Care Management Operations Director
3 weeks ago
About MetroPlusHealth
MetroPlusHealth is a leading healthcare provider in New York City, committed to empowering communities through quality care. As a wholly-owned subsidiary of NYC Health + Hospitals, the largest public health system in the United States, we offer a comprehensive range of products, including Medicaid Managed Care, Medicare, and Child Health Plus.
Job Summary:
We are seeking an experienced Care Management Operations Director to oversee the day-to-day operations of our Partnership in Care (PIC) department. The successful candidate will ensure that our eligibility and retention teams meet operational and regulatory requirements, while maintaining adherence to audits, quality, and compliance activities.
Main Responsibilities:
- Oversight of PIC operations, including eligibility, retention, and compliance activities.
- Ensure compliance with Federal, State, and city regulations, including Medicare Model of Care and HIV SNP model contract.
- Manage key performance improvement projects impacting department outcomes and compliance with local, Federal, and State regulations and guidelines.
- Prepare for compliance audits, such as Article 44 and IPRO reviews.
- Monitor and improve data collection of HIV viral load lab test results across major laboratory vendors, hospitals, community providers, and other agencies.
- Develop and monitor timely, accurate, and complete reports on PIC department operations.
- Track and develop action plans for correction of identified issues and long-term solutions.
Requirements:
- Bachelor's degree from an accredited college or university in a healthcare-related field.
- Five plus years of relevant managed care and operations management experience required.
- Minimum three years of health plan project management experience preferred.
- Strong analytic and strategic planning skills.
- Able to successfully facilitate sound business objectives within a highly regulated industry.
- Experience managing projects for external customers and developing effective customer relationships desired.
- Extensive working knowledge of management techniques as applied to projects.
- Experience assembling and motivating cross-functional teams to meet requirements.
- Creative problem-solving skills, a win-win mentality.
- Excellent negotiation skills.
- Demonstrate skills in Operations and Project Management tools, including Microsoft Excel.
Estimated Salary Range: $120,000 - $160,000 per annum, based on location and experience.
-
Clinical Operations Director
3 weeks ago
New York, New York, United States Independence Care System Full timeJob OverviewWe are seeking a seasoned Clinical Operations Director to lead our care management efforts. This key role will oversee compliance requirements, contract specifications, and performance metrics in support of Independence Care System's mission and goals.
-
Director of Strategic Operations
6 days ago
New York, New York, United States Atalco Gramercy Operations Full timeAbout Atalco Gramercy OperationsWe are a dynamic organization seeking an exceptional individual to fill the role of Director of Strategic Operations. Our team is dedicated to delivering high-quality services, and we believe that this position will play a vital part in driving our success.Job SummaryThe Director of Strategic Operations will oversee all...
-
Clinical Operations Director
3 weeks ago
New York, New York, United States Fresenius Medical Care Full timeAbout This RoleWe are seeking a skilled Clinical Operations Director to join our team at Fresenius Medical Care North America. As a key member of our leadership team, you will be responsible for overseeing the day-to-day operations of our dialysis centers, ensuring that patients receive high-quality care and that our facilities run efficiently.Key...
-
Operations Director
3 weeks ago
New York, New York, United States SBM Management Full timeJob DescriptionThe Account Director plays a key role in leading efforts to achieve organic growth goals. This position requires strong leadership and strategic thinking skills to develop and implement effective business growth strategies.Key ResponsibilitiesDeliver value to SBM customers by promoting advocacy and aligning with the company's established...
-
Clinical Operations Director
2 weeks ago
New York, New York, United States Fresenius Medical Care Full timeFresenius Medical Care is seeking a skilled Clinical Operations Director to lead our team and drive excellence in patient care.Job SummaryThe Clinical Operations Director will be responsible for overseeing the day-to-day operations of our dialysis clinics, ensuring seamless delivery of high-quality patient care. This role requires exceptional leadership...
-
Director of Operations and Management
4 days ago
New York, New York, United States Columbia University Full timeCareer Opportunity at Columbia UniversityAt Columbia University, we are committed to providing exceptional service to our students, faculty, and staff. We seek a highly motivated and experienced professional to join our team as an Assistant Director of Operations for the Alice Health Promotion department.The Assistant Director of Operations will be...
-
Operational Excellence Director
4 days ago
New York, New York, United States Mindful Care Full timeCompany OverviewMindful Care is a pioneering mental health organization, dedicated to providing urgent psychiatric care, group therapy, and individual therapy. Leveraging innovative technology, we offer same-day appointments for patients in need of mental healthcare. Our services are covered by various insurance providers, including Medicare.Job SummaryWe...
