Healthcare Director Medicare Compliance
6 days ago
As a seasoned professional in the healthcare industry, you will have a deep understanding of Medicare Special Needs programs, including operational and regulatory requirements around Medicare Special Needs programs e.g., HIV. You will work closely with the Regulatory Affairs Department to implement state and federally mandated program changes, assist with new program development and communications, and review and approve marketing, member and provider-related materials. Additionally, you will be responsible for annual Medicare Bid submission, performing root cause analysis of identified issues, and providing oversight of plan & vendor operations as they relate to the Medicare line of business. Your expertise will also be utilized to participate in medical cost discussions, evaluate programs to maximize revenue and decrease costs, and attend provider sessions dealing with Medicare issues.
If you are a results-driven individual with a passion for delivering high-quality healthcare services, we encourage you to apply for this exciting opportunity. The estimated salary for this role is $110,000 - $160,000 per year.
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Medicare Compliance Expert
6 days ago
New York, New York, United States MetroPlusHealth Full timeAbout MetroPlusHealthMetroPlusHealth is a leading provider of healthcare services in New York City, serving over 900,000 members across the five boroughs. Our commitment to quality and customer service has earned us numerous awards and recognition within the industry. The Product Specialist, Integrated Products will play a vital role in driving product...
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Medicare Product Strategist
2 days ago
New York, New York, United States NYC Health Hospitals Full timeJob OverviewThe Director of Medicare Product serves as the subject matter expert and resource for all departments and intergovernmental, federal regulatory agencies related to various Medicare products and operations to ensure compliance.This role requires a strong understanding of the healthcare industry marketplace via tenure at a managed care or ancillary...
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Medicare Product Expert
6 days ago
New York, New York, United States MetroPlusHealth Full timeMetroPlusHealth is seeking a seasoned professional to lead our Medicare Product team. As a Director of Medicare Product, you will be responsible for ensuring compliance with regulatory requirements and driving business growth through strategic planning and execution. This role requires a strong understanding of Medicare regulations, managed care, and...
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Director of Medicare Operations
1 day ago
New York, New York, United States NYC Health Hospitals Full timeAbout the RoleThe Director of Medicare Product is responsible for overseeing plan & vendor operations as they relate to the Medicare line of business, aligning outcomes to strategic goals & requirements while ensuring Service Level Agreements are adhered.Key qualifications for this role include a Bachelor's degree, minimum 8 years of experience in...
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Medicare Operations and Compliance Expert
7 days ago
New York, New York, United States NYC Health Hospitals Full timeNYC Health Hospitals is seeking an experienced Medicare Operations and Compliance Expert to join our team. In this role, you will support the Senior Manager of Medicare Operations in providing oversight of integrated plans and vendor operations. This includes ensuring compliance with regulatory requirements and strategic goals, as well as analyzing data to...
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Director of Healthcare Operations
6 days ago
New York, New York, United States MetroPlusHealth Full timeMetroPlusHealth is a leading healthcare provider in New York City, committed to delivering high-quality care to its members. As a Director of Medicare Product, you will play a critical role in ensuring compliance with regulatory requirements and driving business growth through strategic planning and execution. The estimated salary for this position is...
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Medicare Business Development Lead
6 days ago
New York, New York, United States MetroPlusHealth Full timeAbout the Opportunity: We are seeking a talented Business Development Director - Medicare to join our team at MetroPlus Health. In this role, you will serve as the subject matter expert and resource for all departments and intergovernmental, federal regulatory agencies related to various Medicare products and operations to ensure compliance. With a strong...
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Medicare Compliance and Product Management Lead
11 hours ago
New York, New York, United States NYC Health Hospitals Full timeAbout This OpportunityNYC Health + Hospitals seeks a highly skilled Product Specialist, Integrated Products to join our team. In this role, you will provide analytical support and project management expertise to drive the successful implementation of Integrated Medicare lines of business.Key ResponsibilitiesSupport the Senior Manager of Medicare in...
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Compliance Director
1 day ago
New York, New York, United States Oscar Health Full timeWe're hiring a Director, Corporate Compliance & Privacy/Ethics at Oscar Health. This role involves designing and implementing a compliance program that prioritizes governance, ethics, compliance, and HIPAA. If you have 10+ years of experience in healthcare compliance, including managerial experience, and expertise in HIPAA Privacy and OCR expectations, we'd...
