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Overview HarmonyCares is one of the nation’s largest home-based primary care practices. HarmonyCares is a family of companies all dedicated to providing high-quality, coordinated health care in the home. This includes HarmonyCares, HarmonyCares Medical Group, HarmonyCares Home Health and HarmonyCares Hospice. Our Mission – To bring personalized, quality-based healthcare to the home of patients who have difficult accessing care. Our Shared Vision – Every patient deserves access to quality healthcare. Our Values – The way we care is our legacy. Every interaction counts. Go the extra mile. Empower and support each other. Why You Should Want to Work with Us • Accountable Care Organization, • 401K Retirement Plan, • Paid Orientation and Training, • Established in 11 states, • A+ rated malpractice coverage with tail coverage, • No holidays, no hospital rounds More details about the benefits we offer can be found at ___. Responsibilities The Nurse Practitioner delivers annual risk assessment in a residential setting or telehealth, within the scope of practice for a Nurse Practitioner, as delegated by the Collaborative Physician. Essential Duties and Responsibilities • Conduct comprehensive in-home health risk assessments to identify all active and chronic disease conditions, as well as determine all physical, mental, and social needs present at the time of the visit, • Takes history, examines, determines diagnoses., • Provides written documentation of patient visit, per NCQA standards, • Takes patient vital signs, as necessary., • Places case management referrals and communicates with PCP as necessary., • Communicates with patients, caregivers, agency nurses, other providers and vendors as necessary to assure proper diagnosis., • Performs all clinical duties while observing OSHA Universal Precautions, • Maintains patient confidentiality, • Attends required meetings and in-services and participates in committees, as requested, • Teammates, • Physicians, • Medical Staff, • Patients, • Caregivers, • Agency Nurses, • Providers Required Knowledge, Skills, and Experience • Active/unrestricted nurse practitioner license to practice in coverage states, • Board certification in one of the following: American Nurses Credentialing Center (ANCC), American Association of Nurse Practitioners (AANP) or National Commission on Certification of Physician Assistants (NCCPA), • Active CPR Certification, • Current enrollment in Medicare/Medicaid, • Must maintain a valid driver’s license and good driving record, • Geriatric training/experience, • Adaptability to differing weather conditions and patients’ home/residential environments, • Full range of body motion including handling/lifting patients. Manual and finger dexterity, eye-hand coordination, normal visual acuity, normal hearing, standing, bending, walking and stair climbing, • Regular lifting/carrying items weighing up to 50 pounds USD $85.00/Visit Posted Max Pay Rate USD $145.00/Visit Pay Transparency Individual compensation packages are based on various factors unique to each candidate, including skill set, experience, qualifications, and other job-related considerations.

Overview HarmonyCares is one of the nation’s largest home-based primary care practices. HarmonyCares is a family of companies all dedicated to providing high-quality, coordinated health care in the home. This includes HarmonyCares, HarmonyCares Medical Group, HarmonyCares Home Health and HarmonyCares Hospice. Our Mission – To bring personalized, quality-based healthcare to the home of patients who have difficult accessing care. Our Shared Vision – Every patient deserves access to quality healthcare. Our Values – The way we care is our legacy. Every interaction counts. Go the extra mile. Empower and support each other. Why You Should Want to Work with Us • Accountable Care Organization, • 401K Retirement Plan, • Paid Orientation and Training, • Established in 11 states, • A+ rated malpractice coverage with tail coverage, • No holidays, no hospital rounds More details about the benefits we offer can be found at ___. Responsibilities The Nurse Practitioner delivers annual risk assessment in a residential setting or telehealth, within the scope of practice for a Nurse Practitioner, as delegated by the Collaborative Physician. Essential Duties and Responsibilities • Conduct comprehensive in-home health risk assessments to identify all active and chronic disease conditions, as well as determine all physical, mental, and social needs present at the time of the visit, • Takes history, examines, determines diagnoses., • Provides written documentation of patient visit, per NCQA standards, • Takes patient vital signs, as necessary., • Places