Top 7594 Executive manager Jobs in New York State

Director Configuration, Benefit Administration
Healthfirst —New York, NY
- $127,500 - $236,555 a year
- Full-time
- Office
- High school diploma or GED
- Analysis skills
- Health insurance
- Dental insurance
Regional Manager – North East Region
Royal Unibrew —New York, NY
- $110,000 - $120,000 a year
- Full-time
- Hybrid work
- Spanish
- Sales
- Marketing
- Travel reimbursement
- Health insurance
Quick Apply
Principal Technical Program Manager - Deployment Scheduling
Nscale —New York, NY
- $220,000 - $300,000 a year
- Travel
- Senior level
- Communication skills
Quick Apply
11d
Associate Director, Real Estate Digital and AI
Macquarie Group Limited —New York, NY
- $270,000 - $290,000 a year
- Full-time
- Office
- APIs
- Senior level
- Paid parental leave
- Health savings account
Director, News Product and Operations
Versant Media —New York, NY
- $170,000 - $185,000 a year
- Email
- Hybrid work
- Writing skills
- Data analysis skills
- Office
- Retirement plan
Quick Apply
Deputy Commissioner, Operations
DEPARTMENT FOR THE AGING —Manhattan, NY
- $220,000 - $250,000 a year
- Full-time
- 18 years or older
- Office
- Master's degree
- Loan forgiveness
Program Management Advisor
Macy’s —New York, NY
- $129,840 - $216,120 a year
- Bachelor's degree
- Conflict management
- Experience equivalent to degree accepted
- Store discount
- Paid holidays
Assisted Living Executive Director
Confidential —Suffolk County, NY
- $130,000 - $180,000 a year
- Full-time
- Driver's License
- Bachelor's degree
- Recruiting
- Health insurance
- Dental insurance
Quick Apply
Senior Program Manager, People Team (NYC)
Datadog —New York, NY
- $170,000 - $250,000 a year
- Hybrid work
- 5 years
- Analysis skills
- Continuous improvement
- Employee stock purchase plan
Quick Apply
Program Management Advisor
Macy’s —New York, NY
- $129,840 - $216,120 a year
- Bachelor's degree
- Conflict management
- Organizational skills
- Store discount
- Paid holidays
Deputy Commissioner of Operations
OFFICE OF THE MAYOR —Manhattan, NY
- $245,000 a year
- Full-time
- Office
- High school diploma or GED
- Analysis skills
- Loan forgiveness
Chief of Staff
OFFICE OF THE MAYOR —Manhattan, NY
- $150,000 a year
- Full-time
- Writing skills
- Office
- Administrative experience
- Loan forgiveness
People & Culture Director
Domain Cos Management LLC —New York, NY
- $160,000 - $180,000 a year
- Full-time
- Hybrid work
- Travel
- Senior level
- Leadership
- Paid parental leave
- Disability insurance
Quick Apply
Chief Operating Officer
Human Rights Watch —New York, NY
- $340,000 - $375,000 a year
- Full-time
- Office
- Mentoring
- Senior level
Director of People & Culture
Advocates for Children of New York —New York, NY
- $140,000 - $160,000 a year
- Full-time
- Office
- Analysis skills
- Bachelor's degree
- 403(b) matching
- Disability insurance
10d
Manager, Site Management
GEICO —New York, NY
- $109,675 - $172,200 a year
- Full-time
- Mid-level
- Office
- Analysis skills
- Health insurance
- Tuition reimbursement
Director of Food & Beverage
Rosewood Hotel Group —New York, NY
- $175,000 - $195,000 a year
- Full-time
- Bar
- 5 years
- Hotel
- Paid holidays
- Health insurance
Chief of Staff
Philo —New York, NY
- $220,000 - $270,000 a year
- Full-time
- Writing skills
- Office
- Fair chance
- Commuter assistance
- Paid parental leave
Quick Apply
Managing Director, People and Culture
Metropolitan Council on Jewish Poverty —New York, NY
- $185,000 - $200,000 a year
- Overtime
- Bachelor of Science
- Organizational skills
- Senior level
- Commuter assistance
- Health insurance
REGIONAL VICE PRESIDENT (CORPORATE DINING) - NEW YORK, NY
Eurest —New York, NY
- $225,000 - $250,000 a year
- Full-time
- Up to 50% travel
- 5 years
- Bachelor of Science
- Commuter assistance
- Paid parental leave
Quick Apply

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Director Configuration, Benefit Administration