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New York, New York, United States Spring Health Full timeAbout Spring Health">We're on a mission to make mental healthcare accessible to everyone, everywhere. At Spring Health, we're empowering clinically validated technology to deliver personalized care tailored to individual needs.We've partnered with over 450 companies, including Fortune 500 corporations like Microsoft, Target, J.P. Morgan Chase, and Delta...
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Director of Pharmaceutical Compliance
7 days ago
New York, New York, United States Daiichi Sankyo, Inc. Full timeJob OverviewWe are looking for a talented Director of Pharmaceutical Compliance to join our team at Daiichi Sankyo, Inc.About the CompanyDaiichi Sankyo Group is committed to delivering innovative pharmaceutical therapies to improve healthcare standards globally. With a strong portfolio of medicines for cardiovascular diseases and a focus on oncology, rare...
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Medicare Integrated Products Specialist
2 weeks ago
New York, New York, United States MetroPlusHealth Full timeJoin Our TeamMetroPlusHealth is a leading healthcare provider in the United States, serving over 27,000 primary care providers, specialists, and participating clinics. We are seeking a skilled Product Specialist, Integrated Products to support our mission of empowering New Yorkers by uniting communities through care.Key ResponsibilitiesSupport the Senior...
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Director of Operations and Compliance
4 weeks ago
New York, New York, United States SimiTree Full timeSenior Director of Administration and Compliance - Home Care If you have a strong background in Home Health administration, then you need to read on... Our client, SimiTree, is a well-established and growing multi-site Home Care organization. They have a current opening for a Senior Director of Administration and Compliance based in their NY office. This...
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Compliance Director
1 day ago
New York, New York, United States The Dorm LCSW PLLC Full timeOverviewThe Dorm LCSW PLLC is a mission-driven, client-centered mental health organization that provides comprehensive, evidence-based treatment to young adults. We are seeking an Assistant Director of Compliance to join our multidisciplinary team and contribute to our goal of making a difference.
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Healthcare Compliance Specialist
4 weeks ago
New York, New York, United States GreenLife Healthcare Staffing Full timeJob Title: Healthcare Compliance Specialist">About GreenLife Healthcare StaffingWe are a leading healthcare staffing agency dedicated to providing high-quality nursing professionals to meet the needs of our clients.">Salary InformationThe estimated annual salary for this position is $65,000 - $80,000 per year, depending on experience and qualifications.">Job...
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Director of Tax Compliance
2 days ago
New York, New York, United States Keller Executive Search Full timeDirector of Tax ComplianceAbout the Company:Keller Executive Search is a leading provider of executive search services to the accounting and financial advisory industry. Our team of experienced recruiters works closely with clients to identify and attract top talent for senior-level positions. We are currently seeking a highly skilled Director of Tax...
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Compliance Director
6 days ago
New York, New York, United States Hunter Douglas Full timeJob OverviewHunter Douglas is a leading global manufacturer of window coverings and architectural products. We are committed to innovation, quality, and customer satisfaction.We are seeking a Senior Director – Associate General Counsel of Compliance to join our team. This role will collaborate with senior leadership to design and implement a successful...
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Product Compliance Director
2 days ago
New York, New York, United States Dow Jones & Company, Inc. Full timeAbout the RoleWe are seeking a highly experienced Product Compliance Director to join our team. As a key member of our ad operations and privacy compliance teams, you will play a critical role in ensuring the accurate and timely execution of digital advertising campaigns. Your primary responsibility will be to work closely with internal teams to maintain...
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Director of Regulatory Compliance
1 day ago
New York, New York, United States The Dorm LCSW PLLC Full timeAbout The JobThis is an exciting opportunity to join a pioneering mental health organization as an Assistant Director of Compliance. In this role, you will be responsible for developing policy and procedures, conducting regular audits, and managing chart audits and utilization review systems. You will also partner with the Director of Clinical Operations to...
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Compliance Program Director
1 day ago
New York, New York, United States Crdit Agricole CIB Full timeKey ResponsibilitiesThe Compliance Program Director will be responsible for overseeing the development, implementation, and refinement of a comprehensive compliance program for Credit Agricole CIB's Global Markets division. This includes providing advice on relevant regulations and internal policies, evaluating new products and activities for compliance...