- Elevance Health (Woodbridge, NJ)
- ** Medicare Medical Director ** Location: This position will work a hybrid model (remote and office). The ideal candidate will must live within 50 miles of one ... Candidates must be able to work Eastern Time Zone hours. The ** Medicare Medical Director ** is responsible for the administration of physical and/or… more
- RWJBarnabas Health (Oceanport, NJ)
- …filings. In partnership with the Senior Vice President of Office of 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
- CenterLight Health System (Ridgewood, NY)
- …Under the direction of the Chief Medical Officer, the Regional Medical Director is responsible for the professional, organizational, and administrative ... Medical Practice Oversight: + Serve as the Regional Medical Director for the assigned Diagnostic and...+ Must have a Medicaid Provider ID and a Medicare Provider ID in good standing. Physical Requirements Individuals… more
- FlexStaff (New York, NY)
- **Req Number** 146159 FlexStaff FlexStaff is seeking a Regional Medical Director for our client, a non-profit healthcare organization dedicated to providing home ... we encourage you to apply. Overview: As the Regional Medical Director , you will be responsible for...direct participant contact. - Must possess a Medicaid and Medicare Provider ID in good standing. *Additional Salary Detail… 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, ... supply and equipment budgets in collaboration with the staff, medical director and CEO. + Develops measures...NYS RN License + NPI Number + Medicaid / Medicare Number (preferred) **REQUIRED EXPERIENCE** + Excellent verbal, written… more
- New York State Civil Service (Staten Island, NY)
- …HELP No Agency People With Developmental Disabilities, Office for Title Deputy Director DDSO 2 Occupational Category Health Care, Human/Social Services Salary Grade ... innovative leader who can execute strategic decisions to serve as Deputy Director of the Developmental Disabilities State Operations Office in Region 5 (DDSOO… 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 ... including Powerpoint and Excel Results orientation with working knowledge of medical economics analytics Understanding of CMS programs and concepts (eg, Star… more
- CVS Health (New York, NY)
- …and affordable. **Position Summary** The Web Channel Owner role for Aetna Medicare is a critical position in our Marketing organization, with accountability for ... shepherd the delivery of Digital Marketing's capabilities backlog for Aetna.com/ Medicare , AllinaHealthAetnaMedicare.com, the Shop, Buy, and Enroll tool, and more,… 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
- City of New York (New York, NY)
- …agency. The Department's main goal is to provide fire protection, emergency medical care, and other critical public safety services to residents and visitors ... Department, City of New York (FDNY), seeks a full-time Director , Risk Assessment & Accountability in the Office of...to augment the internal audit staff (eg, annual ambulance Medicare billing) - Liaison with external auditors. - Prepare… more
- Elevance Health (New York, NY)
- **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
- 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
- Hackensack Meridian Health (Eatontown, NJ)
- …agreements are up-to-date and assists with preparation for site visits. + Ensures Medical Billing/ Medicare Billing claims are processed and posted and follows up ... with new vendor contracting, and re-credentialing as needed with PBMs, Medicare , Medicaid, and other payers/entities. **Responsibilities** A day in the life… more
- Hackensack Meridian Health (Wall, NJ)
- …network. Some responsibilities include the preparation of advanced sections of the Medicare and NJDOH cost reports, completion of advanced reimbursement studies and ... and support staff supervision and training. Also responsible for Monthly Medicare reconciliation and assists in completion of monthly third party review.… more
- Hackensack Meridian Health (Neptune, NJ)
- …facilitates improvement in the overall quality, completeness and accuracy of medical record documentation for assigned hospital/s of Hackensack Meridian Health ... patient status. Facilitates accurate documentation for severity of illness and medical necessity. Interacts with physicians, case managers, and nursing staff and… 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
- Phoenix House (Long Island City, NY)
- …Shift** Morning **Job Category** Nurse **Description** **SUMMARY** Under the supervision of the Medical Director and/or Program Director , supervises the LPNs ... records for compliance; + Observes and records response to treatment/medication and notifies the Medical Director , the Director or Nursing, and the Program … more
- City of New York (New York, NY)
- …health outcomes for all New Yorkers. CHECW sits under the Agency's Chief Medical Officer. The Bureau of Equitable Health Systems (BEHS) is the healthcare systems ... health outcomes for all New Yorkers. CHECW sits under the Agency's Chief Medical Officer. The Bureau of Equitable Health Systems (BEHS) is the healthcare systems… more