• Senior Director -Epidemiology/HEOR

    Regeneron Pharmaceuticals (Sleepy Hollow, NY)
    As a Senior Director , HEOR you will be responsible for leading HEOR-Epidemiology activities to inform, support, and strengthen global development and ... study protocols and statistical analysis plans using real-world data (eg administrative claims data, EMRs, registries) with a record of publications in peer-reviewed… more
    Regeneron Pharmaceuticals (12/27/24)
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  • Senior Claim Director

    Axis (New York, NY)
    …for candidates taking part in the selection process. AXIS is seeking a _Senior Claim Director , Specialty Complex_ _Claims_ to join our North America Claims ... Claims teams regarding coverage issues, coverage disputes and claim handling issues, time limited demands, emerging issues, including...as well as reporting and presenting about same to senior management + In-depth knowledge of claims ,… more
    Axis (10/18/24)
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  • Assistant Director Health Information…

    BronxCare Health System (Bronx, NY)
    …projects, for preparing reports and recommendations for review and consideration by Senior Director and upper management concerning the immediate needs as ... the Inpatient Appeal Case Management application and workflow -Communicates with HIM Senior Director and/or Coding Managers to support revenue cycle activities… more
    BronxCare Health System (12/18/24)
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  • Operations and Logistics Director

    Breaking Ground (Brooklyn, NY)
    …and stay, on the path to a permanent home. Reporting to the Senior Director , Outreach, theOperations and Logistics Directormanages the day-today operations of ... Operations and Logistics Director 90 Sands, 90 Sands Street, Brooklyn, New...and professional manner. Ensure all vehicle repairs and service claims are resolved + Respond as necessary to accidents;… more
    Breaking Ground (12/06/24)
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  • Director Of Contracts And Compliance

    City of New York (New York, NY)
    …Relationship Abuse Prevention Program (RAPP). Under administrative direction of the Senior Director of Administration Planning Operations and Emergency Support ... Services, the Director of Contracts and Compliance with wide latitude for...appropriate documentation including vendor program evaluations, site visit reports, claims for reimbursement, budget modification, and fiscal audits. -… more
    City of New York (10/28/24)
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  • Director , Senior Counsel,…

    United Therapeutics (Albany, NY)
    …and pulmonary diseases, and other orphan diseases. **How you'll contribute** The Senior Counsel, Regulatory & Compliance role is responsible for a broad range ... and biotech industry, including FDA advertising and promotion, False Claims Act, Anti-Kickback Statute, OIG Guidance, the PhRMA Code,...to the Food Drug and Cosmetic Act, the False Claims Act, Anti-Kickback Statute, the Sunshine Act and other… more
    United Therapeutics (12/14/24)
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  • Senior Clinical Risk Manager - Hospital…

    Mount Sinai Health System (New York, NY)
    …of Health and other accrediting agencies. This individual, in conjunction with the Senior Director , participates in the orienting, training and mentoring new ... the Risk Management & Patient Safety Department. This involves collaborating with the Senior Director to develop educational plans for instructing staff about… more
    Mount Sinai Health System (10/17/24)
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  • Senior Clinical Risk Manager

    Mount Sinai Health System (New York, NY)
    …of Health and other accrediting agencies. This individual, in conjunction with the Senior Director , participates in the orienting, training and mentoring new ... the Risk Management & Patient Safety Department. This involves collaborating with the Senior Director to develop educational plans for instructing staff about… more
    Mount Sinai Health System (11/19/24)
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  • Director Business Affairs

    City National Bank (New York, NY)
    …onboarding, reviews, audits, and CNB issued remediation plans. * Reporting to Senior Managing Director Client Service/Operations. Lead Client Service and ... * DIRECTOR BUSINESS AFFAIRS* *WHAT IS THE OPPORTUNITY?* This...as required, to obtain legal opinions or to handle claims , litigation, and/or other significant business objectives. * Provide… more
    City National Bank (10/26/24)
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  • Sr Complex Claims Director - Cyber,…

    AIG (New York, NY)
    Join us as a Senior Complex Claims Director - Cyber, Media, & Technology to grow your experience in Claims . Make your mark in Claims Our Claims ... service with empathy and efficiency. How you will create an impact As a Senior Complex Claims Director , you will be responsible for handling all aspects of… more
    AIG (11/27/24)
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  • Senior Revenue Cycle Manager…

