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
TemPositions Health Care - 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.
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.
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.
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.
Reporting to the Chief Medical Officer, the Pharmacovigilance Scientist at Cellectis will manage all activities related to the performance of drug safety at Cellectis.. drug safety is pro-actively integrated into drug development activities. Manage interface with drug safety meetings (PV team, DSMB/DMC and SAC meetings). Educate the organization on critical developments and regulatory guidance related to drug safety (FDA, EMA, MHRA, PMDA and others, where necessary). Minimum of 7-10 years of relevant experience in pharmacovigilance, drug safety, regulatory affairs or clinical trials
Associate Director, Regulatory Affairs - Genetic Medicine & Thrombosis. Employer: Regeneron Pharmaceuticals, Inc. | Location: Tarrytown, New York, US | Salary: Competitive | Closing date: May 10, 2025. The Associate Director of Regulatory Affairs will provide leadership on global regulatory activities for assigned products.. Join us and apply now to start your journey with Regeneron!. Regeneron is an equal opportunity employer.
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.
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.
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.
Oversees and manages a drug development budget of varying size and scope in all phases of drug development projects.. Works with Regulatory Affairs to effectively manage timely completion of clinical trial applications, HA interactions and end of Phase II meetings.. Must have 7-10 years of drug development experience in Clinical Research, Regulatory, CMC, or BDM or development related function.. Must have thorough knowledge of global drug development, QA, manufacturing operations, clinical and regulatory functions.. Requires the ability to apply mathematical concepts to such tasks as budgeting, cash flow, forecasting, probability analysis, statistics, and scenario planning to support corporate planning process.
The Department of Pediatrics is seeking a Clinical Research Nurse (RN) to join our team in a full-time position.. Within the section of Pediatric Oncology, the Clinical Research Nurse (RN) will be responsible for the coordination, oversight and administration of clinical research protocols related to our Developmental Therapeutics Phase I/II clinical trials.. Perform and/or review required protocol assessments and obtain medical/surgical and other histories and perform medication reconciliation.. Assist with identification and write up of SAE and AE with Clinical Research Coordinator.. Preference for pediatric hematology/oncology nurse certification (CPHON/CPON).
Clinical Research Coordinator I The Clinical Research Coordinator I will oversee multiple clinical trials, serving as a point person for patients, their family members, and the clinical study team.. The position involves working with various departments across the hospital, including forging new partnerships to ensure the completion of trial-related activities.. Coordinate team members to complete clinical and non-clinical assessments per protocol, including workflow development for patient care, scheduling, and collaboration with ancillary departments like radiology, pathology, and pharmacy.. The Clinical Research Coordinator I will be trained to manage assigned clinical trials independently after sufficient training.. CITI Good Clinical Practice Certification, CITI Research with Biomedical Drugs and Devices Certification, CITI Dangerous Goods and Biospecimen Handling Certification.
This position is for a qualified statistician/biostatistician to support Clinical Biostatistics with Global Development.. The incumbent will lead 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.. Interact with Medical Directors, Clinical Scientists, Regulatory Affairs, Preclinical scientists, Statistical Programming, Data Management, Medical Writing, and others to design and analyze clinical trials.. PhD or equivalent degree in statistics/biostatistics with >6 years of experience in the pharmaceutical industry OR MS degree in statistics/biostatistics with >11 years of experience. 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.)
We are seeking a Medical Biller to join our team!. As a Medical Biller, you will be working closely with patients to answer questions related to billing, processing all forms needed for insurance billing purposes, and following up on denials.. Assist with charge posting through both private insurance and Medicaid/Medicare. Assist with insurance denials and appeals. Previous experience with medical billing desired
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
We are seeking a detail-oriented, strategic, and experienced Accounts Receivable Director to lead and manage the revenue cycle process in our skilled nursing facility home office.. This leadership role ensures timely and accurate billing, collections, and cash posting for all payer types including Medicare, Medicaid, Managed Care, and Private Pay. The AR Director plays a critical role in maintaining financial health, regulatory compliance, and operational efficiency.. Oversee all aspects of accounts receivable, including billing, collections, payment posting, and reconciliation.. Monitor aging reports, reduce Days Sales Outstanding (DSO), and implement effective collection strategies.. Proficiency in EHR systems and AR software (e.g., PointClickCare, MatrixCare, or similar platforms).
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.