• Claims Complex Director

    AIG (Jersey City, NJ)
    Claims Complex Director - Healthcare Professional Liability (HPL) Join us as a Claims Complex Director to take on key responsibilities within ... an impact + This position will ensure high quality claims handling within the Healthcare Professional Liability...+ 7+ years of medical malpractice / professional liability complex claims and/or complex litigation… more
    AIG (10/03/24)
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  • Director of Policy & Legal/…

    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
    City of New York (10/28/24)
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  • Associate Director - Life Sciences - Data…

    Guidehouse (New York, NY)
    …their professional skills along the journey. We are looking for an Associate Director to join our Life Sciences team, which supports pharmaceutical and biotech ... and data-driven solution design. As a Life Science Associate Director - Data Science, you will: + Provide subject...subject matter expertise on commercial data and analytics, such claims , EMR, formulary data. + Analyze client business challenges… more
    Guidehouse (09/17/24)
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  • Director , Risk Management & Patient Safety…

    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
    Mount Sinai Health System (09/27/24)
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  • Director of Data Content and Strategy

    RELX INC (Norwalk, CT)
    …- while ensuring the highest standards of privacy and security - to help healthcare organizations make confident decisions and solve complex challenges. You can ... Director of Data Content and Strategy About the...essential partner in the assessment of risk. Within our Healthcare vertical, our solutions focus on transforming operations and… more
    RELX INC (09/07/24)
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  • Director of Population Health Analytics

    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
    BronxCare Health System (09/18/24)
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  • Pharmacy Benefits Program Director ; HSO…

    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
    Mount Sinai Health System (10/29/24)
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  • Managing Director , Insurance Advisory…

    EPAM Systems (New York, NY)
    …be the perfect opportunity for you to join EPAM as a **Managing Director , Insurance Advisory** . Scroll down to learn more about the position's responsibilities ... operational capabilities **Requirements** + Prior experience as a Managing Director (Partner, or equivalent level) with primary client relationship responsibility… more
    EPAM Systems (10/29/24)
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  • Senior Director , Corporate Compliance

    Regeneron Pharmaceuticals (Sleepy Hollow, NY)
    This Senior Director , Corporate Compliance role is a strategic and dynamic role serving as a Compliance Navigator/Advisor to various areas of the business, with a ... Federal Sentencing Guidelines, the Federal Anti-Kickback Statute, the False Claims Act, the Food Drug & Cosmetic Act, the...attention to detail, and ability to organize and analyze complex information and data; and + have excellent written… more
    Regeneron Pharmaceuticals (09/13/24)
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  • Healthcare Management Specialist

    Research Foundation CUNY (New York, NY)
    …retiree Medicare reimbursements + Advocate for members and assist them in navigating complex healthcare systems + Educate members on their conditions and provide ... Job Title: Healthcare Management Specialist PVN ID: RF-2409-006476 Category: Managerial...will work under the direct supervision of the Assistant Director of Human Resources: Benefits. The incumbent will provide… more
    Research Foundation CUNY (09/27/24)
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  • Clinical Risk Manager - Hospital Risk Management…

    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
    Mount Sinai Health System (10/06/24)
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  • Senior Policy Advisor, Bureau of Equitable Health…

    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
    City of New York (09/21/24)
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  • Specialist, Grievance and Appeals

    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
    VNS Health (10/25/24)
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  • Grievance and Appeals Specialist, Clinical

    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 ... well as contractual requirements. + Investigates and reviews routine and complex situations and underlying issues, analyzes and solves problems, focusing primarily… more
    VNS Health (09/20/24)
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  • Legal Nurse: Medical Analyst Support Medicaid…

    New York State Civil Service (New York, NY)
    …auditors, detectives, data analysts, and legal support analysts to conduct complex , long-term healthcare fraud investigations. Medicaid provides health coverage ... Excel, and comfort with videoconferencing.Preferred Skills/Experience:* Nursing administration (eg, Director of Nursing, Administrator, Risk Manager), including current or… more
    New York State Civil Service (10/02/24)
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  • Concierge Primary Care - Physician - Hudson Yards…

    Mount Sinai Health System (New York, NY)
    …benefits, claims , care coordination and other complexities of the healthcare system. This will include explaining complicated medical and benefits terms in ... Sinai, we are looking for people to join our team who want to make healthcare better by improving the value of care for patients, purchasers, and communities. To… more
    Mount Sinai Health System (09/01/24)
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  • System Analyst - Home Health and Hospice Billing

    Catholic Health Services (Melville, NY)
    …are committed to caring for Long Island. Be a part of our team of healthcare heroes and discover why Catholic Health was named Long Island's Top Workplace! Job ... deadlines and quality of project and escalates to the Director Patient Financial Systems. Works with the Epic Resolute...Systems. Works with the Epic Resolute Hospital Billing and Claims teams to actively resolve issues and apply risk… more
    Catholic Health Services (11/14/24)
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