RN Home Healthcare Director EklegoRN Home Healthcare DirectorBuffalo, NYFull timeEnsure access to the Health Provider network by enough properly trained, authorized, and oriented team members to contact the HPN daily during business hours and assure access by the HPN network manager to essential agency team member and agency information. Foxwoods Home Care LLC is a newly licensed home care services agency providing care in a clients' home, whether at Canterbury Woods (Williamsville& buffalo) or at Fox Run (Orchard Park).
Director, Healthcare Services - REMOTE Molina Healthcare IncDirector, Healthcare Services - REMOTEBuffalo, NYRemoteRegistered Nurse (RN), Licensed Vocational Nurse (LVN), Licensed Practical Nurse (LPN), Licensed Clinical Social Worker (LCSW), Licensed Marriage and Family Therapist (LMFT), Licensed Professional Clinical Counselor (LPCC), or Licensed Master of Social Work (LMSW). At least 8 years of health care experience, and at least 5 years of managed care experienced in one or more of the following areas: utilization management, care management, care transitions, behavioral health, long-term services and supports (LTSS), or equivalent combination of relevant education and experience.
Customer Service Supervisor (Healthcare) CentivoCustomer Service Supervisor (Healthcare)Buffalo, New YorkHeadquartered in Buffalo, NY with offices in New York City and Buffalo, Centivo is backed by leading healthcare and technology investors, including a recent round of investment from Morgan Health, a business unit of JPMorgan Chase & Co. The Supervisor ensures service levels and client SLAs are consistently met, escalations are resolved with urgency and care, and every member interaction reflects Centivo's commitment to high-quality, personal support.
Development Manager - Healthcare Technology MaximusDevelopment Manager - Healthcare TechnologyBuffalo, NYFull timeMaximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. - Drive all aspects of engineering recruiting including but not limited to; attracting great talent and retaining a highly skilled, proficient engineering team.
Healthcare Information Security Manager (NY HELPS) - FT - Day Shift ECMCHealthcare Information Security Manager (NY HELPS) - FT - Day ShiftBuffalo, New YorkFULL PERFORMANCE KNOWLEDGE, SKILLS, ABILITIES AND PERSONAL CHARACTERISTICS: Thorough knowledge of state of the art computer security; good knowledge of project management and development; good knowledge of internal computer logic, programs and facilities; good knowledge of technical infrastructure security components and integrated computerized rules-based systems; familiarity with Federal and State privacy and security laws and regulations and industry best practices as they relates to healthcare information security; ability to enforce programs to ensure the security of health information across a widely dispersed workforce with a variety of information mediums; ability to read, interpret and apply technical information; ability to analyze and resolve security problems quickly; ability to supervise others; ability to establish and maintain effective working relationships with a diverse constituency; critical thinking skills; problem solving skills; technical skills; capable of performing the essential functions of the position with or without reasonable accommodation. **Information Security , for the purpose of qualifying applications, is defined as the processes designed and implemented to protect information, systems, and networks against unauthorized access, use or disruption utilizing various forms of technology.
NewHealthcare Audit Supervisor WithumHealthcare Audit SupervisorBuffalo, NY$74,000–$84,000 / yearHow You'll Spend Your Time: Leading the engagement team staff on the planning and execution of an audit, review or compilation engagement to effectively and efficiently provide world-class client service to clients. Experience serving clients in the healthcare industry, including healthcare systems, hospitals, post-acute care facilities, and both for-profit and not-for-profit entities.
Healthcare Audit Senior Associate WithumHealthcare Audit Senior AssociateBuffalo, NY$67,000–$73,000 / yearStrong leadership, training, and mentoring skills, coupled with excellent verbal, written, and presentation skills to represent the Firm well to client's management. Experience serving clients in the healthcare industry, including healthcare systems, hospitals, post-acute care facilities, and both for-profit and not-for-profit entities.
