Collecting information
Organizing data
This position is with a telemedicine psychiatric provider. We are currently seeking a qualified general psychiatrist that is comfortable seeing patients ages 5-22 or child psychiatrist for a telemedicine job. This supplemental income opportunity provides you with the convenience to conduct real time audio-video consults from home or away from the office using any tablet, phone, or computer. Minimal to no malpractice history or Medicaid/Medicare sanctions. Simple intuitive EMR and e-Rx tools
MetroPlusHealth provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan, etc.. As a wholly-owned subsidiary of NYC Health + Hospitals, the largest public health system in the United States, MetroPlusHealth's network includes over 27,000 primary care providers, specialists and participating clinics.. The Medicare Sales Representative II provides greater access to health insurance, by providing education and assistance to Medicare individuals.. The Medicare Sales Representative II is involved with health education through the distribution of health ed.. In addition, the Medicare Sales Representative II provides Facilitated Enrollment, helps facilitate the continuance of health insurance, and offers assistance with recertification.
This hospital is a leading provider of emergency and ambulatory care services to Nassau County. As the Pharmacy Supervisor , you will lead and manage pharmacy operations during evening hours, ensuring safe, compliant, and efficient medication distribution. Troubleshoot pharmacy technology (automation/information systems – Meditech.. Master's in Healthcare Administration, Informatics, or related field.. Behavioral health support, online therapy, telemedicine, and inclusive IVF benefits
Required Qualifications:Bachelors degree in Nursing, Social Work, Healthcare Administration, or a related field.. Familiarity with electronic health records (EHR) systems and case management software.. Preferred Qualifications:Certification in Case Management (CCM, ACM, or equivalent).. Familiarity with chronic disease management and transitional care planning.. Benefits & Perks:Fully remote work environment with flexible hours.
Manhattan Gastroenterology is seeking an experienced and strategic health care Chief Financial Officer (CFO) to lead and oversee all financial operations across our growing network of healthcare practices.. ● Oversee accounting, billing, revenue cycle management, and compliance with healthcare regulations.. Supervise accounting operations, including general ledger, accounts payable/receivable, payroll, and fixed assets.. ● Ensures compliance with federal, state and city financial policies and regulations which includes but not limited to OMH, OASAS, ACS, NYSDOH, NYCDOH, Medicare, Medicaid, tax filings, audits and reporting requirements.. ● Strong knowledge of healthcare revenue cycle management, medical billing, and insurance reimbursement.
A Senior Regulatory Compliance Coordinator position is available within the Montefiore Einstein Cancer Center Clinical Trials Office (CCTO).. The role involves managing cancer clinical trials, ensuring regulatory compliance, developing new trials, and mentoring junior staff.. Bachelor's Degree in Science or Health Policy (required); Master's preferred.. At least 4 years of research experience in Regulatory Affairs, Clinical Affairs, or Quality Assurance.. Knowledge of Phase I-IV clinical studies, data management, GCP guidelines, and CFRs.
The Revenue Cycle Director is responsible for the day-to-day management of billing, payment posting, collections and verification/authorizations.. In addition, candidates will have in-depth knowledge of Medicare, Medicaid, Medicaid Managed Care, and Commercial Insurance billing processes particularly for NYS behavioral health services.. Clear understanding and working knowledge of claims processing, payer denials and appeals processes.. Possess intermediate computer skills, which include knowledge of word processor, spreadsheet, and database software and file maintenance.. 5 years of experience in healthcare revenue cycle management and/or medical billing processes including knowledge of ICD-10, CPT, and HCPCS codes required.
Long Term Medical Billing Clerk needed for the Revenue/Billing department in Queens.. As a Medical Billing Clerk, you will play a key role in the Revenue/Billing department.. Perform data entry by transferring information from the Electronic Health Records (EHR) system to the medical billing system.. Submit insurance claims and follow up on claims processing through clearinghouses.. Monitor and resolve claim denials from Medicaid, Medicare, Managed Care, and other payers.
