- Molina Healthcare (NY)
- …delivery + Overseeing implementation of scalable solutions for provider onboarding, data management , and credentialing operations + Leading change management and ... alignment, governance, and delivery excellence Experienced in operational governance, program delivery, and executive-level communication. Proven ability to lead… more
- Molina Healthcare (Yonkers, NY)
- …of program materials, templates or policies. Maintains productivity reporting, management and coaching. + Maintains advanced ability to collaborate and Manage ... **Job Description** **Job Summary** The Director , Clinical Data Acquisition is responsible for the...Electronic Medical Record (EMR) access. This position would oversee management of training for all CDA team members as… more
- Healthcare Services Group, Inc. (New York, NY)
- Additional Information Job Title: Director of OperationsCompany:Campus Services GroupLocation:New York (Travel Required Across All Locations) Pay Rate:$100-130k / ... Services - Education Sector Overview Campus Services Group is a division of Healthcare Services Group, Inc. based in Bensalem, PA. Campus Services Group provides… more
- Molina Healthcare (Syracuse, NY)
- **Job Description: Director , Operational Oversight (Medicare)** **Job Summary** Responsible for planning, developing and directing the implementation of techniques ... requiring consistent oversight. May include travel up to 25%. * Defines program scope, establish approach for implementation and maintain program infrastructure… more
- Bassett Healthcare (Cooperstown, NY)
- …the management of the pharmaceutical supply chain across Bassett Healthcare Network (BHN). + Maintains appropriate working relationships with pharmacy leaders ... Program , preferred Experience: + Minimum 3 to 5 years' experience in healthcare , pharmacy management /operations, and finance, required Skills: + Time … more
- WTW (New York, NY)
- **Description** As a Healthcare Financial/Actuarial Director , you will be a key member of the Financial, Actuarial and Analytics (FAA) Community of Expertise. ... a strategic role on complex accounts, delivering insights that shape benefit program performance. In partnership with Client Service colleagues, you will communicate… more
- Molina Healthcare (Syracuse, NY)
- … Director in clinical practice * 3 years' experience in Utilization/Quality Program Management * 2+ years HMO/Managed Care experience * Experience ... * Experience with NCQA, HEDIS, Medicaid, Medicare and Pharmacy benefit management , Group/IPA practice, capitation, HMO regulations, managed healthcare systems,… more
- Molina Healthcare (Yonkers, NY)
- **Job Description** **Job Summary** The Director , Clinical Operations is responsible for the clinical operations within the Clinical Contact Center team. **Job ... are achieved. * Manages and evaluates the performance of various clinical management activities. * Aligns with Senior Leadership, to ensure operational goals and… more
- Molina Healthcare (Buffalo, NY)
- …as a Molina Medical Director + Demonstrated experience in Utilization/Quality Program management + Previous leadership experience + Peer review, medical ... of prior authorization, inpatient concurrent review, discharge planning, case management and interdisciplinary care team activities. + Ensures that authorization… more
- Kyndryl (Albany, NY)
- …in contact center environments. + Excellent communication, presentation, and stakeholder management skills with C-Level. + Healthcare industry experience is ... leading healthcare -focused journey redesign from eligibility verification to care management . + Align contact center transformation with healthcare business… more
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