case management referrals and communicates with PCP as necessary., • Communicates with patients, caregivers, agency nurses, other providers and vendors as necessary to assure proper diagnosis., • Performs all clinical duties while observing OSHA Universal Precautions, • Maintains patient confidentiality, • Attends required meetings and in-services and participates in committees, as requested, • Teammates, • Physicians, • Medical Staff, • Patients, • Caregivers, • Agency Nurses, • Providers Required Knowledge, Skills, and Experience • Active/unrestricted nurse practitioner license to practice in coverage states, • Board certification in one of the following: American Nurses Credentialing Center (ANCC), American Association of Nurse Practitioners (AANP) or National Commission on Certification of Physician Assistants (NCCPA), • Active CPR Certification, • Current enrollment in Medicare/Medicaid, • Must maintain a valid driver’s license and good driving record, • Geriatric training/experience, • Adaptability to differing weather conditions and patients’ home/residential environments, • Full range of body motion including handling/lifting patients. Manual and finger dexterity, eye-hand coordination, normal visual acuity, normal hearing, standing, bending, walking and stair climbing, • Regular lifting/carrying items weighing up to 50 pounds USD $85.00/Visit Posted Max Pay Rate USD $145.00/Visit Pay Transparency Individual compensation packages are based on various factors unique to each candidate, including skill set, experience, qualifications, and other job-related considerations.

Overview HarmonyCares is one of the nation’s largest home-based primary care practices. HarmonyCares is a family of companies all dedicated to providing high-quality, coordinated health care in the home. This includes HarmonyCares, HarmonyCares Medical Group, HarmonyCares Home Health and HarmonyCares Hospice. Our Mission – To bring personalized, quality-based healthcare to the home of patients who have difficult accessing care. Our Shared Vision – Every patient deserves access to quality healthcare. Our Values – The way we care is our legacy. Every interaction counts. Go the extra mile. Empower and support each other. Why You Should Want to Work with Us • Accountable Care Organization, • 401K Retirement Plan, • Paid Orientation and Training, • Established in 11 states, • A+ rated malpractice coverage with tail coverage, • No holidays, no hospital rounds More details about the benefits we offer can be found at ___. Responsibilities The Nurse Practitioner delivers annual risk assessment in a residential setting or telehealth, within the scope of practice for a Nurse Practitioner, as delegated by the Collaborative Physician. Essential Duties and Responsibilities • Conduct comprehensive in-home health risk assessments to identify all active and chronic disease conditions, as well as determine all physical, mental, and social needs present at the time of the visit, • Takes history, examines, determines diagnoses., • Provides written documentation of patient visit, per NCQA standards, • Takes patient vital signs, as necessary., • Places case management referrals and communicates with PCP as necessary., • Communicates with patients, caregivers, agency nurses, other providers and vendors as necessary to assure proper diagnosis., • Performs all clinical duties while observing OSHA Universal Precautions, • Maintains patient confidentiality, • Attends required meetings and in-services and participates in committees, as requested, • Teammates, • Physicians, • Medical Staff, • Patients, • Caregivers, • Agency Nurses, • Providers Required Knowledge, Skills, and Experience • Active/unrestricted nurse practitioner license to practice in coverage states, • Board certification in one of the following: American Nurses Credentialing Center (ANCC), American Association of Nurse Practitioners (AANP) or National Commission on Certification of Physician Assistants (NCCPA), • Active CPR Certification, • Current enrollment in Medicare/Medicaid, • Must maintain a valid driver’s license and good driving record, • Geriatric training/experience, • Adaptability to differing weather conditions and patients’ home/residential environments, • Full range of body motion including handling/lifting patients. Manual and finger dexterity, eye-hand coordination, normal visual acuity, normal hearing, standing, bending, walking and stair climbing, • Regular lifting/carrying items weighing up to 50 pounds USD $85.00/Visit Posted Max Pay Rate USD $145.00/Visit Pay Transparency Individual compensation packages are based on various factors unique to each candidate, including skill set, experience, qualifications, and other job-related considerations.

