- Molina Healthcare (New York, NY)
- …Advanced knowledge of Excel + SQL knowledge preferred + Advanced knowledge of healthcare claims and claim processing from receipt through encounter submission. + ... including accurate and timely implementation and maintenance of critical information on claims databases. Validate data to be housed on databases and ensure… more
- VNS Health (Manhattan, NY)
- OverviewManages the configuration and maintenance of the claims system used to administer operations of current and new business for VNS Health Plan products. ... reports, recommendations, and updates/revisions to address existing and potential claims system issues. Works under general direction. Compensation Range:$98,200.00… more
- City of New York (New York, NY)
- … Director of OHSSA. This position will also serve as the inaugural Director of Healthcare Accountability, leading strategy and implementation for Local Law ... the Agency's Chief Medical Officer. The BEHS is the healthcare systems bureau of DOHMH. Our mission is to...routinely update their interpretation in accordance with a highly complex , rapidly evolving regulatory environment. - Stay informed of… more
- Molina Healthcare (New York, NY)
- …years leadership/supervisory experience required * Progressive management experience to manage complex work systems and workflows required * Knowledge of pre-edit ... Access, Word and Excel * Knowledge and understanding of claims processing systems and medical claims *...position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina… more
- Mount Sinai Health System (New York, NY)
- …Nursing/ Healthcare related field. + 10 years minimum experience as a Director of clinical/ healthcare risk management and hospital operations to include ... **Job Description** The Director for the Risk Management and Patient Safety...8. Collaborates with the professional liability carrier and oversees claims management with the carrier(s). 9. Works collaboratively with… more
- EPAM Systems (New York, NY)
- …- go-to-market, sales, engagement delivery and practice development. As a **Managing Director - Insurance Advisory** , you will lead the demand generation, pursuit, ... and technology solution expertise. You'll drive the shaping and delivery of complex solutions, working with cross-functional teams in both business and technology.… more
- City of New York (New York, NY)
- …for the City of New York, you will receive excellent benefits, including healthcare , vision benefits, dental benefits, as well as the opportunity to participate in ... York City Employees' Retirement System Membership and Service Division seeks a Deputy Director . Under the direction of the Membership and Service Director , the… more
- BronxCare Health System (Bronx, NY)
- Overview As the Director of Population Health Analytics within the Ambulatory Care Department of our large health system, you will lead a team responsible for ... data from ambulatory care sources, including electronic health records (EHR), claims data, and population health registries. Lead the development of standardized… more
- Merck (Rahway, NJ)
- **Job Description** The Associate Director Data Science will be responsible for developing and communicating data-driven and actionable insights that drive greater ... have intellectual curiosity, entrepreneurial spirit, consultative mindset, strong understanding of healthcare & pharma marketing. The person should be able to… more
- Mount Sinai Health System (New York, NY)
- …behalf of Mount Sinai Human Resources partners, the Pharmacy Benefits Program Director is responsible to provide service support, reporting, pricing, and/or other ... stakeholders and other external vendors. The Pharmacy Benefits Program Director serves as the primary pharmacy benefits subject matter...required. + Minimum of 6 years experience in the healthcare industry, with focus on Pharmacy Health Plan or… more
- Axtria, Inc. (Berkeley Heights, NJ)
- …revolutionize the commercialization journey, driving sales growth and enhancing patient healthcare outcomes. Committed to impacting millions of lives positively, our ... sector, consistently recognized for our growth and technological advancements. As a Director , you will lead high-impact client engagements within the healthcare … more
- Helsinn Therapeutics (US), Inc. (Iselin, NJ)
- Director of Compliance Compliance Iselin, New Jersey Apply Description Responsibilities + Responsible for overseeing all elements of Helsinn's comprehensive ... managing all compliance matters pertaining to the US organization and working on complex compliance matters that impact the success of the company's products and/or… more
- IQVIA (Warren, NJ)
- …and support of IQVIA (TM) information assets - national, sub-national. patient claims data, channel & specialty offerings across multiple internal and external ... all IQVIA's information assets delivered to the client organization. + Manages complex , large accounts across multiple stakeholders. + Develops a strategic and… more
- Pfizer (New York, NY)
- …objective, in-depth insights to inform business strategies and decisions. The Director is a strategic thought partner to cross-functional leadership teams, including ... innovative research capabilities, and the ability to influence and communicate complex and dynamic information in new and creative ways. **Key Responsibilities:**… more
- City of New York (New York, NY)
- …most impacted NYC communities. CHECW addresses inequity across community and healthcare systems in partnership with community, faith-based, and health care ... Agency's Chief Medical Officer. The Bureau of Equitable Health Systems (BEHS) is the healthcare systems bureau of DOHMH. Our mission is to apply policy evidence, and… more
- City of New York (New York, NY)
- …most impacted NYC communities. CHECW addresses inequity across community and healthcare systems in partnership with community, faith-based, and health care ... Chief Medical Officer. The Bureau of Equitable Health Systems (BEHS) is the healthcare systems bureau of DOHMH. Our mission is to apply policy, evidence, and… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Clinical Risk Manager reports to the Director of Risk Management and Patient Safety and is responsible for reviewing, summarizing, analyzing, ... presenting and monitoring safety events, claims management, loss prevention and reduction, patient safety related quality improvement activities and supporting the… more
- City of New York (New York, NY)
- …most impacted NYC communities. CHECW addresses inequity across community and healthcare systems in partnership with community, faith-based, and health care ... the Agency's Chief Medical Officer. The Bureau of Equitable Health Systems is the healthcare systems bureau of DOHMH. Our mission is to apply policy, evidence, and… more
- VNS Health (Manhattan, NY)
- …and financial wellness programs + Pre-tax flexible spending accounts (FSAs) for healthcare and dependent care + Generous tuition reimbursement for qualifying degrees ... as well as contractual requirements. + Investigates and reviews routine and complex situations and underlying issues, analyzes and solves problems. Consults with the… more
- CUNY (New York, NY)
- …culturally competent health professionals and scientists equipped to address the healthcare needs of New York's medically under-served communities. As a major ... and fostering positive work experiences for our employees. Reporting to the Executive Director of Human Resources, the Benefits Manager will play a crucial role in… more