- 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
- 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
- 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
- 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
- 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
- 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
- City of New York (New York, NY)
- …PERMANENT IN THE PRINCIPAL ADMINISTRATIVE ASSOCIATE CIVIL SERVICE TITLE. The Medical Assistance Program (MAP) administers public health insurance programs, including ... health care services at little or no cost. The Medical Assistance Program is recruiting for one (1) Principal...will, under the general direction of the Excess Income/Surplus Director , with wide latitude for the exercise of independent… more
- Hackensack Meridian Health (Old Bridge, NJ)
- …patient demographics to validate patient identity. Conducts intensive screening of all Medicare , Medicaid and managed care patients to identify network status and ... of service cash collection and financial clearance under the direction of the Supervisor/Manager/ Director for these designated areas. Must adhere to the Medical … 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
- Erickson Living (Tinton Falls, NJ)
- …department managers, nursing staff, resident services, social workers, accounting, medical staff, and sales while maintaining all confidential information regarding ... and transfer of residents throughout the continuum. + Notifies the physician, Director of Nursing, and Administrator of any medically complex resident seeking… 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 is the healthcare systems bureau ... supporting the strategic plan and vision of the Chief Medical Officer. Our mission is to apply policy, evidence,...65 or older, Blind and Disabled (ABD) Medicaid and Medicare Savings program (MSP); applying for Medicare ;… more
- Goddard Riverside (New York, NY)
- …services include: assistance with applications and recertifications for benefits, including Medicare , Medicaid, long term care, SNAP, HEAP, accessing Food Resources, ... referrals and providing connections to medical care, in-home care, legal services, collaboration with the...+ Assistance staff members, Nurse, Volunteers, Consultants and Program Director + Provide emergency assistance and outreach if needed… more
- VNS Health (Manhattan, NY)
- …Strong knowledge of claims submission procedures and systems, State, Federal and Medicare Regulations required + Knowledge of medical terminology, physiology, ... as a coding resource. Provides training and support to Medical Care at Home Clinicians and staff to provide...guidance on use of grids. + Works with Clinical Director in preparing internal presentations, knowledge libraries, coding guidelines,… more
- Mount Sinai Health System (New York, NY)
- **Job Description** Under direct supervision of the Director of Specialty Pharmacy, the Specialty Pharmacy Manager and the Specialty Pharmacy Clinical Liaison, the ... with clinical employees on multiple levels, including pharmacists, nurses, medical /clinical staff, Finance personnel, department managers, access services staff, and… more