurse (RN), or Certified Nurse Specialist (CNS), to coordinate and conduct Medicare Annual Wellness Visits (AWVs) across seven Primary Care clinics. This role ... supervision of a licensed provider. The RN/CNS will report to the UUMAS Director of Quality and Practice Operations and collaborate closely with Primary Care clinic… more
- Catholic Health Services (Rockville Centre, NY)
- …reports and provide accurate and timely information for review by the Director of Reimbursement or their designee. DUTIES/RESPONSIBILITIES: Preparation and ... analysis, home office cost reports, budget capital reports, and various Medicare / Medicare cost report schedules, working alongside Director and Staff. Plans,… more
- Albany Medical Center (Albany, NY)
- …candidate will be required to attend and host in person meetings. The Director is responsible for overseeing as well as implementing, developing, maintaining, and ... stakeholders to optimize contracts or mediate issues requires the Director to possess exceptional leadership, organizational, analytic, and communication… 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
- Stony Brook University (Commack, NY)
- …support Joint Operating Committee (JOC) meetings, contract settlement discussions, and reimbursement escalations. + Ensure compliance with Medicare and Medicaid ... Director of Managed Care Contracting **Position Summary** Stony...the organization. + Monitor and dispute Managed Care payer reimbursement policies or practices that breach contract terms, track… more
- UHS (Johnson City, NY)
- …Regulations of the Medical Staff, and in conformity with the requirements for reimbursement under Medicaid, Medicare and other third party payers. Salary Range ... Director Anatomic Pathologist (Physician), UHS Wilson Medical Center...the current medico-political climate in the country and pertinent reimbursement issues. EXPERIENCE: Previous general laboratory experience is preferred.… more
- City of New York (New York, NY)
- …Benefits Program, Management Benefits Fund, Employee Assistance Program, Work Well NYC, Medicare Part B Reimbursement and Pre-Tax Benefits & Citywide Programs ... be permanent in the Administrative Manager title), to serve as the Director of Administration reporting directly to the Assistant Commissioner of Administration and… more
- Access: Supports For Living (Poughkeepsie, NY)
- Behavioral Health Clinic Director Location: Poughkeepsie, NY, United StatesDate Posted: Jul 3, 2025 Share: share to e-mail Apply Now Save JobSaved Description ... abound. We offer a comprehensive benefit package with no deductible, 85% reimbursement of professional license/test fee renewal, generous amount of PTO and many… more