DME Biller (Medicare Part B) - Assisted Living Experience Required. We are seeking a detail-oriented and experienced DME Biller to manage the billing and claims process for Durable Medical Equipment (DME) under Medicare Part B, specifically for residents in assisted living facilities.. Stay updated on Medicare Part B policies and changes affecting DME billing.. 2-3 years of experience in DME billing (Medicare Part B).. Strong knowledge of HCPCS codes, insurance verification, and claims processing.
The Clinical Quality Assurance RN will review for to confirm accuracy and monitor timeliness in accordance with the Fidelis Care’s policies and regulatory standards, ensuring adherence to departmental and regulatory data integrity standards and requirements including contractual obligations with State and Federal agencies such as New York State Department of Health (NYDOH), County Department of Health (CDOH), Local Department of Social Services and Center for Medicare & Medicaid Services (CMS). Participate in educational and management meetings to improve clinical core measures and RN quality assessment documentations. Knowledge of Department of Health (DOH) and Local Department of Social Services and Center for Medicare & Medicaid Services (CMS regulations). Bilingual language preferences Spanish, Russian, French, Creole, Mandarin, Shanghainese, Suzho, Cantonese, Toishanese, Fujianese, Fukanese, Fuzhounese Hindi, Bengali, Urdu or Nepali. Centene offers a comprehensive benefits package including competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules.
This individual will support existing products and new product introductions by providing and applying Quality Assurance and cGMP expertise for OTC drug products (monographed and NDA/ANDA).. The individual must develop and maintain an effective working relationship with QA personnel at Contractors and internal stakeholders such as Regulatory Affairs, Medical Affairs, Strategic Sourcing, New Product Development, Package Development, Supply Planning and Logistics.. Evaluates the effectiveness of Contractors’ quality systems by leading effective audits for cGMP compliance, issuing audit reports, managing Contractor response adequacy and timeliness; determining system improvements.. Prepares reports by collecting, analyzing, and summarizing regulatory and compliance data and trends such as Stability, Complaints, Nonconformance Reports, Deviations, Investigations, CAPA for Annual Product Reviews.. QUALIFICATIONS: Minimum of BS in a Scientific discipline 15 years QA experience in pharmaceutical industry (OTC preferred) with a thorough knowledge of Quality Systems, Quality Assurance, and Quality Control in a cGMP environment.
We are seeking a clinical research coordinator (CRC) for the ALS Center at Columbia University Medical Center.. The CRC will play an integral role in the coordination and conduct of clinical trials at the Center and will provide support in developing and executing ALS research initiatives.. Reporting to the Center’s Principal Investigators (PIs) and Senior Managers (SMs), the CRC will help coordinate the clinical research efforts of the ALS Center.. Assists SMs with initiation and start-up of clinical trials, including initial protocol submission, execution of contract and budget, and approvals for ancillary services (e.g. the Irving Clinical Research Center, Research Pharmacy, local laboratories, radiology). Previous experience with Epic EMR, iMedidata EDC, and/or Columbia’s RASCAL IRB module
The Director of Biostatistics provides leadership and guidance as the statistical expert on a project team or within a therapeutic area. This position is for a qualified statistician/biostatistician to support Clinical Biostatistics within Global Development. The incumbent will lead and/or oversee the efforts of the Biostatistics department with cross-functional teams to articulate drug development questions, assess the feasibility of endpoints and frame statistical approaches to address those questions, design clinical experiments and interventional studies to generate and analyze the resulting data, and work with teams to appropriately interpret the results and make decisions. Interacts with Medical Directors, Clinical Scientists, Regulatory Affairs, Preclinical scientists, Statistical Programming, Data Management, Medical Writing, and others to design and analyze clinical trials, as well as ensure the clinical program is appropriately designed. Knowledge of drug discovery and development and ability to integrate statistical concepts into drug discovery and development strategies.
Advancements in AI and drug discovery are creating more candidate drugs than the industry can progress because of the high cost and time of clinical trials.. The company is backed by investors across pharma and tech, including a16z, Sequoia, Sanofi, Thrive Capital, Sam Altman, John Doerr, Spark Capital, SV Angel Growth, and others.. Guiding in-licensing strategy, including therapeutic area focus, modality, and stage of drug development to align with Formation Bio's goals. Fostering a high-performance culture, ensuring alignment with organizational goals, and providing strategic guidance to team members in scouting, evaluating, and advancing potential opportunities. PhD preferred (in a relevant field such as biology, chemistry, pharmacology, etc.)
Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work.. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.. Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company.. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
The Marketing Representative role at RiverSpring Health Plans by RiverSpring Living, a world-renowned long-term care organization located in Riverdale - North Bronx, will be responsible for establishing and maintaining successful and robust referral relationships for the health plan’s various lines of business as well as educating eligible consumers about our Medicare and/or Medicaid products.. The Marketing Representative will provide information and be a point of contact to referral sources, potential members, and assist with enrollment in the MLTC, MAP plans.. Knowledge and understanding of current Medicare and Medicaid marketing communications and guidelines and be familiar with Maximus.. Bilingual Spanish or Russian speaking required.. Pet Insurance Discount Plan
Medical Analysts support the unit by working in partnership with its attorneys, auditors, detectives, data analysts, and legal support analysts to conduct complex, long-term healthcare fraud investigations.. Several matters that highlight MFCU’s important work include OAG’s report concerning neglect of nursing home residents across New York state during the COVID-19 pandemic, and the recent filing of four major lawsuits against nursing homes, including Centers Health Care, Cold Spring Hills Center for Nursing and Rehabilitation, The Villages of Orleans Health and Rehabilitation Center, and Fulton Commons Care Center, Inc.. Additional significant cases include securing $8.6M and significant reforms to nursing home after repeated financial fraud and resident mistreatment; the indictment and arraignment of owner of NYC pharmacy for allegedly stealing millions from Medicaid; and the sentencing of a former owner of over 20 pharmacies for running $11 Million Medicaid fraud targeting vulnerable HIV patients.. , Director of Nursing, Administrator, Risk Manager, In-Service Coordinator), including current or past employment within a long-term care facility;. Prior experience as a legal nurse consultant; and
Physician Affiliate Group of New York (PAGNY) is adding a Patient Safety Officer to the group at NYC Health + Hospitals/ South Brooklyn Health.. The Hospital is part of the NYC Health + Hospitals System (NYCHHC).. The mission of NYCHHC is to extend equally to all New Yorkers, regardless of the ability to pay, comprehensive health services of the highest quality in an atmosphere of humane care, dignity, and respect.. Their Values are built on a foundation of social and racial equity and has established the ICARE standards for all staff.. Physician Affiliate Group of New York (PAGNY ), a tax-exempt organization affiliated with NYC Health + Hospitals , is one of the largest physician groups in New York State and directly employs nearly 4,000 physicians and allied health professionals who serve seven of New York City’s public hospitals, numerous public health community-based practices, and the city’s Correctional Health Service.
As we have for years, we offer best-in-class programming–now across 15 sites—focusing on a mix of education, health and wellness, arts and culture, and civic engagement.. Maintain detailed receivables reports for both Part- and Part- OASAS programs and Billing Manager of any billing-related trends.. Follow up on updates and changes in pay rates, rules, and regulations pertinent to OASAS programs. Knowledge of OASAS and/or OMH/DOH regulations, APG methodology, and Value-Based Payments implementation preferred. Free Gym Membership to our Manny Cantor Center 14TH ST Y Fitness Center
Location: Upper East Side, New York (on-site at Sadick Dermatology). Sadick Dermatology is a premier dermatology practice on Manhattans Upper East Side, internationally recognized for its advanced medical, cosmetic, and clinical research offerings.. Led by renowned dermatologist Dr. Neil Sadick, our practice blends cutting-edge innovation with personalized patient care and a deep commitment to excellence in dermatologic research.. Under general supervision, the Clinical Research Assistant aids the CRC in patient visits and all protocol associated requirements including to but not limited to collecting and entering clinical data, sample collection, processing and shipment, administrative tasks, patient recruitment, advertising, patient database management.. Strong documentation skills and familiarity with EDC systems; experience with CTMS, IVRS/IWRS, and ICH-GCP a plus.