Top 6418 Regulation manager Jobs in New York State

PreAuthorization Unit Manager
MJHS —New York, NY
- $135,000 - $150,000 a year
- Full-time
- Hybrid work
- Management
- Senior level
- Health insurance
- Dental insurance
12d
Pre-Authorization Unit Manager
MJHS —New York, NY
- $135,000 - $150,000 a year
- Full-time
- Management
- Mid-level
11d
CASAC- Quality Assurance (QA) Manager, Supervisor & Specialist–Opioid Treatment Program (OTP /COP)
St. Xavier Home Health Care Services Inc —Forest Hills, NY
- $26 - $39 an hour
- Full-time
- Nursing
- Management
- Addiction Medicine
Quick Apply
Regional Property Manager
Kearney Realty Group —Baldwin Place, NY
- From $72,000 a year
- Full-time
- Up to 50% travel
- 5 years
- Residential
- Paid time off
Quick Apply
Case Manager
PROMESA R.H.C.F. —Queens, NY
- $35,000 - $45,000 a year
- Full-time
- Mid-level
- Master's degree
- Children
Quick Apply
Pharmacy Manager
Weis Markets —Binghamton, NY
- $94,000 - $155,000 a year
- Full-time
- Background check
- Bachelor of Science
- Mid-level
- AD&D insurance
- Disability insurance
Quick Apply
Senior Case Manager
PROMESA R.H.C.F. —Brooklyn, NY
- $50,000.00 - $54,999.85 a year
- Full-time
- 5 years
- Mid-level
- Master's degree
Quick Apply
Case Manager
PROMESA R.H.C.F. —Queens, NY
- $40,000 - $45,000 a year
- Full-time
- Mid-level
- Master's degree
- Children
Quick Apply
Contracts Manager
Saab —East Syracuse, NY
- $101,600 - $158,500 a year
- Full-time
- Oracle
- Bachelor of Science
- Pass drug screening
- Paid holidays
- Disability insurance
Briad Travel Center Site General Manager - Watertown, NY
BLH Travel Centers | The Briad Group® —Watertown, NY
- $70,000 - $85,000 a year
- Weekends as needed
- Ability to walk for extended periods
- 5 years
- Quick service & fast food restaurant
Real Estate Manager
Unique People Services —Bronx, NY
- $28.84 an hour
- Full-time
- Background check
- Mid-level
- Driver's License
- Health insurance
- Dental insurance
Quick Apply
Registered Nurse (RN) Supervisor
Ontario Center —Canandaigua, NY
- $85,000 - $95,000 a year
- Full-time
- Skilled nursing facility
- RN License
- Computer literacy
- Travel reimbursement
- Health insurance
Quick Apply
Maintenance Technician- Lead
Cazenovia Recovery Systems, Inc —Buffalo, NY
- $30 an hour
- Full-time
- Mid-level
- Driver's License
- Mentoring
- Health savings account
- Health insurance
Quick Apply
12d
Supervisor - Compliance Manager
NuEnergen, LLC —White Plains, NY
- $90,000 - $110,000 a year
- Full-time
- Background check
- 5 years
- Office
- Profit sharing
- Health insurance
Quick Apply
12d
Registered Nurse (RN) Supervisor
Glens Falls Center —Queensbury, NY
- $80,000 - $95,000 a year
- Full-time
- Skilled nursing facility
- RN License
- Computer literacy
Quick Apply
Electrical Project Manager
Endurance Electrical Services LLC —Batavia, NY
- $70,000 - $120,000 a year
- Full-time
- Background check
- Management
- Construction site
- Health insurance
- Dental insurance
Quick Apply
Regional Clinical Manager (PA/NP) - Pediatric Urgent Care
PM Pediatrics Management Group —Riverdale, NY
- $150,000 - $200,000 a year
- Full-time
- Nursing
- Certified Nurse Practitioner
- Urgent Care
Quick Apply
Clinical Supervisor
Acacia Network —Brooklyn, NY
- $63,000 a year
- Full-time
- LMFT
- Licensed Clinical Social Worker
- Mid-level
- Paid holidays
- Health insurance
Quick Apply
Medical Billing Manager
Saratoga Schenectady Gastroenterology Associates —Burnt Hills, NY
- $85,000 - $115,000 a year
- Full-time
- HIPAA
- Recruiting
- Contracts
- Health savings account
- Health insurance
Quick Apply
Enhanced Residence Manager - Eden
SUBURBAN ADULT SERVICES INC. —Eden, NY
- $23.15 an hour
- Microsoft Outlook
- 5 years
- Computer literacy
Quick Apply

