- Molina Healthcare (Albany, NY)
- …medical oversight and expertise in appropriateness and medical necessity of healthcare services provided to members, targeting improvements in efficiency and ... and effective resource management. + Develops and implements a Utilization Management program and action plan, which includes strategies that ensure a high quality… more
- KPH Healthcare Services, Inc. (East Syracuse, NY)
- **Overview** **Job Summary:** The Director of Business Development plays a pivotal role in supporting ProAct's sales strategies, assisting in market development, and ... in the third-party administrator (TPA) space. **Scope of Responsibilities:** The Director of Business Development is responsible for supporting the execution of… more
- WTW (New York, NY)
- **Description** As a Healthcare Financial/Actuarial Associate Director , you will be a key member of the Financial, Actuarial and Analytics (FAA) Community of ... a strategic role on complex accounts, delivering insights that shape benefit program performance. In partnership with Client Service colleagues, you will communicate… more
- St. Mary's Healthcare (Amsterdam, NY)
- St. Mary's Healthcare has been providing high-quality, compassionate healthcare to the people of Montgomery and Fulton counties since 1903. At St. Mary's ... the Rao Outpatient Pavilion and other locations, the local, independent healthcare organization offers the comprehensive, critical services its community needs and… more
- Rubrik (Albany, NY)
- …while doing something that truly matters, protecting the world's data. The Enterprise Healthcare Regional Sales Director will have ownership of all elements of ... continuous professional development through our world class sales enablement program and our One Rubrik selling approach provides all...growth across the TOLA & Mountain regions for our Healthcare vertical. This includes managing a team of Field… more
- Molina Healthcare (Yonkers, NY)
- **Job Description** **Job Summary** The Network Solutions Director is responsible for leading a team designing and executing new solutions. The position requires the ... team of technical experts and business analysts. The Solutions Director will interface with IT and business leaders to...end to end solution delivery. + Continuously evolve analytics program to measure effectiveness of current state solutions and… more
- Molina Healthcare (Albany, NY)
- **Job Description** **Job Summary** The Director , Clinical Data Acquisition for Risk Adjustment, is responsible for the implementation, monitoring, and oversight of ... requirements/rules and are aligned with effective practices as identified in the healthcare quality improvement literature and within Molina plans. + Develops and… more
- Molina Healthcare (Buffalo, NY)
- …health portions of state contracts. * Assists behavioral health medical director lead trainers in the development of enterprise-wide education on psychiatric ... line with industry standards and best practices. * Assists with new program implementation and supports for health plan in-source behavioral health services.… more
- WMCHealth (Valhalla, NY)
- Associate Program Director - Pathology Residency Program Company: WMC Advanced Physician Services PC City/State: Valhalla, NY Category: Physicians ... Practice of the WMCHealth Network is recruiting an Associate Program Director for the Pathology Residency ...Westchester Medical Center Health Network (WMCHealth) is a 1,700-bed healthcare system headquartered in Valhalla, New York, with 9… more
- Molina Healthcare (Buffalo, NY)
- …in line with industry standards and best practices * Assists with new program implementation and supports the health plan in-source BH services * Additional duties ... EXPERIENCE:** * 2 years previous experience as a Medical Director in clinical practice * 3 years' experience in...in clinical practice * 3 years' experience in Utilization/Quality Program Management * 2+ years HMO/Managed Care experience *… more