• The salary range for this position is $155,000 - $162,000 / yr
• This is a Full-time position
• Health Insurance Plans
• Flexible Spending Account Programs
• Management or Union Benefits
• Leave Benefits
• Special Leave of Absence Coverage (SLOAC)
• Retirement Savings Plans
• Additional Savings Plan
• Transit Benefit
• Direct Deposits
• Municipal Credit Union (MCU)

• Must have a valid and current New York State RN license.
• Must have a bachelor’s degree. A master’s degree is preferred
• Must have a minimum of 10 years of professional healthcare management
• Must have 5 years or more in a leadership position in a health-related setting
• Knowledge of the care management process and managed care is preferred.
• Must have the ability to travel within the company’s service area, as needed
• Must have proficiency with the ability to read and interpret medical records, claims data, pharmacy and lab reports, and prescriptions

• Participate in the development and articulation of the vision and strategic direction for the care management of Medicaid members; collaborates on the implementation of strategies.
• Supervises, plans, organizes, prioritizes, delegates, and evaluates, staff and functions of the Medicaid and PCS teams.
• Maintains awareness and ensures compliance with NYS Medicaid contractual requirements for both PCS and mainstream member services
• Ensures staff adheres to the care management process of screening, assessing, implementing, and evaluating
• Monitors and audits the performance and productivity of the Medicaid teams
• In collaboration with Data Analytics evaluate the outcomes of the high-risk Medicaid team
• Provide clinical support for the review of Quality-of-Care concerns being investigated by the Quality Management Department.
• Must be familiar with OMH, DOH, and CMS regulations for service delivery with a care coordination approach to service delivery in managed care settings.
• Collaborates with the UM Department to manage appropriate member utilization.
• Collaborates with the company’s customer service department to ensure that member issues and concerns are addressed and resolved in a timely manner.
• Analyzes trends and implements departmental initiatives based upon data provided through the reporting of Care Management, Quality, Data Analytics, and Audit data.
• Maintain communication with the department head, with routine updates on operations, issues, concerns, and other pertinent information.
• Perform other duties as assigned by the Senior Director.

We are committed to our core values: integrity, honesty, and transparency Finding a new position as a physician or allied health professional or filling a critical vacancy in your practice, clinic, hospital, or skilled care facility can be stressful and time-consuming. At Greenlife our mission is to make this process easier for you and help you through all the steps necessary to find that perfect new position or the healthcare professional to round out your team. We understand that every situation is different and our approach reflects that: we value personalized interaction with job seekers and employers, our searches are customized not cookie-cutter and our results speak for themselves: Happy job seekers and employers who found the right professional match through our services.