• Medicaid Service Delivery

    Conduent (Hamilton, NJ)
    …be part of a culture where individuality is noticed and valued every day. The ** Medicaid Service Delivery Director ** is a strategic leader responsible ... to ensure service excellence, operational efficiency, and customer satisfaction. The Medicaid Service Delivery Director plays a critical role in… more
    Conduent (12/13/24)
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  • Executive Director , Office of Mail Renewal…

    City of New York (New York, NY)
    …care reform and anticipated program growth without causing delays or interruptions to its service delivery . The ED collaborates with the ADC in service ... private agencies/parties who are concerns with matters involving the delivery of essential services to Medicaid eligible...to resolve critical issues and major problems related to service delivery . Also represent each division's interests… more
    City of New York (10/25/24)
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  • Casa Director

    City of New York (New York, NY)
    Job Description APPLICANTS MUST BE PERMANENT IN THE ADMINISTATIVE DIRECTOR OF SOCIAL SERVICE CIVIL SERVICE TITLE OR BE PERMANENT IN A COMPARABLE TITLE ... CHANGE. The Home Care Services Program (HCSP) is a Medicaid funded program that provides long term care to...Services Program (HCSP) is recruiting for one (1) Administrative Director of Social Services NM II, to function as… more
    City of New York (12/15/24)
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  • Executive Director Of Fields Operations

    City of New York (New York, NY)
    Job Description YOU MUST BE PERMANENT IN THE ADMINISTRATIVE DIRECTOR OF SOCIAL SERVICE CIVIL SERVICE TITLE, PERMANENT IN A COMPARIBLE TITLE CHANGEL ELIGIBLE ... ON EXAM#1121. The Home Care Services Program (HCSP) is responsible for service authorization, and ongoing oversight for Home Attendant and Housekeeping services for… more
    City of New York (10/28/24)
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  • Medical Director - Florida

    Humana (Trenton, NJ)
    …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal ... community and help us put health first** The Medical Director relies on medical background and reviews health claims....services, requested level of care, and/or requested site of service should be authorized. All work occurs with a… more
    Humana (12/14/24)
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  • Medical Director - South Central

    Humana (Trenton, NJ)
    …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal ... community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement...services, requested level of care, and/or requested site of service should be authorized. All work occurs within a… more
    Humana (11/08/24)
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  • Director of Healthcare Payment & Financing…

    City of New York (New York, NY)
    …apply policy, evidence, and practical expertise to improve equity in health care delivery at the individual organizational and systems levels. We do this to engage ... 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 (12/28/24)
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  • Medical Director - National Medicare Team

    Humana (Trenton, NJ)
    …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal ... of our caring community and help us put health first** The Medical Director relies on medical background and reviews preauthorization requests for services. The… more
    Humana (11/08/24)
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  • Medical Director - Acute Rehab Team

    Humana (Trenton, NJ)
    Medicaid , or other Medical management organizations, hospitals/ Integrated Delivery Systems, health insurance, other healthcare providers. + Utilization ... are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal… more
    Humana (12/31/24)
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  • Medical Director - Mid West Region

    Humana (Trenton, NJ)
    …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal ... community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement...whether requested services, level of care, and/or site of service should be authorized. All work occurs within a… more
    Humana (10/29/24)
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  • County Director - Mental Health

    SERV Behavioral Health System (Lawrenceville, NJ)
    …Disorder. JOB SUMMARY: Responsible for overseeing the clinical and administrative operations of service delivery for the assigned county on a day-to-day basis. ... and procedures. + Meets established program targets through census maintenance and service delivery . + Plan for and administer managerial, operational, fiscal,… more
    SERV Behavioral Health System (10/25/24)
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  • Director , Solutions Architecture

    Humana (Trenton, NJ)
    …digital healthcare for the populations we serve, from data architecture to cloud service delivery and the architecture of digital customer experiences. The ... are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal… more
    Humana (12/20/24)
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  • Associate Director Cloud Architecture

    Humana (Trenton, NJ)
    …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal ... our caring community and help us put health first** The Associate Director , Cloud Architecture designs, builds, and maintains data processing architectures and… more
    Humana (11/02/24)
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  • Senior Director

    City of New York (New York, NY)
    Job Description APPLICANTS MUST BE PERMANENT IN THE ADMINISTRATIVE STAFF ANALYST CIVIL SERVICE TITLE, OR BE PERMANENT IN A COMPARABLE TITLE ELIGIBLE FOR 6.1.9 TITLE ... is responsible for all aspects of workforce curriculum development and training delivery of social services policies and procedures for programs administered by… more
    City of New York (12/18/24)
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  • Procedures Director

    City of New York (New York, NY)
    …agency's program consistently and effectively. Under the direction of the Senior Director , with wide latitude for the exercise of independent judgement, initiative, ... and decision-making, serves as the Medicaid Assistance Program (MAP) and HomeCare... Assistance Program (MAP) and HomeCare Services Program (HCSP) Director , Office of Procedures. The Director of… more
    City of New York (11/28/24)
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  • Executive Director , HRA Performance…

    City of New York (New York, NY)
    …to evaluate program performance, and to facilitate decision-making focused on improving service delivery . - Manage the Cash Assistance reporting unit, which ... MUST BE PERMANENT IN THE ADMINISTRATIVE STAFF ANALYST CIVIL SERVICE TITLE OR BE PERMANENT IN A COMPARABLE CIVIL...Admin Staff Analyst NM-3 to function as the Executive Director , HRA Performance & Reporting, who will: - Oversee… more
    City of New York (12/27/24)
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  • Director , IT Portfolio Management…

    Humana (Trenton, NJ)
    …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal ... part of our caring community and help us put health first** The Director , IT Portfolio Management for Enterprise Information Protection (EIP) develops and executes… more
    Humana (12/14/24)
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  • Senior Director , Compliance Services

    City of New York (New York, NY)
    Job Description Open to candidates who are permanent in the civil service title of Administrative Manager or comparable civil service titles including but not ... and improve the health of all New Yorkers, in service of a vision of a city in which...Resources seeks to hire an Administrative Manager, NM/L-III (Senior Director , Office of Compliance Services). DUTIES WILL INCLUDE BUT… more
    City of New York (11/28/24)
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  • Healthcare Payment & Financing Innovation Senior…

    City of New York (New York, NY)
    …How social service organizations can organize themselves to enter into Medicaid Managed Care contracts efficiently (eg forming IPAs, etc). How to correct policy ... and practical expertise to improve equity in health care delivery at the individual, organizational, and systems levels. We...related to Local Law 78 and its relationship to Medicaid , Medicaid Policy and Programming, and local,… more
    City of New York (12/08/24)
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  • Client Success Partner (Client Service

    Public Consulting Group (Trenton, NJ)
    …PCG helps school districts and state agencies across the country support the delivery of health-related services by helping schools access critical Medicaid ... PCG services. This position may report to either a SBS COE Client Success Director or a Client Success Lead. **Duties and Responsibilities** _Clients_ + Own and… more
    Public Consulting Group (01/07/25)
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