Healthfirst -
New York, NY

Apply Now

Job Details

Full-time
$127,500 - $236,555 a year

Benefits

Health insurance
Dental insurance
401(k)
Vision insurance
Life insurance

Qualifications

Employee relationship building
High school diploma or GED

Full Job Description

The Director of Configuration, Benefit Administration is responsible for design, implementation, and deployment of benefit configuration structure in order to support product and regulatory needs. This role implements the configuration structure within Healthfirst’s technology platforms to administer benefits taking in coordination with Provider Contracting, Claims Operations, Provider Data Management, Clinical Operations, Payment Integrity, and Information Technology. The Director leads forums and meetings with leadership from across the enterprise to develop effective and efficient benefit configuration solutions to achieve business needs and objectives and maintain alignment with claims payment. The Director analyzes complex configuration defects and recommends strategies for successful and timely remediation. The Director leads a team of managers and analysts to ensure accurate, complete, and timely configuration benefit structure and maintenance of existing structure. The Director oversees team performance, configuration production, and quality metrics to ensure that project and department goals are met. The Director also collaborates across other configuration teams to ensure all required configuration aspects are accounted for in planning and implementation of benefit administration configuration structure. This role is critical to the success and growth of Healthfirst membership through product evolution and adherence to regulatory compliance. The objective of this role is to ensure that the benefit structure implementation delivers the intended experience through claim adjudication, including benefits, authorizations, reference data, claims editing, regulatory requirements, payment policies, and overall claim system functionality. The Director serves as the authoritative source for benefit design, product implementation, and regulatory rule adherence within benefit and product. Recognized as an influential leader, the individual at this level functions as a cultural ambassador and strategy driver for Healthfirst. He/she promotes and reinforces behavior that is consistent with Healthfirst’s desired culture and fulfills his/her role in aligning Healthfirst’s strategic initiatives with desired organizational outcomes.

This position requires three days per week in office (Tues/Wed/Thurs) at 100 Church Street, NYC

Duties & Responsibilities:

Develop and implement comprehensive operational strategies aimed at improving efficiency, productivity, and quality
Lead initiatives to identify inefficiencies in current processes and procedures, recommending and implementing solutions to optimize workflows
Identify opportunities for cost reduction and resource optimization while maintaining or improving service delivery and quality
Work closely with department heads, project managers, and other stakeholders to align operational goals with organizational objectives. Facilitate collaboration to drive consistent improvement across the organization
Support change management efforts related to operational improvement initiatives, ensuring successful implementation and adoption of new processes and technologies
Identify potential operational risks and develop mitigation strategies to minimize disruptions and ensure smooth operations
Drive flexible, repeatable and scalable benefit configuration design and implementation processes with industry best-practices
Engage directly with other operational teams and leaders to provide input on the scope, approach, and timing of configuration work
Assess upstream and downstream impact of configuration and policy changes to proactively identify and mitigate risk
Manage interdependencies across other configuration units and business areas to ensure delivery timelines and project deadlines are met
Identify and resolve inconsistencies between system configurations, regulation, contracts, and policies
Maintain effective and consistent configuration testing protocols and quality controls
Manage and monitor team performance, production and quality
Establish structure for ongoing education, training and knowledge share across team
Prepare and present updates to the business and senior executives on benefit configuration strategies, activities, and metrics
Lead and support company-wide initiatives
Work with internal and external parties to ensure benefit administration logic and business rules are well understood and administered appropriately
Actively support all Compliance and Regulatory requirements with appropriate policies, processes, reports, and audit support.

Minimum Qualifications:

Bachelor's Degree from an accredited institution or equivalent work experience
HS Diploma or GED of accredited institution
Proven ability to develop strong interpersonal relationships, as a leader and team member with experience communicating and influencing impact and progress to senior leadership level
Successful track record developing creative, workable strategies and tactics to accomplish division, corporate and plan goals

Preferred Qualifications:

Master's degree or MBA from an accredited institution
Healthedge Configuration and Integration experience
Proven experience in health insurance focused on claim configuration and reimbursement processes
Proficiency in provider contract reimbursement terms and code sets (HCPCS, ICD10, DRGs, CPT, etc.), and claims processing practices
Knowledge of medical claims and adjudication procedures, including the application of reimbursement and medical policy guidelines and contract pricing
Knowledge of benefit administration and or claim payment methodologies and regulatory frameworks governing health plan reimbursement methods in Medicare, Medicaid and commercial insurance markets
Experience leading complex, technical, cross-functional programs and working with senior executives
Experience articulating complex issues to audiences with varying levels of technical expertise
Experience influencing leaders, breaking down barriers and managing competing priorities
Strong problem solving and analytical skills

Compliance & Regulatory Responsibilities: N/A

License/Certification: N/A

Hiring Range*:

Greater New York City Area (NY, NJ, CT residents): $154,600 - $236,555
All Other Locations (within approved locations): $127,500 - $195,075

As a candidate for this position, your salary and related elements of compensation will be contingent upon your work experience, education, licenses and certifications, and any other factors Healthfirst deems pertinent to the hiring decision.

In addition to your salary, Healthfirst offers employees a full range of benefits such as, medical, dental and vision coverage, incentive and recognition programs, life insurance, and 401k contributions (all benefits are subject to eligibility requirements). Healthfirst believes in providing a competitive compensation and benefits package wherever its employees work and live.

The hiring range is defined as the lowest and highest salaries that Healthfirst in “good faith” would pay to a new hire, or for a job promotion, or transfer into this role.

127500-195075

Apply Now

Refine Your Search

executive manager jobs in new york state

Director Configuration, Benefit Administration

Regional Manager – North East Region

Principal Technical Program Manager - Deployment Scheduling

Associate Director, Real Estate Digital and AI

Director, News Product and Operations

Deputy Commissioner, Operations

Program Management Advisor

Assisted Living Executive Director

Senior Program Manager, People Team (NYC)

Program Management Advisor

Deputy Commissioner of Operations

Chief of Staff

People & Culture Director

Chief Operating Officer

Director of People & Culture

Manager, Site Management

Director of Food & Beverage

Chief of Staff

Managing Director, People and Culture

REGIONAL VICE PRESIDENT (CORPORATE DINING) - NEW YORK, NY

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