-
Dialysis Clinical Operations Director
3 weeks ago
New York, New York, United States Fresenius Medical Care Full timeJob OverviewFresenius Medical Care North America is seeking a highly skilled Dialysis Clinical Manager to lead our team in delivering exceptional patient care. As a key member of our organization, you will be responsible for overseeing the tactical execution of short- and long-term objectives, ensuring quality patient care while maintaining cost-effective...
-
Director of Patient Access Management
2 days ago
New York, New York, United States Thyme Care Full timeJob DescriptionWe're looking for a talented Director of Patient Access Management to join our Enrollment team at Thyme Care. As a key member of our leadership team, you will be responsible for designing and implementing efficient operational processes, driving business-critical initiatives, and collaborating with cross-functional teams to ensure seamless...
-
Clinical Operations Director
2 weeks ago
New York, New York, United States Fresenius Medical Care Full timeJob SummaryWe are seeking an experienced Clinical Operations Director to oversee the daily operations of our dialysis center. The ideal candidate will have a strong background in clinical nursing, leadership skills, and experience in managing dialysis personnel.ResponsibilitiesPatient Care: Coordinate patient care activities with staff members, from...
-
Director of Enrollment Operations
3 weeks ago
New York, New York, United States Thyme Care Full timeThyme Care is revolutionizing cancer care, and we're seeking a talented leader to join our team as the Director of Enrollment Operations. In this critical role, you will drive operational excellence, performance analytics, and strategic innovation to ensure seamless patient enrollment and high-quality care delivery.We are committed to promoting the health...
-
Nursing Director
3 weeks ago
New York, New York, United States NYC Health + Hospitals Full timeJob SummaryWe are seeking a highly skilled and experienced Nursing Director - Patient Care Operations to join our team at NYC Health + Hospitals. This is an exciting opportunity for a talented professional to lead our Nursing/Patient Care Services and drive excellence in patient care delivery.About NYC Health + HospitalsNYC Health + Hospitals is the largest...
-
Healthcare Operations Manager
3 weeks ago
New York, New York, United States RCM Health Care Services Full timeJob OverviewRMC Health Care Services is seeking an experienced Clinical Nurse Manager to oversee the day-to-day operations of our Certified Home Health Agency in Bronx. As a key member of our team, you will be responsible for supervising Nurse Care Managers and ensuring high-quality patient care.ResponsibilitiesDevelop and implement orientation programs for...
-
Strategic Operations Manager
3 weeks ago
New York, New York, United States Atalco Gramercy Operations Full timeAt Atalco Gramercy Operations, we are seeking a highly skilled Strategic Operations Manager to oversee all operational support activities on behalf of our C-Suite. This role will involve managing business performance systems, resolving problems, aggregating information, and driving strategic projects.We are looking for someone with minimum 10 years'...
-
Director of Operations and Compliance
3 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...
-
Executive Director of Pet Care Operations
2 weeks ago
New York, New York, United States Destination Pet LLC Full timeAbout the Role:Destination Pet LLC is seeking an experienced Executive Director of Pet Care Operations to lead our team at NY Dog 25th Street. As a key member of our management team, you will be responsible for overseeing the day-to-day operations of the center, ensuring exceptional customer service, and driving performance excellence through strong people...
-
Clinical Operations Director
3 weeks ago
New York, New York, United States CABS Home Attendants Service, Inc. Full timeJob SummaryWe are seeking a highly skilled Clinical Operations Director to join our leadership team at CABS Home Attendants Service, Inc. in Brooklyn, New York. This is a full-time position with a competitive salary ranging from $130,000 to $135,000 per year.The ideal candidate will have a Master's degree in Nursing, Healthcare Administration, or a related...
-
New York, New York, United States NYC Health + HospitalsCorrectional Health Services Full timeAbout the RoleThe Director of Operations and Supply Chain Management plays a critical role in ensuring the optimal effectiveness and production within our warehouses and logistics operations.This position is responsible for developing and implementing strategies to improve key performance indicators, including staff safety, logistics management, and...
-
Healthcare Operations Director
3 weeks ago
New York, New York, United States Premium Health Center Full timePremium Health Center is committed to providing compassionate and culturally sensitive healthcare services to the community. We are currently seeking an experienced Healthcare Operations Director to join our team.The ideal candidate will have a strong background in healthcare administration, with a focus on operational efficiency and quality patient care....
-
Medical Director for Outpatient Care
2 weeks ago
New York, New York, United States Essen Health Care Full timeAbout Essen Health CareAt Essen Health Care, we strive to provide our patients with exceptional primary and preventative healthcare services. Our diverse team of professionals is dedicated to delivering high-quality care that meets the unique needs of each individual.Job SummaryWe are seeking a Medical Director for Outpatient Care who shares our commitment...