Overview HarmonyCares is one of the nation’s largest home-based primary care practices. HarmonyCares is a family of companies all dedicated to providing high-quality, coordinated health care in the home. This includes HarmonyCares, HarmonyCares Medical Group, HarmonyCares Home Health and HarmonyCares Hospice. Our Mission – To bring personalized, quality-based healthcare to the home of patients who have difficult accessing care. Our Shared Vision – Every patient deserves access to quality healthcare. Our Values – The way we care is our legacy. Every interaction counts. Go the extra mile. Empower and support each other. Why You Should Want to Work with Us • Accountable Care Organization, • 401K Retirement Plan (with company match), • Paid Orientation and Training, • Established in 11 states, • A+ rated malpractice coverage with tail coverage, • No holidays, no hospital rounds More details about the benefits we offer can be found at ___. Responsibilities The Nurse Practitioner delivers annual risk assessment in a residential setting or telehealth, within the scope of practice for a Nurse Practitioner, as delegated by the Collaborative Physician. Essential Duties and Responsibilities • Conduct comprehensive in-home health risk assessments to identify all active and chronic disease conditions, as well as determine all physical, mental, and social needs present at the time of the visit, • Takes history, examines, determines diagnoses., • Provides written documentation of patient visit, per NCQA standards, • Takes patient vital signs, as necessary., • Places case management referrals and communicates with PCP as necessary., • Communicates with patients, caregivers, agency nurses, other providers and vendors as necessary to assure proper diagnosis., • Performs all clinical duties while observing OSHA Universal Precautions, • Maintains patient confidentiality, • Attends required meetings and in-services and participates in committees, as requested, • Teammates, • Physicians, • Medical Staff, • Patients, • Caregivers, • Agency Nurses, • Providers Required Knowledge, Skills, and Experience • Active/unrestricted nurse practitioner license to practice in coverage states, • Board certification in one of the following: American Nurses Credentialing Center (ANCC), American Association of Nurse Practitioners (AANP) or National Commission on Certification of Physician Assistants (NCCPA), • Active CPR Certification, • Current enrollment in Medicare/Medicaid, • Must maintain a valid driver’s license and good driving record, • Geriatric training/experience, • Adaptability to differing weather conditions and patients’ home/residential environments, • Full range of body motion including handling/lifting patients. Manual and finger dexterity, eye-hand coordination, normal visual acuity, normal hearing, standing, bending, walking and stair climbing, • Regular lifting/carrying items weighing up to 50 pounds USD $85.00/Visit Posted Max Pay Rate USD $145.00/Visit Pay Transparency Individual compensation packages are based on various factors unique to each candidate, including skill set, experience, qualifications, and other job-related considerations.

