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- Board Certified or Board EligibleInternal Medicine, Family Medicine or Geriatric Medicine.. Employed by a PRIVATE group (not the nursing home).. Physician would need to be able to obtain liability insurance (negotiable for partial or full reimbursement after 1 year of working).. Physician will need to have active Medicare and Medicaid numbers.. Suffolk County, Long Island, NY
Internal Medicine Physician Opportunity Near JAMAICA, NY Job Summary: We are actively seeking a dedicated Internal Medicine trained physician to join our healthcare team, contributing to the delivery of high-quality patient care in the Jamaica, NY area.. Prescription and Management: Prescribe medications and formulate ongoing treatment and disease management plans.. Residency: Completion of a 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.
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
Assist with solving import, export, or customs clearance regulatory problems. Monitor post-market vigilance issues and take a role in risk management/assessment, including handling customer complaints related to OTC and cosmetics products within the North America region and taking proper action per SOPs. Monitor trade barrier issue changes, NGO activities, competitors’ regulatory trends, and other socioeconomic issues. Bachelor’s degree in chemistry, biology, pharmacy, food science, or similar science/engineering. Minimum 1-3 years of relevant experience in regulatory affairs and/or product development in the beauty, cosmetics, food, or drug industry preferred.
We are currently seeking a dedicated and detail-oriented Enrollment Coordinator with MLTC (Managed Long Term Care) experience to join our healthcare client’s team. Coordinate and process new member enrollments into MLTC programs.. 1–2 years of experience in healthcare enrollment, MLTC, Medicaid/Medicare, or care coordination required.. Strong working knowledge of MLTC policies and procedures (NY State).. Familiarity with DOH regulations and UAS assessments
The Director of Clinical Reimbursement is responsible for overseeing the MDS departments at Schulman & Schachne Institute for Nursing and Rehabilitation and Rutland Nursing Home, ongoing review and management of clinical service revenue streams at both nursing facilities. Understands Medicaid and Medicare case mix processes, RUGS categories, and other clinical reimbursement opportunities. Provides education on MDS guidelines and PPS requirements to staff. Must be trained in and knowledgeable of all Kingsbrook/Rutland and Brookdale/Schulman & Schachne Institute for Nursing and Rehabilitation policies and procedures pertaining to hazardous waste and hazardous materials and maintain qualifications applicable to assigned work.. CPM (Certified Purchasing Manager) certification preferred.
Blending innovative formulations, top‐performing products, award‐winning packaging and unparalleled education, Oribe has become a renowned beauty authority for experienced stylists and taste‐driven consumers alike. Reporting to the Senior Manager, Regulatory Affairs you will have responsibility for managing the daily operations of regulatory department. The Regulatory Affairs Manager will manage one direct report. Regulatory Support for internal & external teams such as product claim substantiation, In-depth regulatory review (raw ingredients & final formulas), product artwork review.. Bachelor's degree (BS/BSc or BA) in Chemistry, Chemical Engineering, or related science-related discipline
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.
Position at Berkeley Research Group, LLC HAP Tech, a subgroup of BRG’s Healthcare Analytics practice (HAP), is one of the firm’s largest and fastest growing teams. HAP Tech supports and advises pharmaceutical manufacturers on how to navigate the challenges and complexities of the 340B program as well as other areas of the healthcare ecosystem. Beyond our syndicated solutions, we also integrate and synthesize data to deliver unparalleled analytics and insights into various aspects of the 340B program and the pharmaceutical supply chain. Bachelor's degree or equivalent, and an undergraduate level understanding of business, finance, accounting, statistics, product development or data analysis;.. , SAS, SPSS, Stata, is a plus;
The Medicare/Medicaid Dual Plan Marketing Representative will develop leads from various sources and enroll Medicare and Medicaid dual-eligible people with IDD into Partner Health Plan’s fully integrated insurance plan.. This role will require extensive travel through the areas we support in order to create contacts and connections with potential members and programs.. At Partnership Solutions, our work is performed in support of, and on behalf of, Care Design NY (a Care Coordination / Health Home), and Partners Health Plan (a Managed Care Organization), dedicated to providing supports and services for persons with intellectual and/or developmental disabilities.. Mission – Our mission is twofold: to provide compassionate, skilled person-centered care planning that includes a holistic approach to health and wellness, and to advocate for a disability inclusive world.. 2+ years of Managed Care, Medicare/Medicaid outside sales experience or IDD Care Coordination Organization (CCO) Sales/Enrollment