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regulation manager jobs near new york state

PreAuthorization Unit Manager

MJHS -
New York, NY

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Job Details

Full-time
$135,000 - $150,000 a year
12 days ago

Benefits

Health insurance
Dental insurance
Tuition reimbursement
Paid time off
Vision insurance
403(b)
Loan forgiveness
Loan assistance

Qualifications

Collaborate with healthcare professionals
Management
Webinars
Clinical program policy development
Program development
Corporate training
CMS
Quality reports
Audit Reporting
CMS regulatory compliance
Clinical staff training
Pre-authorization review for utilization management
Medicare regulations
InterQual
Clinical program monitoring
Quality compliance management
Health record chart audits
Healthcare policy implementation
Regulatory compliance analysis
Senior level
Remote training
Policy Development
Staff development

Full Job Description

Req #:

4349

Job ID:

15757

Job Location:

New York, NY

Zip Code:

10041

Category:

Management - Clinical

Agency:

Status:

Regular Full-Time

Office:

Hybrid

Salary:

$135,000.00 - $150,000.00 per year

The challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in response to our patients' and members' needs. These high-quality healthcare plans are designed to help keep people independent and living life on their own terms.

The MJHS Difference

At MJHS, we are more than a workplace; we are a supportive community committed to excellence, respect, and providing high-quality, personalized health care services. We foster collaboration, celebrate achievements, and promote fairness for all. Our contributions are recognized with comprehensive compensation and benefits, career development, and the opportunity for a healthy work-life balance, advancement within our organization and the fulfillment of having a lasting impact on the communities we serve.

Benefits include:

Sign-on Bonuses OR Student Loan Assistance for clinical staff
Free MSN in Education program!
Tuition Reimbursement for all full and part-time staff
Dependent Tuition Reimbursement for clinical staff!
Generous paid time off, including your birthday!
Affordable and comprehensive medical, dental and vision coverage for employee and family members
Two retirement plans! 403(b) AND Employer Paid Pension
Flexible spending
And MORE!

MJHS companies are qualified employers under the Federal Government’s Paid Student Loan Forgiveness Program (PSLF)

Responsibilities:

Provides oversight of Pre-Authorization unit to ensure all organization determinations are within regulatory compliance for time frames and notification parameters through ongoing monitoring of the unit’s activity.

Development and direct oversight of all MLTC/MAP organization determination/authorization processes to ensure timeliness and compliance with CMS/DOH regulations.

Collaborates in development of goals, objectives and performance measures and outcomes for the Coordinated Care Department.

Reviews/Revises all workflows and policies for the Pre-Authorization unit on at least an annual basis to ensure compliance with DOH and CMS regulations. Communicates changes required for compliance within and outside of Coordinated Care Department, including Member Operations, Customer Service, Claims, Compliance, and Appeals and Grievances departments.

Ensures InterQual (IQ), internal policies and other criteria (NYS DOH, NCD, LCD) are applied consistently among staff through daily monitoring and review of the requests for services assigned to the unit. Educates staff on any changes to criteria/policy. Discusses with Director, the need for additional medical policy when gaps in coverage criteria are noted.

Conducts periodic focused medical records reviews for Pre-Authorization unit by using department specific audit tools and provides additional education as needed. Analyzes combined collected audit data and reports findings to Coordinated Care management. Works with Staff Educator on re-training efforts either on site or through Webinar sessions.

Apply Now

Refine Your Search

regulation manager jobs in new york state

PreAuthorization Unit Manager

Pre-Authorization Unit Manager

CASAC- Quality Assurance (QA) Manager, Supervisor & Specialist–Opioid Treatment Program (OTP /COP)

Regional Property Manager

Case Manager

Pharmacy Manager

Senior Case Manager

Case Manager

Contracts Manager

Briad Travel Center Site General Manager - Watertown, NY

Real Estate Manager

Registered Nurse (RN) Supervisor

Maintenance Technician- Lead

Supervisor - Compliance Manager

Registered Nurse (RN) Supervisor

Electrical Project Manager

Regional Clinical Manager (PA/NP) - Pediatric Urgent Care

Clinical Supervisor

Medical Billing Manager

Enhanced Residence Manager - Eden

I want to receive the latest job alert for regulation manager in new york state

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