Overview HarmonyCares is one of the nation’s largest home-based primary care practices. HarmonyCares is a family of companies all dedicated to providing high-quality, coordinated health care in the home. This includes HarmonyCares, HarmonyCares Medical Group, HarmonyCares Home Health and HarmonyCares Hospice. Our Mission – To bring personalized, quality-based healthcare to the home of patients who have difficult accessing care. Our Shared Vision – Every patient deserves access to quality healthcare. Our Values – The way we care is our legacy. Every interaction counts. Go the extra mile. Empower and support each other. Why You Should Want to Work with Us • Accountable Care Organization, • 401K Retirement Plan (with company match), • Paid Orientation and Training, • Established in 11 states, • A+ rated malpractice coverage with tail coverage, • No holidays, no hospital rounds More details about the benefits we offer can be found at ___. Responsibilities The Nurse Practitioner delivers annual risk assessment in a residential setting or telehealth, within the scope of practice for a Nurse Practitioner, as delegated by the Collaborative Physician. Essential Duties and Responsibilities • Conduct comprehensive in-home health risk assessments to identify all active and chronic disease conditions, as well as determine all physical, mental, and social needs present at the time of the visit, • Takes history, examines, determines diagnoses., • Provides written documentation of patient visit, per NCQA standards, • Takes patient vital signs, as necessary., • Places case management referrals and communicates with PCP as necessary., • Communicates with patients, caregivers, agency nurses, other providers and vendors as necessary to assure proper diagnosis., • Performs all clinical duties while observing OSHA Universal Precautions, • Maintains patient confidentiality, • Attends required meetings and in-services and participates in committees, as requested, • Teammates, • Physicians, • Medical Staff, • Patients, • Caregivers, • Agency Nurses, • Providers Required Knowledge, Skills, and Experience • Active/unrestricted nurse practitioner license to practice in coverage states, • Board certification in one of the following: American Nurses Credentialing Center (ANCC), American Association of Nurse Practitioners (AANP) or National Commission on Certification of Physician Assistants (NCCPA), • Active CPR Certification, • Current enrollment in Medicare/Medicaid, • Must maintain a valid driver’s license and good driving record, • Geriatric training/experience, • Adaptability to differing weather conditions and patients’ home/residential environments, • Full range of body motion including handling/lifting patients. Manual and finger dexterity, eye-hand coordination, normal visual acuity, normal hearing, standing, bending, walking and stair climbing, • Regular lifting/carrying items weighing up to 50 pounds USD $85.00/Visit Posted Max Pay Rate USD $145.00/Visit Pay Transparency Individual compensation packages are based on various factors unique to each candidate, including skill set, experience, qualifications, and other job-related considerations.

Job DescriptionPartial REMOTE Full time Family Nurse Practitioner with PSL Student Loan Forgiveness, PENSION, 403B Retirement, M-F - NO Weekends! This Jobot Job is hosted by: Donna Gawroski-Kusik Are you a fit? Easy Apply now by clicking the "Apply Now" buttonand sending us your resume. Salary: $130,000 - $160,000 per year A bit about us: Highly respected full-service Health Center in Manhattan offering Primary Care as well as all Multi-specialty Health services treating complex and chronic health related illnesses for over 50+ years. The Health Center provides super affordable and comprehensive healthcare to all NYC metro residents and their families and has been recognized by the National Committee for Quality Assurance (NCQA) as a Patient Centered Medical Home providing best in class quality of care. Why join us? • PSLF Eligible: EIN: 135563408 (Personal (federal) Student Loan forgiveness program, • Pension Plan: 100% Employer Contribution to Pension Fund., • Health Insurance: Anthem Blue Cross Blue Shield., • Dental Insurance: Delta Dental, • Vision Insurance: Davis Vision, • Prescription drug benefits: OptumRx, • Flexible Spending Accounts (FSA): HealthEquity/WageWorks FSA and Dependent Care FSA. (, • Employee Assistance Program (EAP), • 403(b) with MetLife, • Vacation: 4 weeks, • Sick Leave: 12 days, • Personal Days: 4 days, • Holidays: 12 days including day after Thanksgiving and Christmas Eve, • Life Insurance: Amalgamated Life Insurance (100% paid by Employer, • Aflac, MassMutual, • Tuition Reimbursement: Up to $3,000 per year for degree and certificate granting programs., • License – (reimbursed in full - subject to supervisor’s approval), • Professional Membership - Up to $900, • Continuing Education – PCP-$2100 | SW-$800 | HR-$1000 | Nutrition-$700, • Employee Discounts: Various employee discounts available through Working Advantage, • Commuter Benefits: Pre-Tax savings available for transit and parking benefits with HealthEquity/WageWorks – (Immediate eligibility) Job Details We are hiring several Board-Certified Family Nurse Practitioners with active NY State Provider license in good standing who come with at least 1 year Provider experience in either Family Medicine, Internal