Medical Director - ENT CVS Health CorpMedical Director - ENTNY$174,070–$374,920 / yearLeads all aspects of utilization review/quality assurance, directing case management Provides clinical expertise and business direction in support of medical management programs through participation in clinical team activities Acts as lead business and clinical liaison to network providers and facilities to support the effective execution of medical services programs by the clinical teams Responsible for predetermination reviews ad reviews of claim determinations, providing clinical, coding, and reimbursement expertise. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
Associate Medical Director, Utilization Management Oscar Health InsuranceAssociate Medical Director, Utilization ManagementNew York, NYRemote$240,120–$315,157 / yearConduct timely peer-to-peer discussions with treating providers to clarify clinical information and to explain review outcome decisions, including feedback on alternate treatment based on medical necessity criteria and evidence-based research. Clearly and accurately document all communication and decision-making in Oscar workflow tools, ensuring a member could easily reference and understand your decision (Flesch-Kincaid grade level).
Medical Director of CPEP & Vice Chair Physician Affiliate Group of New York, P.C.(PAGNY)Medical Director of CPEP & Vice ChairBronx, NYPAGNY is one of the largest physician groups in the country and directly employs nearly 4,000 physicians and allied health professionals who provide services to NYC Health + Hospitals , the largest municipal health care system in the nation serving more than a million New Yorkers annually. Because the Behavioral Healthcare Services Department of Jacobi has large Inpatient, Outpatient and Addiction Services, the patients evaluated in our CPEP are mostly then treated within our continuum of care.
Associate Medical Director - NYC Health + Hospitals/Gotham Health, Tremont - Bronx, New York Physician Affiliate Group of New York, P.C.(PAGNY)Associate Medical Director - NYC Health + Hospitals/Gotham Health, Tremont - Bronx, New YorkBronx, NYPAGNY is one of the largest physician groups in the country and directly employs nearly 4,000 physicians and allied health professionals who provide services to NYC Health + Hospitals, the largest municipal health care system in the nation serving more than a million New Yorkers annually. Because we are part of the largest public health care system in the country, we can provide easy referrals to a vast network of hospitals, home care services, nursing homes, and specialty care providers across the city.
Medical Director of Admissions Silver Hill HospitalMedical Director of AdmissionsNew Canaan, ConnecticutCoordinate with internal stakeholders including Admissions, Nursing, Social Work, Residential Counselors, Quality Improvement and Risk Management, Patient Experience, Health Information Management, and Clinical Leadership, as needed, to ensure that clinical services are properly documented. Lead the inter-disciplinary treatment team meetings to review clinical progress, including the review of results from psychological assessments, feedback and observations from residential counselors and group therapists, and the input of other staff (e.g., chaplain), to determine the need for additional assessment or specialized interventions (e.g., OCD treatment).
EM Physician Medical Director Envision Physician Services - EM/HMEM Physician Medical DirectorMorristown, NJThe Chair will lead the Adult and Pediatric Emergency Departments at Morristown Medical Center (MMC) by assuring quality clinical care, creating efficient operations, supporting an outstanding EM residency and EM fellowships (ultrasound, EMS, PEM), which include a robust research program, provide meaningful professional development for staff and serve the needs of the community. Morristown Medical Center is the only hospital in New Jersey consistently named one of America's "50 Best Hospitals" and is ranked as a top hospital in the state and a top?10 hospital in the New York metro area by U.S. News & World Report.
Lead / Director of Revenue Cycle Management (RCM) Sailor HealthLead / Director of Revenue Cycle Management (RCM)New York City, New YorkDrive revenue operations: Own credentialing, enrollment, fee schedule integrity, and the operational side of payer relationships in tight partnership with Payer Growth. This is the rare RCM role that combines the scale of a fast-growing digital health company, the bar of a top-decile billing operation, the tooling of an AI-native engineering team, and the autonomy of a first hire.
Director, Global TRD QA Sterility Assurance Novartis AGDirector, Global TRD QA Sterility AssuranceEast Hanover, NJExpected Annual Base Salary Range for role: €85,300 to €158,300The base salary offered is determined based on gender-neutral objectives, such as relevant skills, competencies and experience in accordance with the Novartis pay setting policy and upon joining Novartis will be reviewed periodically. Adjustments for Applicants with Disabilities: If because of a medical condition, physical disability or a neurodiverse condition you require an adjustment during the recruitment process, please reach out to disabilities.austria@novartis.com and let us know the nature of your request as well as your contact information.
Global Medical Affairs Director, Immunology Novartis AGGlobal Medical Affairs Director, ImmunologyEast Hanover, NJ$93,870–$174,330 / yearRead our brochure to learn more about our global total rewards offering: https://www.novartis.com/sites/novartis_com/files/novartis-life-handbook.pdfNote : Benefits and compensation may vary by country and are subject to local legal requirements, including provisions of collective bargaining agreements where applicable. As a trusted scientific leader, you will drive high-impact evidence generation, influence treatment paradigms, and engage with leading experts worldwide to bring transformational therapies to patients with significant unmet need.
Medical Billing Director - Hybrid | Brooklyn, NY · $120,000–$160,000 - 2437 BhiredMedical Billing Director - Hybrid | Brooklyn, NY · $120,000–$160,000 - 2437Brooklyn, New YorkThis full-time, on-site role blends front-end claims management with team leadership, ideal for someone who wants to build efficient processes and drive real results in collections and compliance. About the Role A growing medical supply company is looking for a hands-on Medical Billing Director to take ownership of its billing department from the ground up.
