- Molina Healthcare (NY)
- …of a business process improvement capability. **Knowledge/Skills/Abilities** * Defines program scope, establish approach for implementation and maintains program ... for assessing and adjusting * Develop approach for communication organizationally about the program * Determine program support needs * Gains agreement on… more
- CVS Health (Albany, NY)
- …Familiarity with data science and machine learning concepts, particularly in healthcare applications. + Experience collaborating with data science teams or ... seeking a strategic and technically proficient leader to oversee Medicare data science initiatives supporting actuarial analytics and pricing. The ideal candidate… more
- University of Rochester (Rochester, NY)
- …& Dentistry is accepting applications for the position of General Psychiatry Residency Program Director . This position is for a full-time Clinician-Educator at ... , educational innovation, curriculum development, and mentoring of our 32 residents. The Program Director is supported by faculty members who excel in their… more
- US Bank (New York, NY)
- …high-impact leadership role focused on building a strong analytics foundation-ensuring data is accurately captured, translated into meaningful insights, and used to ... a trusted advisor to product and executive leadership, enabling data -informed decisions. + ** Data Instrumentation** + Lead...may vary based on role, location or hours): + Healthcare (medical, dental, vision) + Basic term and optional… more
- Molina Healthcare (NY)
- …delegation oversight committees. * Liaison to Special Investigative Unit regarding program integrity and oversight cost expenditure. * Monitor internal compliance of ... Corporate Operations units via establishment of an internal compliance program , including annual, periodic, focal, etc. audits. * Request, review and perform… more
- Molina Healthcare (NY)
- …across the enterprise. Designs and delivers metrics and measurements supporting program evolution and validation. + Develops and maintains the PSOC's policies, ... leadership and methodologies to solve analytical problems when raw unfinished data contains information gaps and requires validation. + Implements processes,… more
- St. Mary's Healthcare (Amsterdam, NY)
- St. Mary's Healthcare has been named a 2025 Times Union Top Workplace . We are the first acute care hospital in the Capital Region to earn the distinction since the ... Times Union launched the recognition program 14 years ago. Job Requisition: REQ3480 Employment Type: Full-Time Shift: Days Hours Per Week: 40 hours Hiring Range :… more
- Molina Healthcare (Albany, NY)
- …processes are established. Develops and performs internal audits/risk assessments, monitoring program for Molina Healthcare departments. Provides post audit ... the management of the benefits, operations, communication, reporting, and data exchange of the Medicare product in support of...policies and procedures for the Medicare and Dual Eligible Program and participates in the strategic development of its… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **The Department of Radiology at Mount Sinai is seeking a dedicated Associate Program Director or Program Director to support the ... Recruitment Department** **Mount Sinai Health System** **###@mountsinai.org** **Responsibilities** The Associate Program Director (APD) and Program … more
- Molina Healthcare (Yonkers, NY)
- …include internal and external reporting requirements. * Reviews and analyzes, collects data along with audit results on unit's performance; analyzes and interprets ... of Medicare experience **Required Experience** * 7 years experience in healthcare claims review and/or member appeals and grievance processing/resolution, including… more
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