Medicine, or Primary Care. Nurse Practitioner MUST be bilingual / Fluent in SPANISH language • Provider will provide direct patient care to all age ranges and will improve quality outcomes and patient satisfaction. The Provider will report to the Medical Director, and will collaboratively provide outstanding care to a multicultural patient population., • Scope of Responsibilities:, • Provider collaborates with Specialists that share the primary care clinic or work in nearby neighborhoods, • Provide a wide range of comprehensive primary care services to patients of all ages, performing physical exams, diagnosing and treating illnesses, prescribing medications, managing chronic conditions, and educating patients about healthy lifestyles., • Order and interpret diagnostic tests, develop treatment plans, and refer patients to specialists when needed., • Develop and implement treatment plans, prescribe medications, and manage chronic conditions like diabetes and hypertension., • Educate patients on preventative care, healthy lifestyle choices, and disease management., • Maintain accurate and up-to-date patient records, documenting medical history, assessments, diagnoses, and treatment plans., • Administer immunizations to prevent infectious diseases., • Participates in quality improvement efforts designed to improve clinical performance and maintain compliance, • A commitment to clinical interventions and delivery models that achieve the goals of population health and financial sustainability, • Contributes to the development of policies and standards of patient care by participating in committees., • Complies with company policies & procedures related to privacy and security of identifiable patient information (PHI), as explained in the HIPAA (Health Insurance Portability & Accountability Act) training., • Supports the stated goals and objectives of the Patient Centered Medical Home by working cooperatively with all clinical and non-clinical staff to develop procedures that enhance the Health Center’s team-based approach to patient care Interested in hearing more? Easy Apply now by clicking the "Apply Now" button. Jobot is an Equal Opportunity Employer. We provide an inclusive work environment that celebrates diversity and all qualified candidates receive consideration for employment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. Sometimes Jobot is required to perform background checks with your authorization. Jobot will consider qualified candidates with criminal histories in a manner consistent with any applicable federal, state, or local law regarding criminal backgrounds, including but not limited to the Los Angeles Fair Chance Initiative for Hiring and the San Francisco Fair Chance Ordinance.Company DescriptionJobot is on a mission to connect good people with good jobs. By combining AI-powered technology with the expertise of Jobot Pros, our experienced recruiters, we help you find career opportunities that align with your goals and values. Founded in 2018 and employee-owned since 2024, Jobot is committed to fostering a culture of kindness, respect, innovation, and connection. As an industry leader, we’ve been recognized as a top workplace by Forbes, Fortune, USA Today, and Staffing Industry Analysts (SIA). Ready to find a good job? Create your profile today at Jobot.com.

Job DescriptionOverview Essen Health Care is a growing community healthcare network that provides high quality, compassionate, and accessible medical care to some of the most vulnerable and under-served residents of New York State. Guided by a ‘population health’ model of care, Essen has five integrated clinical divisions offering services in primary & specialty offices, urgent care centers, and nursing homes, as well as house calls for home bound patients; all clinical services are also offered via telehealth. Our Care Management division supports patient-centered care through care coordination, complex care management and helping address health-related social needs. Founded in 1999, Essen provides care in all five boroughs of New York City, with a primary focus in the Bronx. Staffed by over 300 primary and specialty care physicians and advanced clinicians, Essen Health Care is one of the largest, most comprehensive private medical groups in New York City. Essen maintains a Clinical Information Services team that maintains our enterprise-wide electronic medical record system, data repository, clinical analytics and population health capabilities. Our Community Services teams creates and sustains relationship with community organizations and agencies and health plans. Essen is dedicated to ensuring the quality of care for all patients and has been designated ‘Level 3 Patient Centered Medical Home’ by the National Committee for Quality Assurance. Essen has won awards for its patient care innovations and recently launched Intention Health Ventures to develop and commercialize our technological innovations. Requirements Job Summary The Director of Population Health will provide strategic direction, leadership, and oversight of all population health initiatives within a large Integrated Delivery System (IDS). The incumbent will be responsible for the planning, development, and implementation of comprehensive population health, value-based care, and performance improvement programs. This includes oversight of HEDIS measures, care management, risk stratification, and utilization management to enhance care quality, promote cost savings, and improve patient outcomes. Responsibilities 1. Population Health Strategy & Program Development Develop and implement a system-wide strategy for population health management aligned with the organization’s mission, vision, and values. Lead the design and execution of innovative care delivery and value-based initiatives to support improved health outcomes and cost efficiency. Collaborate with senior leadership to set short- and long-term goals and performance metrics for population health, ensuring alignment with organizational strategy. 