Healthcare Tax Manager WithumHealthcare Tax ManagerBuffalo, NY$135,000–$210,000 / yearAs a Healthcare Tax Manager based out of any of our Chicago, Florida, Houston, NJ, NY, Los Angeles, Philadelphia, San Francisco, or Buffalo, NY offices, you'll work alongside an integrated team of seasoned, well-known CPAs and industry leaders. Job Description: Withum's Tax Services Group is made up of a brilliant team of tax specialists that work to ensure tax reporting obligations are met in an accurate and timely manner and minimize or defer the payment of taxes.
Healthcare Audit Manager WithumHealthcare Audit ManagerBuffalo, NY$90,000–$102,000 / yearThe group provides advisory, audit and tax services to healthcare systems and hospitals, federally qualified health centers and community health centers, medical groups, physician and dental practices, healthcare joint ventures and various other types of healthcare organizations. How You'll Spend Your Time: Leading the engagement team staff on the planning and execution of an audit, review or compilation engagement to effectively and efficiently provide world-class client service to healthcare systems and hospital clients.
Healthcare Operations Manager DaVita IncHealthcare Operations ManagerWest Seneca, NY$92,000–$144,000 / yearMinimum of one year experience required in management (healthcare, business, or military) or equivalent renal experience (nurse, dietitian, social worker, LPN, etc.) at discretion of DVP and/or ROD. New York Non-exempt: New York City and Long Island: $17.00/hour, Nassau, Suffolk, and Westchester counties: $17.00/hour, Remainder of New York state: $16.00/hour.
Healthcare Outsourced Accounting Manager WithumHealthcare Outsourced Accounting ManagerBuffalo, NY$125,000–$145,000 / yearJob Description: Withum's Outsourced Accounting Systems and Services (OASyS) team is seeking an Outsourced Accounting Manager - Healthcare to join our growing team in our East Brunswick, NJ; Red Bank, NJ; Princeton, NJ; Whippany, NJ; New York, NY; or Buffalo, NY office. Oversee accounts receivable and revenue-related processes in partnership with client billing teams, including review of AR aging, payment posting trends, and reasonableness of revenue recognition inputs.
Healthcare BI Analyst CentivoHealthcare BI AnalystBuffalo, New York5+ years of experience developing healthcare reporting and analytics using advanced SQL, BI tools such as Tableau and Power BI, advanced Excel skills including Power Query, Power Pivot, and Excel Data Model, working with large datasets across multiple source systems, and cloud infrastructure. Working under the guidance of the Analytics leader, this role is responsible for partnering with business stakeholders and subject matter experts to gather, document, and validate requirements, and translate them into technical data specifications, KPIs, and user outcomes.
- Relationship Manager Development Program - Global Commercial Banking – Transformative Healthcare (New York/Boston) Bank of America- Relationship Manager Development Program - Global Commercial Banking – Transformative Healthcare (New York/Boston)Boston, New YorkThe Transformative Healthcare Group focuses on the middle‑market healthcare industry, providing traditional banking, capital raising, and advisory services to public and private healthcare companies with annual revenues generally ranging from $50 million to $2 billion. Job expectations include leveraging activity-based training modules, engaging in national and local leader and peer coaching, and developing knowledge of credit, treasury, and other operational services, while building client relationships, creating business plans, and influencing team performance.
Commercial Credit Regional Segment Director - Healthcare M&T Bank CorpCommercial Credit Regional Segment Director - HealthcareBuffalo, NY$178,000–$296,600 / yearEducation and Experience Required: Bachelors' degree in Accounting, Finance, or related discipline with 12 years' related experience with 4 years' work leadership/supervisory experience, or in lieu of degree, a combined minimum of 16 years' higher education and work experience to include a minimum 12 years' related experience with 4 years' work leadership/supervisory experience. Oversees and manages the continuous commercial credit monitoring (CCM) activities of multiple commercial monitoring teams enabling the timely identification of emerging credit risk so that appropriate actions can be taken to manage the risk, minimize losses and assign an accurate risk rating.
