- Mitsubishi Chemical Group (Jersey City, NJ)
- …unmet areas in Immunology and Oncology. MTPA is rapidly expanding its operations across all functional areas. MTPA's commitment to patients and their communities ... evidence, and creating hope for all facing illness. The Director , Corporate Accounts, is a field based national leader...with key customers and external groups including Commercial Payers, Medicare , Medicare Advantage plans, Part D, PBM's,… more
- Mount Sinai Health System (New York, NY)
- …The team includes 400+ employees with clinical, contracting, finance, IT, analytics, operations , and product development expertise. MSHP is a fast growing business ... the status quo **Role Summary:** MSHP seeks a Medical Director (MD), Physician Engagement and CDQI, who will (1)...all populations served, especially our patients covered under a Medicare arrangement (MSSP or MA). The MD will report… more
- Mitsubishi Chemical Group (Jersey City, NJ)
- …unmet areas in Immunology and Oncology. MTPA is rapidly expanding its operations across all functional areas. MTPA's commitment to patients and their communities ... with assigned specialty distributor and specialty pharmacy accounts. The Associate Director of Trade will collaborate with members of Supply Chain, Commercial,… more
- Mount Sinai Health System (New York, NY)
- …is responsible for evaluating and driving performance for value-based contracts including Medicare , Medicaid and commercial arrangements. The Senior Director is ... for value-based contracts inclusive of risk and opportunity identification for Medicare , Medicaid and Commercial arrangements. 2. Develop strategies and alternatives… more
- New York State Civil Service (Queens Village, NY)
- …Yes Agency People With Developmental Disabilities, Office for Title Associate Director of Training 1- Mental Hygiene Occupational Category Health Care, Human/Social ... of permanent, contingent permanent, or 55 B/C service as an Associate Director Training 1 (Mental Hygiene).Non-Competitive Promotion (NCP):NOTE: If three or fewer… more
- City of New York (New York, NY)
- …for (1) Administrative Staff Analyst NM III to function as an Executive Director , Data Analytics & Verification who will: - Oversee the management, administration, ... and data sharing methods and/or tools that drive DSS-AO operations , and other Agency program areas (eg FIA, MICSA,...work includes identifying Medicaid clients who should apply for Medicare , identifying Medicaid clients who should be part of… more
- Kedrion Biopharma (Fort Lee, NJ)
- …financial planning (including supporting cash forecasting) and analysis services to the FP&A Director (US), Group FP&A in Italy and to the wider KBI Leadership Team ... forecasting and budget time. The Commercial Controller reports into the FP&A Director (US) and is tasked with delivering key finance objectives within his/her… more
- Option Care Health (Ridgewood, NY)
- …care is maintained. The Regional Manager of nursing is responsible for assisting the Sr./ Director , Operations and/or Area Director of Nursing in meeting ... with the pharmacy manager in the absence of the Sr./ Director , Operations . Serves as the Administrator and/or... of Nursing of the home health agency per Medicare Conditions of Participation definition. Serves as Facility Infection… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …a fast-paced environment + Managed long-term care knowledge + Medicaid knowledge + Medicare knowledge SCOPE INFORMATION # Direct Reports: Director Training and ... The Training Coordinator works directly with Trainer/Auditors and reports to the Director of Training and Development. The primary objective is to provide overall… more
- Hackensack Meridian Health (Eatontown, NJ)
- …and pharmacy laws and regulations. This includes managing revenue cycle operations and maintaining comprehensive knowledge of payer relations, claims adjudication, ... with new vendor contracting, and re-credentialing as needed with PBMs, Medicare , Medicaid, and other payers/entities. **Responsibilities** A day in the life… more
- VNS Health (Manhattan, NY)
- …for VNS Health Plans product lines - Managed Long Term Care (MLTC), Medicare Advantage (MA), Fully Integrated Dual Advantage (FIDA) and Select Health. Ensures ... and accuracy standards are met. Coordinates efficient functioning of day-to-day operations according to defined processes and procedures. Creates and maintains… more
- VNS Health (Manhattan, NY)
- …VNS Health Plans product lines - Managed Long Term Care (MLTC), Medicare Advantage (MA), or Select Health. Ensures regulatory compliance, timeliness requirements and ... accuracy standards are met. Coordinates efficient functioning of day-to-day operations according to defined processes and procedures. Creates and maintains accurate… more
- VNS Health (Manhattan, NY)
- …Plans is seeking a dedicated Manager, Grievance and Appeals (RN)to lead the daily operations of our grievance and appeals processes. You will play a crucial role in ... staff handling grievances and appeals across our Managed Long Term Care (MLTC), Medicare Advantage (MA), or Select Health product lines. * Ensure Compliance: Stay… more
- RWJBarnabas Health (New Brunswick, NJ)
- …The RN Clinical Care Coordinator is a critical component of the value-based operations care management team. The RN Clinical Care Coordinator will oversee the ... in an acute care setting and after discharge. For Medicare patients enrolled in Comprehensive Joint Replacement (CJR) lives,...facility, if applicable + Engagement with the Care Management Director and Physician Advisors + Identify units with the… more
- City of New York (New York, NY)
- …Manager who will, under the general direction of the Excess Income/Surplus Director , with wide latitude for the exercise of independent initiative and judgment ... Excess Income's Under-care renewals, Pay-In, e-Faxe, Provider Bills, Constituent inquiries, Medicare Saving Program (MSP) and Pooled Trust units. Receive cases from… more
- Bristol Myers Squibb (New York, NY)
- …within the assigned territory. The CMAM will report into the East Region Director , Cell Therapy Market Access Managers. The individual is required to achieve all ... Therapy Account Management Team, Payer Account Executives, Cell Therapy Patient Operations , Cell Therapy Patient Support Services, Cell Therapy Access Strategy Team,… more
- New York State Civil Service (Brooklyn, NY)
- …required, including medication administration, which are vital activities to regular operations .*Engage in orientation and mentoring of new RNs and LPNs.*Complete ... the cluster, work closely with the Nursing Supervisor / Director of Nursing and Team to review findings, and...maintain eligibility for full and unconditional participation in the Medicare and Medicaid programs. Continued employment will depend on… more
- Mount Sinai Health System (New York, NY)
- …of experience in a clinical healthcare environment. Experience in clinical operations and/or experience working in performance improvement, patient safety, risk ... - MSH, Mount Sinai Hospital **Responsibilities** In collaboration with Senior Director of Regulatory Affairs, and other system leadership, directs and facilitates… more
- St. Joseph's Health (Paterson, NJ)
- …and state rules and regulations, DNV accreditation standards, and Centers for Medicare and Medicaid (CMS) Conditions of Participation relative to the practice of ... pharmacy within the health system. Collaborates with the Director , other managers, supervisors, clinical pharmacists, and pharmacists who are responsible and… more