2. HEDIS Oversight and Quality Reporting Oversee the development, implementation, and monitoring of HEDIS-related processes to ensure the highest level of quality and compliance with regulatory requirements. Ensure accurate and timely data collection, reporting, and analysis for HEDIS, CMS Stars, and other quality measures. Identify performance gaps and drive improvement initiatives to enhance HEDIS performance across the organization. 3. Care Management and Coordination Provide leadership and direction for care management teams, including nurses, social workers, and care coordinators, to ensure effective care coordination for high-risk, high-cost patient populations. Implement risk stratification models and evidence-based care pathways to optimize patient outcomes and resource utilization. Ensure coordinated transitions of care, reduce readmissions, and improve patient engagement through strong interdepartmental collaboration. 4. Utilization Management Oversee utilization management activities, ensuring adherence to clinical guidelines and best practices to optimize care delivery and reduce unnecessary costs. Collaborate with providers, payers, and care teams to design and implement strategies to reduce avoidable hospital admissions, readmissions, and Emergency Department (ED) visits. Drive the utilization review process, establishing benchmarks and key performance indicators to monitor performance and identify improvement opportunities. 5. Data Analytics and Technology Integration Work closely with IT and Data Analytics teams to leverage population health management software and analytic tools for monitoring, trending, and forecasting clinical and financial outcomes. Utilize data-driven insights to identify population health trends, develop targeted interventions, and measure program effectiveness. Champion the use of electronic health records (EHR) to streamline care coordination, clinical documentation, and performance reporting. 6. Collaboration and Stakeholder Engagement Develop strong partnerships with physicians, clinical leaders, external healthcare organizations, community-based organizations, and payers to foster a culture of collaboration for population health initiatives. Serve as a subject matter expert for population health and value-based care, providing education, training, and guidance to internal stakeholders. Represent the organization in community forums, professional associations, and conferences to promote best practices in population health. 7. Regulatory Compliance and Accreditation Maintain current knowledge of federal, state, and local regulations and accreditation standards related to population health, quality, and value-based care. Ensure the organization’s compliance with regulatory requirements and accreditation standards (e.g., NCQA, CMS) related to population health and quality programs. Lead audits, accreditation processes, and quality improvement initiatives to meet and exceed compliance obligations. 8. Financial and Operational Management Develop and manage the budget for population health initiatives, ensuring cost-effectiveness and alignment with strategic priorities. Monitor financial performance and ROI for population health programs, implementing course corrections as needed. Identify and secure grants, partnerships, and other funding opportunities to support and expand population health efforts. 9. Leadership and Team Development Recruit, mentor, and retain high-performing population health and care management teams, fostering a culture of innovation and continuous learning. Provide leadership, coaching, and professional development opportunities to direct reports and cross-functional team members. Establish performance expectations and conduct regular performance evaluations, ensuring accountability and alignment with organizational goals. Qualifications 1. Education and Certification Master's degree in public health, Health Administration, Nursing, Business Administration, or a related field required. Clinical background (RN, MD/DO, or similar) preferred but not required. Certification in Population Health Management, Case Management, or Healthcare Quality (e.g., CPHQ, CCM) is highly desirable. 2.Experience: Minimum of 7–10 years of progressive leadership experience in population health, care management, or quality improvement within a large integrated delivery system or health plan. Demonstrated success in implementing and overseeing HEDIS, CMS Star Ratings, or other quality improvement programs. Proven track record of leveraging data analytics to drive strategic decisions, reduce costs, and improve clinical outcomes. Experience in leading interdisciplinary teams and managing complex, system-wide initiatives. 