Vice President, Quality Improvement & Utilization Management Nascentia HealthVice President, Quality Improvement & Utilization ManagementTonawanda, NY$157,427–$203,581 / yearThe Vice President of Quality Improvement and Utilization Management serves as the senior clinical quality and utilization leader for Nascentia Health's Payer/Plan Engine, providing executive oversight across all lines of business including the Managed Long-Term Care (MLTC) plan (approximately 7,000 members), the Medicare Advantage Prescription Drug Plan (MAP), the Institutional Special Needs Plan (ISNP), the Dual Eligible Special Needs Plan (DSNP), and related product lines. Serve as the plan's designated quality officer for regulatory interactions with CMS, NYS DOH, and NCQA; prepare and present quality performance reports to the Board, leadership team, and regulatory agencies as required.
Vice President, Quality Improvement & Utilization Management Nascentia Health IncVice President, Quality Improvement & Utilization ManagementTonawanda, NY$157,427–$203,581 / yearThe Vice President of Quality Improvement and Utilization Management serves as the senior clinical quality and utilization leader for Nascentia Health's Payer/Plan Engine, providing executive oversight across all lines of business including the Managed Long-Term Care (MLTC) plan (approximately 7,000 members), the Medicare Advantage Prescription Drug Plan (MAP), the Institutional Special Needs Plan (ISNP), the Dual Eligible Special Needs Plan (DSNP), and related product lines. Serve as the plan's designated quality officer for regulatory interactions with CMS, NYS DOH, and NCQA; prepare and present quality performance reports to the Board, leadership team, and regulatory agencies as required.
Revenue Integrity Coder Catholic Health SystemRevenue Integrity CoderBuffalo, NYSummary: Under the direction of the Manager/Director of Revenue Integrity, including oversight from System revenue cycle leadership, the Revenue Integrity Coder of Infusion Services will be responsible for optimization of charge capture, charge review, appropriate documentation and work queue edits for all infusion services, specifically Oncology and Chemotherapy. The incumbent actively participates as needed in both external third-party audits and in internal audits and as well as quality improvement initiatives, assists with special projects, and works closely with Catholic Health fiscal teams, Clinical Center Leadership, and Prior Authorization teams.
Vice President Medical Affairs Physician Enterprise Catholic Health SystemVice President Medical Affairs Physician EnterpriseBuffalo, NYAs the key leader in clinical matters relating to the organization's Physician Enterprise, working closely with the VP of Operations, Physician Enterprise, the Dyad Medical Directors and Dyad Administrative Directors on aligning and integrating physician practices within the organization to ensure efficient, high-quality care and access to the community. Partners with Vice President Operations, Physician Enterprise regarding Trinity Medical responsibilities including accountability for quality performance, active leadership in market share growth, practice acquisition and assessment, recruitment initiatives, clinical financial performance, and productivity.
Vice President of Ancillary Services and Facility Transformation - FT - day shift Erie County Medical Center CorpVice President of Ancillary Services and Facility Transformation - FT - day shiftBuffalo, NYMINIMUM QUALIFICATIONS: Graduation from a regionally accredited or New York State registered college or university with a Master's Degree in Healthcare Administration, Business Administration, Public Administration, Engineering, Architecture, Healthcare Management, or related field and eight (8) years of progressively responsible experience in healthcare operations and/or facility and infrastructure leadership of which five (5) years included a senior or large-scale operational leadership role; or: or: Graduation from a regionally accredited or New York State registered college or university with a Bachelor's Degree and ten (10) years of progressively responsible experience in healthcare operations and/or facility and infrastructure leadership of which (5) years included a senior or large-scale operational leadership role; NOTE: Your degree must have been awarded by a college or university accredited by a regional, national, or specialized agency recognized as an accrediting agency by the U.S. Department of Education/U.S. funding; thorough knowledge of process improvement and operational excellence methodologies; ability to lead large-scale organizational and infrastructure transformation initiatives; ability to manage complex multi-departmental operations; ability to direct capital projects and facility modernization efforts; ability to analyze operational and financial data; ability to develop and implement strategic plans; ability to communicate effectively both orally and in writing; ability to establish and maintain effective working relationships with diverse stakeholders; sound executive judgment; ability to manage and develop senior leadership teams; ability to utilize a variety of electronic software applications; sound professional judgment; capable of performing the essential functions of the position with or without reasonable accommodation.
