- Lundbeck (New York, NY)
- …the region boundary Injectable/infusion sales experience within a buy & bill Medicare Part B/ Medical benefit environment or other comparable reimbursement ... and transform lives. Join us on our journey of growth!BioPharmaceutical Regional Business Director - East Will consider candidates who live in region or state which… more
- RWJBarnabas Health (Oceanport, NJ)
- …cost reports filings. In partnership with the Vice President of Corporate Reimbursement, the Director will manage the completion of DSH, Medicare Bad Debts, Wage ... Director , Corporate Reimbursement (Hybrid/Remote) - Oceanport, NJReq #:0000180233...as a key resource to department leadership for providing Medicare and Medicaid reimbursement support and implementing government payment… more
- Molina Healthcare (New York, NY)
- …quality improvement activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to ... Medicare , Medicaid, NCQA and other regulatory requirements. + Reviews...experience, including: + 2 years previous experience as a Medical Director in a clinical practice. +… more
- Mount Sinai Health System (New York, NY)
- …environments * Seek to improve the status quo **Role Summary:** MSHP seeks a Medical Director (MD), Physician Engagement and CDQI, who will (1) be responsible ... to drive accurate risk adjustment throughout the system. This Medical Director must be effective at influencing...all populations served, especially our patients covered under a Medicare arrangement (MSSP or MA). The MD will report… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Senior Director of Emergency Management Planning and Development is an expert in current federal, state, local, and non-governmental ... possesses a general knowledge of healthcare operations. The Senior Director is a key member of the Mount Sinai...US Dept of Health and Human Services Center for Medicare and Medicaid Services (CMS). + Interacts with emergency… more
- Mitsubishi Chemical Group (Jersey City, NJ)
- …respected - is a research-driven pharmaceutical company that has tirelessly pursued medical breakthroughs with global reach. MTPC has discovered and produced several ... treatments for difficult-to-treat diseases and commercializing products with significant unmet medical needs in North American markets. In the United States, MTPA… more
- Phoenix House (Long Island City, NY)
- …required regulatory and Healthcare Departments Policies and Procedures. + Works closely with Medical Director , CEO, Director of Residential Services, ... personnel, supply and equipment budgets in collaborationwith the staff, medical director and CEO. + Develops measures...NYS RN License + NPI Number + Medicaid / Medicare Number (preferred) **REQUIRED EXPERIENCE** + Excellent verbal, written… more
- Aveanna Healthcare (Clark, NJ)
- Clinical Director - RN - Home Care ApplyRefer a FriendBack Job Details Requisition #: 200771 Location: Clark, NJ 07066 Category: Nursing Salary: Starting at ... for you when you come to Aveanna. Position Overview The Clinical Director is responsible and accountable for the planning, organizing, directing and evaluating… more
- Aveanna Healthcare (Hackensack, NJ)
- Executive Director - Home Care ApplyRefer a FriendBack Job Details Requisition #: 203553 Location: Hackensack, NJ 07601 Category: Management Salary: $85,000.00 - ... $90,000.00 per year Position Details Position Overview The Executive Director is directly responsible for the administrative and leadership functions associated with… more
- Lundbeck (New York, NY)
- …region boundary + Injectable/infusion sales experience within a buy & bill Medicare Part B/ Medical benefit environment or other comparable reimbursement ... BioPharmaceutical Regional Business Director - East Requisition ID: 6150 Location: New...distinct geographical region. The product portfolio currently includes both medical benefit and specialty distribution for infusion therapy. The… more
- Teva Pharmaceuticals (Parsippany, NJ)
- …include how products are covered and paid for by payers under pharmacy or medical benefit, for government ( Medicare B, C, D, Medicaid) or commercial insurance, ... Sr Director , Pricing & Reimbursement - Hybrid (Parsippany, NJ)...a competitive benefits package, including: + Comprehensive Health Insurance: Medical , Dental, Vision, and Prescription coverage starting on the… more
- Organon & Co. (Jersey City, NJ)
- **Job Description** **The Position** The Regional Payer Account Director (RPAD) reports directly to the Executive Director , Regional Payer Accounts. The RPAD ... and programs. The primary customer/account responsibilities include key Regional Commercial and Medicare Health Plan accounts. The primary goal is to achieve desired… more
- City of New York (New York, NY)
- …position on Medicaid redesign policy and innovation. Advise and assist OSHSSA Executive Director , Chief Medical Officer and other agency executives on healthcare ... and clinicians. The Bureau of Equitable Health Services seeks to hire a Director of Healthcare Payment & Financing Initiatives. DUTIES WILL INCLUDE BUT NOT BE… more
- WellLife Network (Lake Success, NY)
- Director of Revenue Cycle Management - FIN028 - Mon-Fri 9AM-5PM Job Details Job Location Corporate Office (Main Office) - Lake Success, NY Position Type Full-Time ... has the opportunity to thrive and realize their fullest potential. Position Summary:The Director of Revenue Cycle position at WellLife Network is a leadership role… more
- Lumeris (New York, NY)
- …Thank you for your interest in Lumeris. **Position:** Senior Director , Partner Operations **Position Summary:** Provides executive leadership and oversight ... in Health Administration, or similar degree + Experience in managed care and/or Medicare Advantage **Working Conditions** + While performing the duties of this job,… more
- Molina Healthcare (New York, NY)
- …Access, Word and Excel * Knowledge and understanding of claims processing systems and medical claims * Knowledge of HMO, PPO, POS, MCO, Medicare , Medicaid, ... Market Place products, laws, rules and regulations **Preferred Education** * Master's degree **Preferred Experience** * Formalized training/experience in Health Care Insurance Fraud * Experience with Power BI, SAS, SQL other reporting software * ICD-9, ICD-10… more
- VNS Health (Manhattan, NY)
- …company holidays + Health insurance plan for you and your loved ones, Medical , Dental, Vision, Life Disability + Employer-matched retirement saving funds + Personal ... related field preferred Work Experience: + Minimum of five years of managed Medicare and/or Medicaid sales or equivalent operations experience. required + Minimum of… more
- VNS Health (Manhattan, NY)
- …of individual grievances and appeals. Consults with enrollees, providers and the Medical Director , as appropriate. + Provides input and recommendations for ... operations and customer service. + Reviews information available from Medicaid, Medicare , other payers, and/or professional medical organizations regarding… more
- RWJBarnabas Health (Elizabeth, NJ)
- …onto Care medic system to obtain medical necessity compliance + Explains Medicare medical necessity guidelines to both physicians patients + Calls physicians ... #:0000181962 Category:Clerical / Administrative Support Status:Full-Time Shift:Night Facility:Trinitas Regional Medical Center Department:Emergency Dept Access Service Location: WILLIAMSON STREET,… more
- VNS Health (Manhattan, NY)
- …staff at all levels including but not limited to, Provider Relations, Claims, Medical Director , third party administrator, pharmacy benefit manager, to achieve ... and appeals across our Managed Long Term Care (MLTC), Medicare Advantage (MA), or Select Health product lines. *...Health insurance plan for you and your loved ones, Medical , Dental, Vision, Life and Disability + Employer-matched retirement… more
