• 340b Pharmacy Analyst

    Catholic Health Services (Melville, NY)
    …was named Long Island's Top Workplace! Job Details Under the direction of corporate pharmacy director , the 340b pharmacy analyst is responsible for ensuring ... software crosswalk for additions, changes and accuracy of billing processes. Monitors utilization records and purchasing accounts, in order to ensure that billing… more
    Catholic Health Services (07/28/25)
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  • Director , Physician Leadership - Medical…

    Humana (Albany, NY)
    …The Director , Physician leadership will lead Medical Directors performing utilization management for inpatient authorizations training medical director team ... are seeking an accomplished healthcare physician leader for the newly-created role of Director , Physician Leadership. In this role, you will be a key enterprise… more
    Humana (08/21/25)
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  • Senior Child Behavioral Medical Director

    Centene Corporation (New York, NY)
    …responsibility in absence of VPMA. + Provide medical leadership for all utilization management, pharmacy , case management, disease management, cost containment, ... improvement activities. + Perform medical review activities pertaining to utilization review, quality assurance, and medical review of complex, controversial,… more
    Centene Corporation (08/08/25)
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  • Sr VP Medical Director (Hourly)

    Sedgwick (Albany, NY)
    …Work(R) Fortune Best Workplaces in Financial Services & Insurance Sr VP Medical Director (Hourly) The ideal candidate would work 8-20 hours per week. **PRIMARY ... required to include one (1) to three (3) years utilization review experience and three (3) years clinical quality...+ Knowledge about general claim practices. + Knowledge of pharmacy processes and pharmacy benefit management a… more
    Sedgwick (08/22/25)
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  • Director Patient Access

    Crouse Hospital (Syracuse, NY)
    …feel valued. Crouse's Patient Access team is hiring a Director of Patient Access! Pay Range: $125,000.00-$150,000.00/annual Schedule(s): Monday-Friday, 8:00am-4:30pm ... Director of Patient Access Position Responsibilities: + Provides effective...support systems. Coordinates financial and budgetary acquisitions, allocations and utilization of resources needed for quality, cost-effective, program(s)/service(s). +… more
    Crouse Hospital (07/09/25)
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  • Director , Surgical Services - Operating…

    Guthrie (Binghamton, NY)
    …and is responsible for the management of the assigned nursing division. The Director of Nursing is accountable for the management of patient care, human, fiscal ... leadership role in staffing and scheduling of personnel, considering appropriate utilization of personnel, scope of practice, competencies, patient needs and… more
    Guthrie (08/02/25)
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  • VP & Medical Director

    Travelers Insurance Company (Albany, NY)
    …collaboration with the Claim leaders and in partnership with other Medical and Pharmacy professionals. **What Will You Do?** + Provide overall program leadership as ... sustain quality results. + Partner with other medical and pharmacy experts on the development and design of training...Have?** + Licensed MD + 5 years clinical and utilization management experience + Certified by the American Board… more
    Travelers Insurance Company (07/25/25)
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  • Pharmacist (NY Helps), Central Office

    New York State Civil Service (Albany, NY)
    …of the Chief Medical Informatics Officer. Under the direction of the Medical Informatics Pharmacy Director of Pharmacy Systems and Operations, the Pharmacist ... to a new EHR, including but not limited to a global formulary, reporting, pharmacy workflows and pharmacy inventory tracking. Familiarity of the esVista system… more
    New York State Civil Service (08/09/25)
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  • Compliance Analyst, 340B Program ( On-Site )

    WMCHealth (Valhalla, NY)
    …effective working relationship with peers. Additional Information: + Reports to: Network Director , Pharmacy Business Operations + Schedule: Full-time, day shift ... Advanced Physician Services PC City/State: Valhalla, NY Category: Executive/Management Department: Pharmacy Union: No Position: Full Time Hours: M-F 0800-1630 Shift:… more
    WMCHealth (07/26/25)
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  • RN Clinical Manager Home Health

    CenterWell (Hauppauge, NY)
    …of care and outcome planning. + Works in conjunction with the Branch Director and Company Finance Department to establish location's revenue and budget goals. + ... objectively, in consultation with the Human Resources Department and the Executive Director / Director of Operations. + Participates in the interviewing, hiring,… more
    CenterWell (08/08/25)
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