Claims Compliance Manager CentivoClaims Compliance ManagerBuffalo, New YorkManage RxDC (Prescription Drug and Health Care Spending) reporting under the Consolidated Appropriations Act (CAA), including both D2 Medical and P2 Medical data files; coordinate with pharmacy benefit managers (PBMs), stop-loss carriers, and internal teams to compile and submit accurate annual reports on behalf of plan sponsors. Manage and coordinate NSA negotiations for out-of-network claims subject to the open negotiation process; partner with claims leadership and legal counsel to support Independent Dispute Resolution (IDR) proceedings, including submission preparation, documentation, and tracking of outcomes.
Vice President Of Ancillary Services And Facility Transformation - FT - Day Shift ECMCVice President Of Ancillary Services And Facility Transformation - FT - Day ShiftBuffalo, NYMINIMUM QUALIFICATIONS: Graduation from a regionally accredited or New York State registered college or university with a Master's Degree in Healthcare Administration, Business Administration, Public Administration, Engineering, Architecture, Healthcare Management, or related field and eight (8) years of progressively responsible experience in healthcare operations and/or facility and infrastructure leadership of which five (5) years included a senior or large-scale operational leadership role; or: or: Graduation from a regionally accredited or New York State registered college or university with a Bachelor's Degree and ten (10) years of progressively responsible experience in healthcare operations and/or facility and infrastructure leadership of which (5) years included a senior or large-scale operational leadership role; NOTE: Your degree must have been awarded by a college or university accredited by a regional, national, or specialized agency recognized as an accrediting agency by the U.S. Department of Education/U.S. funding; thorough knowledge of process improvement and operational excellence methodologies; ability to lead large-scale organizational and infrastructure transformation initiatives; ability to manage complex multi-departmental operations; ability to direct capital projects and facility modernization efforts; ability to analyze operational and financial data; ability to develop and implement strategic plans; ability to communicate effectively both orally and in writing; ability to establish and maintain effective working relationships with diverse stakeholders; sound executive judgment; ability to manage and develop senior leadership teams; ability to utilize a variety of electronic software applications; sound professional judgment; capable of performing the essential functions of the position with or without reasonable accommodation.
Vice President of Ancillary Services and Facility Transformation - FT - day shift ECMCVice President of Ancillary Services and Facility Transformation - FT - day shiftBuffalo, New Yorkfunding; thorough knowledge of process improvement and operational excellence methodologies; ability to lead large-scale organizational and infrastructure transformation initiatives; ability to manage complex multi-departmental operations; ability to direct capital projects and facility modernization efforts; ability to analyze operational and financial data; ability to develop and implement strategic plans; ability to communicate effectively both orally and in writing; ability to establish and maintain effective working relationships with diverse stakeholders; sound executive judgment; ability to manage and develop senior leadership teams; ability to utilize a variety of electronic software applications; sound professional judgment; capable of performing the essential functions of the position with or without reasonable accommodation. MINIMUM QUALIFICATIONS: Graduation from a regionally accredited or New York State registered college or university with a Master’s Degree in Healthcare Administration, Business Administration, Public Administration, Engineering, Architecture, Healthcare Management, or related field and eight (8) years of progressively responsible experience in healthcare operations and/or facility and infrastructure leadership of which five (5) years included a senior or large-scale operational leadership role; or: or: Graduation from a regionally accredited or New York State registered college or university with a Bachelor’s Degree and ten (10) years of progressively responsible experience in healthcare operations and/or facility and infrastructure leadership of which (5) years included a senior or large-scale operational leadership role;
Pharmacy Operations Manager Walgreen CoPharmacy Operations ManagerCheektowaga, NY$22.50–$31 / hourAssists Pharmacy Manager in monitoring that all pharmacy and team member licensures, registrations and certifications are active and in good standing/ compliant with all regulatory and legal requirements. Where state and federal laws/regulations allow, accountable for performing day-to-day non-clinical pharmacy operations, administrative activities; Ensures efficient pharmacy workflow and a positive patient experience.
