- Molina Healthcare (Yonkers, 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
- 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
- Access: Supports For Living (Middletown, NY)
- Revenue Cycle Director Location: Middletown, NY, United StatesDate Posted: Feb 25, 2025 Share: share to e-mail Apply Now Save JobSaved Description Location: ... Employment Type: Exempt. OVERVIEW OF PRIMARY RESPONSIBILITES: The Revenue Cycle Director is responsible for the day-to-day management of billing, payment posting,… more
- Molina Healthcare (Yonkers, 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
- Hackensack Meridian Health (Hackensack, 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
- Serenity Hospice Care (Essex County, NJ)
- …a collaborating physician. + Consults with the patient's attending physician, the medical director and other healthcare practitioners regarding the patient's ... total needs of patients and family/caregiver + Makes recommendations to the Medical Director regarding patient eligibility for certification and recertification… more
- WMCHealth (Valhalla, NY)
- …Details: Job Summary: The Transplant Data Coordinator works closely with the Director for Data Compliance and is responsible for obtaining, tracking, and maintaining ... data entry and compliance with all reporting requirements specified by Centers for Medicare and Medicaid Services (CMS), United Network for Organ Sharing (UNOS), New… more
- Dialysis Clinic, Inc. (Hawthorne, NY)
- …and ensures the patients' charts are in order in accordance with Medicare and company policies and procedures. **Schedule** : Part-time, 2 days/week (Tuesday ... per hour, depending on qualifications and experience **Benefits** : + Comprehensive medical , dental and vision benefits + Life insurance provided at no additional… more
- Molina Healthcare (Yonkers, NY)
- …with national quality and risk adjustment VPs, Regional Directors of Quality/Risk, Director of Value Based Programs, medical economics/actuaries and local health ... program & contract design and implementation for marketplace, Medicaid and/or Medicare + Experience in a complex healthcare delivery environment, specifically with… more
- WMCHealth (Valhalla, NY)
- …Details: Job Summary: The Senior Financial Analyst will report to the Senior Director of System Implementation & Analytics for the Managed Care Department at ... Westchester Medical Center (WMC) supporting the management reporting functions and facilitating communications between the Patient Accounting, Patient Access, Health… more