The incumbent, and team, will be involved in every aspect at part of the SDLC process from idea generation, business analysis, UX design and rigorous testing against industry standards for quality assurance traceability and compliance. Test engineers are expected to participate in refining the CICD process, code review their code, and engage in manual testing. Creates Tasks for their stories in RTC or Jira, and updates status and assignment accordingly. Test engineers will work with a variety of QA Automation technologies including; Java programming, Selenium, Appium and our cloud build and delivery processes. Master's Degree in Information Systems, Business Management or Healthcare Administration
DAILY PAY available for select positions!. Addus has implemented comprehensive safety policies based on CDC guidelines designed to promote workplace safety.. Perform selected nursing procedures, commensurate with experience and education within the scope of LVN/LPN practice including but not limited to: tracheostomy care, colostomy care, enemas, douches, catheterizations, dressing changes, and phlebotomies.. Follow all Medicare, Medicaid, and HIPAA regulations and requirements.. Must have reliable transportation, current driver's license and appropriate automobile insurance; or ability to take public transportation
Facilitate and aid Medicaid, HARP, CHP members as NYS Certified Application Counselor with state redetermination process including educating members on state qualifications, necessary proof of income and associated documents while completing required applications and submission to the state. Provide seamless care coordination and individual needs assessments from member onboarding and throughout member lifecycle to support Medicare, Medicaid, HARP, and CHP members with care/risk health gaps and health risk assessment. Facilitate and aid Medicaid, HARP, CHP members as NYS Certified Application Counselor with New York State of Health redetermination process including educating members on state qualifications, necessary proof of income and associated required documents while completing application and submission to the state. Proactively lead, facilitate, and assess member experience through targeted Medicare member outreach, including members with multiple complex issues, grievance and appeal cases as well as access to care challenges to continually improve healthcare performance and consumers assessment to provide high quality services. Ongoing learning of EmblemHealth and Connecticare products and services, including any recent changes in business rules or decisions that may impact customer experience.
Impact Recruiting Solutions is seeking a bilingual Medical Assistant/Surgical Coordinator to join a dynamic multi-specialty facility in the Bronx, NY. This role combines clinical support with surgical coordination, ensuring seamless patient care and efficient operations in a fast-paced healthcare environment.. Licensure: None required, but certification (e.g., CMA, RMA) is a plus.. Technical Skills: Proficiency in EHR systems, appointment scheduling, and clinical procedures (e.g., vitals, phlebotomy).. Clinical Support: Assist providers with patient intake, vitals, and minor procedures.. Surgical Coordination: Schedule surgeries, pre-op appointments, and follow-ups.
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.
We're growing fast, drawing on that vibrant legacy of nearly 25 years, we're extending our experience to telehealth because people need compassionate, high-quality care now more than ever. We're looking for a licensed LMHC, LMFT, LCSW or equivalent in New York, with an active, independent, and unrestricted license. You'll maintain CEUs for licensing and credentialing, hold an active NPI number (Medicare preferred), and be eligible for federally funded healthcare programs. You're tech-savvy and adaptable, comfortable using telehealth tools, EHR systems, and video platforms like Zoom. A full suite of benefits: Medical, Dental, Vision, Life Insurance, Disability, and Employee Assistance Program (EAP) , along with perks like pet insurance, legal insurance, and additional memberships.
You will perform routine administrative and clinical assignments to keep the medical facility running smoothly. Escort patients to exam rooms.. Patient Vitals, Ekg's, Venipuncture.. Previous experience in healthcare administration or other related fields.. Familiarity with medical billing procedures
Brookside Multicare is a full continuum of care providing extraordinary care and caring to the people that we serve. Perched atop a hill, overlooking 24 acres of scenic landscape, Brookside Multicare Nursing Center is located just an hour’s drive from New York City, in the heart of beautiful Smithtown, LI. Our newly renovated, 353-bed skilled nursing facility offers spacious private and semi-private rooms, several outdoor patios and dining areas to provide our residents with a comfortable setting within which to recover and live forward. We are currently seeking a Nursing Supervisor to work in our Skilled Nursing Facility. Proven work experience as a nursing supervisor.. BSc or diploma in nursing; training in healthcare administration is a plus
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