3. Knowledge and Skills: In-depth knowledge of population health principles, healthcare delivery models, and value-based care arrangements (e.g., ACOs, bundled payments, capitation). Familiarity with healthcare regulations, accrediting body standards (e.g., NCQA), and best practices in quality management and performance improvement. Exceptional analytical and problem-solving skills, with the ability to interpret complex data and implement evidence-based strategies. Strong leadership, communication, and interpersonal skills to inspire teamwork, influence stakeholders, and drive organizational change. Proficiency in Microsoft Office Suite, EHR systems, and population health management software. Benefits Equal Opportunity EmployerEssen Health care is proud to be an equal opportunity employer, and we seek candidates who desire to work in and serve an ethnically diverse population

Job Description Hi, we're Oscar. We're hiring a Manager, Vendor Clinical Policy to join our Clinical Policy team. Oscar is the first health insurance company built around a full stack technology platform and a focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family. About the role You will be a key member on our Clinical Policy team within the Office of Clinical Affairs (OCA). You will work regularly with cross-functional leaders to ensure our vended policy sets are driving affordability and clinical quality goals. You will oversee the clinical assessment of the policies themselves ensuring accuracy, and validating the vendor's process of development, maintenance, and implementation. You will report to the Senior Manager, Clinical Policy Development. Work Location: Oscar is a blended work culture where everyone, regardless of work type or location, feels connected to their teammates, our culture and our mission. This is a hybrid role in our New York City office. You will work part of the time in the office and part of the time remote / work-from-home. #LI-Hybrid Pay Transparency: The base pay for this role is: $131,200 - $172,200 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses. Responsibilities • Clinically evaluate vendor policy sets to ensure their development, and criteria meet internal and external standards for our medical policy, referencing standards of care, third-party criteria, and other sources., • Vet newly identified vendor policy sets for affordability opportunities taking into account various factors, including, but not limited to, policy & clinical departmental strategy & goals, and organizational strategy & goals., • Ensure vendor policy and processes are streamlined, standardized, and adhere to larger departmental strategy., • Work with cross functional partners to support affordability initiatives involving other types of policy from a clinical standpoint and by using subject matter expertise and business acumen to advise and provide recommendations across the organization., • Support areas of efficiency improvement, including in-housing analyses or projects., • Track all deliverables to ensure we are meeting SLAs and TAT. Develop SLAs and TAT where needed., • Prepare and present all materials for executive external view and feedback. Summarize changes and track evolution of vendor policy changes to support audit functions., • Responsible for high-complexity reviews that require extensive up-to-date industry expertise or contextual knowledge., • Develop an in-depth understanding of regulatory and quality requirements applicable to our programs., • Ensure processes and documentation are in place and in compliance with State, Federal and NCQA requirements., • Provide support on regulatory audits and quality accreditation surveys, as needed., • Compliance with all applicable laws and regulations, • Other duties as assignedQualifications, • Bachelor's degree (minimum) in a relevant field of study or 4+ years of commensurate experience - PA, NP, APRN, BSN, or RN required., • Active, unrestricted clinical license, • 4+ years of direct work experience with clinical policy development or evaluation, with an emphasis on health insurance policy., • 4+ years of work experience in utilization management and/or clinical operations., • 3+ years of experience communicating and presenting to stakeholders of all levels., • 2+ years of experience using Excel/Google Sheets and PowerPoint/Google Slides., • Working knowledge of medical coding (e.g. CPT, ICD-10, HCPCS) and claims.Bonus points, • Experience with commercial or ACA insurance., • Experience with Managed Care Regulatory & Compliance requirements., • Experience working in a fast-paced, collaborative environment., • Experience translating between clinical and business vocabularies., • Experience in clinical pathways. At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives. Pay Transparency: Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements. Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant's disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team () to make the need for an accommodation known. Artificial Intelligence (AI) Guidelines: Please see our AI Guidelines for the acceptable use of artificial intelligence during the interview process at Oscar. California Residents: For information about our collection, use, and disclosure of applicants' personal information as well as applicants' rights over their personal information, please see our Notice to Job Applicants.

