- Teva Pharmaceuticals (Parsippany, NJ)
- Director Medicaid - Remote Date: Dec 27, 2024 Location: Parsippany, United States, New Jersey, 07054 Company: Teva Pharmaceuticals Job Id: 58940 **Who we ... market access strategies to maximize profitability and success across Medicaid accounts. The Director will lead efforts to ensure Teva stakeholders are abreast… more
- Molina Healthcare (New York, NY)
- …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-10 CPT-4, HCPCS coding **Preferred License, Certification, Association** Professional… more
- Alternatives, Inc. (Raritan, NJ)
- …illnesses. The Community Outreach Services Department is currently seeking a Director of Community Outreach Services. ESSENTIAL DUTIES AND RESPONSIBILITIES: - ... communication skills. - Familiarity or prior experience with Fee-For-Service Medicaid environments is a plus. - Experience working with...commute to the main office in Raritan NJ, and remote , using Go To Meeting. All trainings are compensated.… more
- Vibrant Emotional Health (New York, NY)
- Job Title: Program Director Department: Youth and Family Wellness Reports To: Assistant Program Director Schedule: Monday to Friday, 9am to 5pm Location: ... Remote /Hybrid Flexed, cases in Manhattan, Bronx, Queens Pay Grade:...and the budgeted amount for the role. Clinical Program Director Vibrant (formerly the Mental Health Association of New… more
- Elevance Health (Morristown, NJ)
- **Process Improvement Director -HEDIS** **Location:** This position will work a hybrid model ( remote and office). Must reside within 50 miles/1hour commute from ... the posted Elevance Health locations. This **Process Improvement Director -HEDIS** will be responsible for enterprise HEDIS improvement and governance programs, with… more
- NYU Rory Meyers College of Nursing (New York, NY)
- Position Summary Reports to the Associate Dean of Clinical Administration. The Director of Dental Insurance Strategy is a visionary leader responsible for expanding ... as a leading provider of comprehensive dental care. Additionally, the Director will design and implement innovative self-pay payment strategies, providing patients… more
- City of New York (New York, NY)
- …Bureau of Human Resources seeks to hire an Administrative Manager, NM/L-III (Senior Director , Office of Compliance Services). DUTIES WILL INCLUDE BUT NOT BE LIMITED ... existing employees are cleared utilizing the local and federal Medicaid compliance (OMIG and HHS) databases. Reviewing tasks and...& BUDGET APPROVAL" "This position MAY be eligible for remote work up to two days per week, pursuant… more
- Molina Healthcare (New York, NY)
- …to improve efficiency, productivity, effectiveness, and accuracy. * Works with the Director of Healthcare Analysis to develop and deploy an organizational strategy ... care administration degree **Preferred Experience** * State QI experience * Medicaid and/or Medicare QI + **Databricks** + **Development leading indicators and… more
- Molina Healthcare (New York, NY)
- …& promoting Information Technology (IT) capabilities. While reporting to the Director of Business Relationship Management, this role also works with health ... Healthcare business process and/or functional knowledge + Knowledgeable of State Medicaid contract Service Level Agreements and IT support for and understanding… more
- Molina Healthcare (New York, NY)
- …and results to identify opportunities for improvement. + Surfaces to Manager and Director any gaps in processes that may require remediation. + Other tasks, duties, ... **Preferred Experience** + 1 year of experience in Medicare and in Medicaid . + Experience with data reporting, analysis and/or interpretation. **Preferred License,… more
- VNS Health (Manhattan, NY)
- …that inform program management and committee decisions. * Work Flexibly: Enjoy a mostly remote work environment with just one day a month in the office, allowing you ... + Ensures regulatory compliance and timely processing for the Medicare and Medicaid appeal and grievance processes, incidents, quality of care concerns and any… more