• Medical Director (New York)

    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
    Molina Healthcare (03/04/25)
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  • Medical Director Physician…

    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 (03/04/25)
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  • Director , Corporate Accounts

    Mitsubishi Chemical Group (Jersey City, NJ)
    …respected - is a research-driven pharmaceutical company that has tirelessly pursued medical breakthroughs with global reach. MTPC has discovered and produced several ... treatments for difficult-to-treat diseases and commercializing products with significant unmet medical needs in North American markets. In the United States, MTPA… more
    Mitsubishi Chemical Group (02/11/25)
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  • Director of Nursing

    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
    Phoenix House (03/04/25)
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  • Clinical Director - RN - Home Care

    Aveanna Healthcare (Clark, NJ)
    Clinical Director - RN - Home Care ApplyRefer a FriendBack Job Details Requisition #: 200771 Location: Clark, NJ 07066 Category: Nursing Salary: Starting at ... for you when you come to Aveanna. Position Overview The Clinical Director is responsible and accountable for the planning, organizing, directing and evaluating… more
    Aveanna Healthcare (02/14/25)
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  • Program Director , Pediatric Residency…

    Atlantic Health System (Morristown, NJ)
    Atlantic Health System/Goryeb Children's Hospital is Seeking a Program Director for our Pediatric Residency Training Program located in Morristown, New Jersey The ... Health System, is a branch campus of Sidney Kimmel Medical College at Thomas Jefferson University. The role of...College at Thomas Jefferson University. The role of Program Director involves a commitment of 60% administrative responsibilities and… more
    Atlantic Health System (02/05/25)
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  • Executive Director - Home Care

    Aveanna Healthcare (Hackensack, NJ)
    Executive Director - Home Care ApplyRefer a FriendBack Job Details Requisition #: 203553 Location: Hackensack, NJ 07601 Category: Management Salary: $85,000.00 - ... $90,000.00 per year Position Details Position Overview The Executive Director is directly responsible for the administrative and leadership functions associated with… more
    Aveanna Healthcare (02/22/25)
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  • Associate Director , Market Access…

    AbbVie (Florham Park, NJ)
    …medicines and solutions that solve serious health issues today and address the medical challenges of tomorrow. We strive to have a remarkable impact on people's ... YouTube, LinkedIn and Tik Tok (https://www.tiktok.com/@abbvie) . Job Description Associate Director , Market Access Marketing - Psychiatry The Associate Director ,… more
    AbbVie (03/04/25)
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  • BioPharmaceutical Regional Business…

    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
    Lundbeck (03/07/25)
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  • Director of Revenue Cycle Management

    BriteLife Recovery (Englewood, NJ)
    Job Title : Director of Revenue Cycle Management (SUD RCM company) Hybrid Remote position; EST preferred General responsibilities: : Oversee the processes of ... Reporting. Reports To : Chief Revenue OfficerLocation: Remote Position Summary: The Director of Revenue Cycle Management (RCM) is responsible for overseeing all… more
    BriteLife Recovery (02/13/25)
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  • Chair, Department of Dentistry/Residency Program…

    Atlantic Health System (Morristown, NJ)
    …Health System is Seeking a Chair, Department of Dentistry and Residency Program Director at Morristown Medical Center The Department of Dentistry at Morristown ... Medical Center seeks a full-time Chair and Residency Program Director . In this dual role, the ideal candidate will serve as a passionate role model for clinical… more
    Atlantic Health System (02/12/25)
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  • Sr Director , Pricing & Reimbursement…

    Teva Pharmaceuticals (Parsippany, NJ)
    …include how products are covered and paid for by payers under pharmacy or medical benefit, for government ( Medicare B, C, D, Medicaid) or commercial insurance, ... Sr Director , Pricing & Reimbursement - Hybrid (Parsippany, NJ)...a competitive benefits package, including: + Comprehensive Health Insurance: Medical , Dental, Vision, and Prescription coverage starting on the… more
    Teva Pharmaceuticals (02/10/25)
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  • Regional Payer Account Director - Northeast

    Organon & Co. (Jersey City, NJ)
    **Job Description** **The Position** The Regional Payer Account Director (RPAD) reports directly to the Executive Director , Regional Payer Accounts. The RPAD ... and programs. The primary customer/account responsibilities include key Regional Commercial and Medicare Health Plan accounts. The primary goal is to achieve desired… more
    Organon & Co. (03/11/25)
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  • Director of Healthcare Payment & Financing…

    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 (02/12/25)
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  • Senior Director , Partner Operations

    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
    Lumeris (03/04/25)
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  • Director of Sales Operations and Support

    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 (02/01/25)
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  • Sr. Compliance Manager - Monitoring & Transparency

    Terumo Medical Corporation (Somerset, NJ)
    …08873 Company: Terumo Americas Holding, Inc. Department: TAH Legal Terumo Medical Corporation (TMC) develops, manufactures, and markets a complete, solutions-based ... portfolio of high-quality medical devices used in a broad range of applications...Senior Compliance Manager -Monitoring & Transparency, will support the Director - Healthcare Compliance of Terumo Americas Holding and… more
    Terumo Medical Corporation (02/11/25)
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  • Grievance & Appeals Specialist, Clinical

    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 (02/07/25)
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  • Bed Board Controller, Emergency Dept Access…

    RWJBarnabas Health (Elizabeth, NJ)
    …onto Care medic system to obtain medical necessity compliance + Explains Medicare medical necessity guidelines to both physicians patients + Calls physicians ... #:0000181962 Category:Clerical / Administrative Support Status:Full-Time Shift:Night Facility:Trinitas Regional Medical Center Department:Emergency Dept Access Service Location: WILLIAMSON STREET,… more
    RWJBarnabas Health (12/31/24)
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  • Primary Care Physician

    CVS Health (Union City, NJ)
    …to apply. Highly qualified candidates may also be considered for a Center Medical Director position. **Responsibilities** **:** + Assess and diagnose patients at ... Health is to provide equitable and effective value-based healthcare to local Medicare patient populations at our innovative network of neighborhood primary care… more
    CVS Health (03/14/25)
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