    Mount Sinai Health System (New York, NY)
    **Job Description** The Senior CBO Revenue Cycle Manager reporting to the Senior Director of CBO Operations, is responsible for directing and coordinating ... data and prepares for meetings. 9. Tracks progress and submits reports to Senior Director on a daily, weekly, monthly basis. Monitors key billing/collection… more
    Mount Sinai Health System (11/01/24)
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  • Assistant Director of Programmatic Fiscal…

    City of New York (New York, NY)
    …in the absence of the supervisor. Participate with special projects assigned by the Director or senior leadership of the division. **IMPORTANT NOTES TO ALL ... Staff Analyst NM to perform duties as an Assistant Director of Programmatic Affairs. DUTIES WILL INCLUDE BUT NOT...maintain contract spreadsheets for comparative review of the budget, claim and funding for payment Prepare fiscal summary reports… more
    City of New York (11/16/24)
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  • Manager, Legal Operations

    MTA (Brooklyn, NY)
    …Open Date: 10/15/2024 Authority: TA Department: Law Division/Unit: Torts Reports to: Senior Director , Legal Ops Work Location: 130 Livingston Street Hours ... for the MTA. This job requires supporting the Sr. Director that would lead this new unit as they...for Torts unit to effectively manage growing number of claims + Lead in managing Torts legal operations with… more
    MTA (10/23/24)
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  • Senior Owner Controlled Insurance Programs…

    MTA (New York, NY)
    Senior Owner Controlled Insurance Programs Administration Claims Job ID: 7867 Business Unit: MTA Headquarters Location: New York, NY, United States ... Date Posted: Nov 7, 2024 Description JOB TITLE : Senior Owner Controlled Insurance Programs Administration Claims ...not limited to, the effective and efficient management of claim information input into the Claims database… more
    MTA (11/26/24)
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  • Director , Claims Investigations…

    MTA (Brooklyn, NY)
    Director , Claims Investigations & Adjustments Job ID: 9838 Business Unit: MTA Headquarters Location: Brooklyn, NY, United States Regular/Temporary: Regular ... Date Posted: Dec 13, 2024 Description JOB TITLE : Director , Claims Investigations and Adjustments SALARY RANGE... processing and management; proven ability to interface with senior managers, staff and counsel of agency, MTA affiliates… more
    MTA (12/14/24)
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  • Clinical Pharmacy Manager - World Trade Center…

    Mount Sinai Health System (New York, NY)
    …accomplished in collaboration with the pharmacy leadership team under the direction of Senior Director of Ambulatory Pharmacy and the Chief Pharmacy Officer. The ... (WTCHP) seeks a Clinical Pharmacy Manager that reports to Senior Manager, Pharmacy Benefits and works jointly under the...portal for QA report and analyzing + Reviewing pharmacy claims to identify outliers, utilization and prescribing trends +… more
    Mount Sinai Health System (11/07/24)
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  • Director , Reimbursement Configuration

    Healthfirst (NY)
    …**Duties & Responsibilities:** + Drive flexible, repeatable and scalable claims configuration design and implementation processes with industry best-practices + ... + Prepare and present updates to the business and senior executives on configuration strategies, activities, and metrics +...+ Work with internal and external parties to ensure claim payment logic and business rules are well understood… more
    Healthfirst (12/11/24)
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  • Senior Attorney - Litigation Unit

    City of New York (New York, NY)
    …of the Director of Litigation and reporting directly to the Deputy Director of Litigation, duties for the Senior Attorney, Litigation Unit position include, ... Bureau of Law & Adjustment (BLA) settles and adjusts claims filed against and on behalf of the City...behalf of the City of New York. After a claim is filed, it is investigated. Based on the… more
    City of New York (10/28/24)
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  • Assistant Director , IT

    University of Rochester (Rochester, NY)
    …- In the case of campus-wide emergencies or when the potential of an insurance claim exists, the MOC will assist the Director in directing the technical team ... and direction from the University Information Technology Leadership Team, and as a senior member of the University IT Management Team, reviews processes and makes… more
    University of Rochester (12/17/24)
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  • Reviewing Medical Director

    Conviva (Albany, NY)
    …The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex ... or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement to make… more
    Conviva (12/11/24)
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