Contact Representative (Benefits Coordinator) US Department of Health and Human ServicesContact Representative (Benefits Coordinator)NY$45,409–$72,644 / yearGS-08: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the next lower grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: interpreting and applying federal, state, Tribal, and third-party program regulations to determine eligibility and ensure compliance for programs such as Purchase Referred Care, Medicare, Medicaid, Affordable Care Act, Veterans Affairs Healthcare, and other alternate resources; conducting in-depth patient interviews to assess eligibility, verify coverage, and complete applications; registering eligible patients in various assistance programs; resolving claim denials and eligibility issues through coordination with patients, healthcare providers, and outside agencies; reviewing Medicaid eligibility information and supporting billing requirements; and utilizing effective oral and written communication to explain program requirements, provide referrals, and resolve complex patient service issues. MINIMUM QUALIFICATIONS: GS-06: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the GS-05 grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: determining patient eligibility for alternate resources programs; interpreting and applying Medicare, Medicaid, VA, and other third-party payer policies and procedures; conducting patient interviews to identify available healthcare coverage and funding sources; assisting patients with enrollment and claims processes; researching and resolving eligibility, denial, and reimbursement issues; maintaining effective working relationships with patients and resource agencies; and safeguarding confidential patient information in accordance with Privacy Act and HIPAA requirements.
Contact Representative (PRC) US Department of Health and Human ServicesContact Representative (PRC)NY$45,409–$72,644 / yearGS-08: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the GS-07 grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: applying and interpreting complex federal, state, Tribal, and private-sector regulations to make eligibility and funding determinations for programs such as Purchased/Referred Care, Medicare, Medicaid, Veterans Affairs healthcare, and Affordable Care Act plans; independently analyzing medical, financial, and eligibility documentation to resolve complex or controversial benefit issues; coordinating with agencies, providers, and patients to ensure fiscal accountability and continuity of care; issuing medical authorizations or denial determinations based on regulatory, clinical, and fiscal requirements; maintaining fund control records, monitoring expenditures, and applying appropriate accounting codes; identifying and resolving program or funding discrepancies; and compiling and analyzing reports related to program operations, funding, and utilization. MINIMUM QUALIFICATIONS: GS-06: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the GS-05 grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: identifying and verifying patient eligibility for Medicare, Medicaid, SSA benefits, private insurance, Tribal programs, and other assistance resources; interviewing patients to obtain required documentation; assisting individuals and families with benefit applications; reviewing records to determine the status of claims and applications; responding to inquiries regarding patient eligibility requirements, benefits, and program guidelines; and maintaining accurate patient records through data entry, discrepancy resolution, and follow-up on pending claims and missing documentation.
Corporate Compliance Intern Child and Family ServicesCorporate Compliance InternCheektowaga, New YorkCurrent enrollment in a Bachelor's or Master's degree program in Healthcare Administration, Public Health, Business Administration, Criminal Justice, Public Policy, Social Sciences, Risk Management, Legal Studies, or a related field. This internship provides hands-on experience with healthcare and human services compliance, internal auditing, regulatory research, policy review, and organizational governance within a large nonprofit organization.