Collecting information
Organizing data
A recognized healthcare organization in New York City is currently seeking a licensed Physician to join their staff as their newChief of Hematology Oncology. Engaging in clinical research and participating in clinical trials to advance the understanding of hematological and oncological conditions and to explore new treatment options.. Overseeing the day-to-day operations of the hematology and oncology department, which includes managing clinical staff, nurses, and support personnel.. Supervising and mentoring medical residents, fellows, and other healthcare professionals in the field of hematology and oncology.. Academic residency or fellowship and worked in academics
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
Internal Medicine Physician Opportunity Near FLUSHING, NY Job Summary: We are actively seeking a dedicated Internal Medicine trained physician to join our healthcare team in the pursuit of delivering high-quality patient care.. Prescription and Management: Prescribe medications and formulate ongoing treatment and disease management plans.. Residency: Completion of three-year postgraduate medical training from a U.S. accredited residency program in Internal Medicine.. Registration: Must possess active Drug Enforcement Agency (DEA) registration or be eligible for registration.. Enrollment: Must possess active Medicare/Medicaid Enrollment or be eligible to enroll.
New York Clinical Laboratory Technologist license required. ICON plc is a world-leading healthcare intelligence and clinical research organization.. Experience in laboratory management or clinical laboratory operations, preferably within clinical trials or the pharmaceutical industry.. Understanding of ELISA and cytokine techniques preferable but not essential.. Global Employee Assistance Program, TELUS Health, offering 24-hour access to a global network of over 80,000 independent specialized professionals who are there to support you and your family’s well-being.
Are you looking for your next INCREDIBLE opportunity as a dedicated Director of Nursing (DON) for our Substance Use Disorder (SUD) Center in Brooklyn, New York?. Offering GREAT PAY, GROWTH in an AMAZING workplace setting.. 2+ years as a DON or ADON at a SUD with experience in leadership and nursing staff development. General understanding of budgeting and financial reporting. A master’s degree in Nursing or Healthcare Administration is a plus.
Our core strength is the ability to harness and analyze large amounts of electronic healthcare data and turn it into meaningful and insightful information.. The work will involve both execution and oversight of engagement work streams that may be either qualitative or quantitative in nature, and responsibilities include management of junior staff, design of statistical and financial analysis, modeling of financial data and markets, quality control, development and presentation of client deliverables, management of existing client relationships, industry research, and expansion of business.. Bachelor's degree or equivalent, and an undergraduate level understanding of economics, finance, accounting, statistics, econometrics, or other related subject.. Strong technical skills, including the ability to independently execute complex data analytics in at least one programming language (e.g., SQL, SAS, SPSS, Stata, R, etc. This position is based in BRG’s Tampa, FL; Washington, DC; New York, NY; or Boston, MA office working with colleagues in the office three to four days a week, on average.
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.
Physician Affiliate Group of New York (PAGNY) and the Office of Medical and Professional Affairs at NYC Health + Hospitals/Kings County is seeking an Associate Director, Patient Safety & Risk Management.. Located in the heart of Brooklyn, Kings County Hospital accommodates more than 518,076 outpatient visits, more than 141,328 emergency room visits, and with 627 beds, more than 25,000 inpatient admissions annually.. The Mission of NYC Health + Hospitals 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.. NYC Health + Hospitals is the nation's largest municipal healthcare delivery system in the United States.. PAGNY 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.
Principal Consultant | Healthcare Payer. Our mission is to harness data and analytics to enhance healthcare decisions and outcomes, fostering an environment where data-driven insights lead to healthier futures.. Client Engagement and Business Development: Engage with senior stakeholders to understand their business challenges and tailor solutions that enhance payer performance and patient outcomes.. Drive business development activities, including proposal development and strategic sales initiatives, to expand our footprint within the healthcare payer industry.. Bachelor's or Master's degree in Healthcare Administration, Business Administration, Economics, Statistics, or a related field.
Ensure compliance with Joint Commission (TJC), CMS, OSHA, and state health regulations to maintain accreditation and avoid penalties.. Lead nursing staff in emergency preparedness, disaster response, and crisis intervention in acute situations.. Act as a liaison between patients, families, and hospital administration to ensure patient-centered care and satisfaction.. Implement and optimize Electronic Health Records (EHR) and healthcare technologies to improve nursing workflows and patient care efficiency.. Minimum of 2 years of recent experience as a Chief Nursing Officer in an acute care facility.
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.)
Aetna is recruiting for an AVP, Quality Strategy & Initiatives who is accountable for the achievement of quality performance and leadership of Aetna’s quality government programs (Medicare, Medicaid, IFP, Duals).. This leader will focus on HEDIS Hybrid, STARS, Performance Improvement Plans, provider & member enablement, regulatory and accreditation compliance.. NCQA focus on all lines of business on health plan accreditation, long-term support services distinctions, medication adherence module and health equity.. 15+ years of experience in healthcare/managed care leadership roles with experience in HEDIS/Medicaid/Medicare/Duals/IFP Quality program performance management, analytics, reporting and forecasting with a regional and national scale.. Demonstrate a commitment to diversity, equity, and inclusion through continuous development, modeling inclusive behaviors, and proactively managing bias.
The Medicaid Coordinator will work with other members of the business office to accomplish tasks related to Medicaid billing and collections.. · Assist with monthly billing of Private and NAMI. · Assist with collections of Private and NAMI. · Meet with resident and or responsible representative for Medicaid eligibility. · Identify NAMI discrepancies and correct
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.
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.
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).
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
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
Assists in preparing grant applications and documents (e.g., Institutional Review Board, Grants and Contracts Office), and provides clerical support to Clinical Research Coordinators and others in assigned area.. Associates Degree in Science or closely related field preferred or HS/GED plus two years of related experience. Through the integration of its hospitals, labs, and schools, Mount Sinai offers comprehensive health care solutions from birth through geriatrics, leveraging innovative approaches such as artificial intelligence and informatics while keeping patients' medical and emotional needs at the center of all treatment.. We are consistently ranked by U.S. News & World Report's Best Hospitals, receiving high "Honor Roll" status, and are highly ranked: No. 1 in Geriatrics, top 5 in Cardiology/Heart Surgery, and top 20 in Diabetes/Endocrinology, Gastroenterology/GI Surgery, Neurology/Neurosurgery, Orthopedics, Pulmonology/Lung Surgery, Rehabilitation, and Urology.. Newsweek's "The World's Best Smart Hospitals" ranks The Mount Sinai Hospital as No. 1 in New York and in the top five globally, and Mount Sinai Morningside in the top 20 globally.