Director, Medical Strategy, VP HGG IPG HealthDirector, Medical Strategy, VPNew York, New York$175,000–$220,000 / year175,000 - $220,000 Omnicom’s policy requires employees to work in the office for a minimum of three days a week, unless additional in-office days are directed by their agency or manager. * 7+ years' relevant industry experience.* * Experience in Ophthalmology and retinal disease preferred* * Excellent communication skills, conveying medical concepts to diverse audiences.*
Lead Director, Medicaid CFO, New York & New Jersey CVS Health CorpLead Director, Medicaid CFO, New York & New JerseyNew York, NY$100,000–$231,540 / yearThe Lead Director, CFO - New York & New Jersey is an exciting opportunity to lead as the financial executive for the New York and New Jersey Medicaid markets, leading financial execution, controls, planning, forecasting, and performance management across both markets. This leader will partner closely with market leadership, Medicaid Finance, actuarial, medical cost, network, clinical, compliance, and enterprise partners to support sustainable financial and operational outcomes.
Director, Clinical Science Recursion Pharmaceuticals IncDirector, Clinical ScienceNew York, NYRemote$234,190–$287,980 / yearThis would include: planning and authoring clinical deliverables (protocols, amendments, medical monitoring plans, annual reports, study-specific updates, CSRs); routine medical monitoring; site interactions/correspondence re: patient eligibility and treatment inquiries; and presentations, both internal and external. Clinical Science consists of a high-performing team of extremely motivated individuals who work independently, interact cross-functionally with many contributing departments, and are capable of multitasking to expeditiously execute cutting-edge clinical trials.
Director of Care Management, Nurse Practitioner (PICU Experience Required) Blythedale Children's HospitalDirector of Care Management, Nurse Practitioner (PICU Experience Required)Valhalla, New York$160,000–$190,000 / yearThe DCM will create a feedback loop to develop systems for patient admission and discharge that ensure timely and accurate transfer of information and provide specific data to understand and analyze utilization of hospital resources to improve efficiency, ensure quality care, and support accurate hospital billing to improve hospital financial outcomes. Creates strong partnership with Patient Access and Social Work teams to support the financial and psychosocial needs of the patients and ensure that all referrals are reviewed for appropriateness prior to admission.
Program Director : OTP Methadone Program VIP Community ServicesProgram Director : OTP Methadone ProgramBronx, NY$100,000–$120,000 / yearEnsure timely completion of all external regulatory reports including, but not limited to, STARS reporting, OASAS Client Data System reports (PAS 44/45, Monthly Delivery Reports) and New York Central Monitoring (Lighthouse) reporting. Closely collaborate with the Medical Director, AVP, Admissions & Community Support Services, Residential Program Directors, and Director of Nursing to ensure ongoing coordination of client care.
NewLead Director, Data Science - Clinical AI CVS Health CorpLead Director, Data Science - Clinical AINY$144,200–$288,400 / yearThe successful candidate will set the direction for how the portfolio develops, evaluates, and operates its clinical AI, spanning model development, evaluation rigor, governance and responsible AI, cost efficiency, latency, reliability, and scalability, in close partnership with product and engineering. 10+ years of experience in analytics, data science, or applied AI, with hands-on depth in developing and deploying machine learning and deep learning solutions, including modern approaches to natural language processing, large language models, and generative AI.
Senior Director of Clinical Operations & Education University HealthCare AllianceSenior Director of Clinical Operations & EducationNewark, New JerseyReporting to the Chief Operating Officer, the Senior Director of Clinical Operations and Education serves as a senior leader responsible for advancing clinical practice excellence across Stanford Medicine Partners. Develops and implements a comprehensive clinical education program designed to improve competency, performance, and care delivery across clinical staff (RN, LVN, MA, PSR, and others).
Executive Director, Institute for Safe Patient Care and Patient Empowerment Weill Cornell Medical CollegeExecutive Director, Institute for Safe Patient Care and Patient EmpowermentNew York, NY$331,700–$461,200 / yearThe Executive Director will build and scale a nationally recognized institute that serves as a leading resource within the healthcare community, including patient safety organizations, regulators, accrediting agencies, and law enforcement to address detection, prevention and reporting of sexual misconduct in the healthcare setting. Reporting to the Weill Cornell Medicine Executive Vice Provost / Chief Operating Officer, the Executive Director oversees and implements strategy, operations, finances, partnerships, compliance reporting, staffing, communications, and organizational development.
Director, Portfolio Operations (multi-family) SDKDirector, Portfolio Operations (multi-family)Ridgewood, NJSDK Apartments SM is seeking a full-time Director of Operations to provide strategic oversight and operational optimization for a geographically diverse, multi-asset-class portfolio of multifamily residential properties. SDK Apartments SM is a leading real estate investment, development and property management group with an established portfolio of residential communities and commercial properties across multiple states.
Senior Director, Assistant General Counsel Protara Therapeutics IncSenior Director, Assistant General CounselNew York, NY$300,000–$305,000 / yearJob Overview: The Senior Director, Assistant General Counsel, serves as a legal leader and strategic business partner supporting Protara's mission to develop and commercialize TARA 002 and IV Choline Chloride for patients with non-muscle invasive bladder cancer, (NMIBC) and rare diseases. Reporting to the Chief Legal and Compliance Officer, the incumbent will advise R&D, Clinical Development, Medical Affairs, Regulatory Affairs, Commercial, Market Access, Business Development, Manufacturing, and corporate functions to enable business objectives while managing legal and compliance risks in a highly regulated biotechnology environment.