The East Harlem Council for Human Services, Inc.The Medical Director position is based at the Boriken Neighborhood Health Center, a state-of-the-art Federally Qualified Health Center (FQHC) and NCQA-accredited Patient-Centered Medical Home in East Harlem offering comprehensive pediatric and adult pr

Job Description Description: Now Hiring: Licensed Practical Nurse (LPN) Location: Brooklyn, NY Be the Difference. Deliver Care with Compassion. At Brownsville Multi-Service Family Health Center (BMS), we believe health is more than the absence of illness—it's about wellness, dignity, and community. As an NCQA-recognized Patient-Centered Medical Home (PCMH) Level 3, we are committed to delivering integrated, person-centered care that treats the whole person. Join our mission-driven team and help us empower individuals and families in Brooklyn to achieve total health. About the Role We are looking for a caring, skilled, and committed Licensed Practical Nurse (LPN) to be part of our compassionate nursing team. As an LPN at BMS, you'll work under the direction of Registered Nurses and alongside medical providers to support patients through personalized, high-quality healthcare. You'll play a key role in care delivery, education, and patient advocacy across our five community sites. What You'll Do • Prepare patients for visits and ensure a smooth, efficient clinical workflow, • Assist physicians and mid-level providers with medical procedures, • Administer medications, vaccines, and treatments as ordered by providers, • Monitor patients and promptly report changes to RNs or providers, • Conduct patient education and counseling, and distribute health resources, • Make and follow up on internal and external referrals for specialty care, • Document all care activities in the Electronic Medical Record (EMR), • Support daily pre-visit planning alongside Patient Care Associates, • Maintain inventory of clinical supplies and secure medication storage, • Perform routine screening tests and assist with patient procedures, • Uphold infection control and HIPAA compliance standards, • Graduate of an accredited Practical Nursing program, • Current NYS License, Certification, and Registration as an LPN, • At least one year of experience in a clinical nursing role (preferred), • BCLS Certification, and completed Infection Control & Child Abuse training (required), • Bilingual in Spanish or Creole is a plus Diverse, Inclusive Workplace – We celebrate the communities we serve Benefits Include: -401K -Paid Time Off -CME Reimbursements -Eligible for the Public Service Loan Forgiveness (PSLF) program Apply Today ? Ready to take the next step in your nursing journey with purpose and passion? We want to hear from you. Send your resume and cover letter to Full-Time | Competitive Salary | Benefits Package Available Your care can change lives. Your compassion can uplift a community. Start your journey with BMS today. Requirements: Compensation details: 63000-74260 Yearly Salary PIc9a78ea5eec5-25405-38220484

Join an innovative team of physicians who are significantly improving access to care with a secure 1-4 month contract this winter.Try Telemedicine in the best possible environment - Doctor On Demand offers the Telemedicine App in the US; we are NCQA, HITRUST CFS, and ATA accredited; and our 100% vid

Job Description The Behavioral Health Physician UM Reviewer is responsible for conducting clinical reviews of behavioral health services to ensure medical necessity, appropriateness of care, and compliance with regulatory standards. This role collaborates closely with care management teams, providers, and payers to support effective utilization of behavioral health services and to promote high-quality, cost-effective treatment for members. We are currently seeking someone with licensure in New York. Key Responsibilities: * Review and evaluate behavioral health service requests for medical necessity based on evidence-based criteria (e.g., MCG, InterQual, ASAM). * Collaborate with clinical and non-clinical team members to support integrated care management. * Make determinations on service authorizations, denials, or the need for peer-to-peer discussions in alignment with organizational policies. * Participate in case conferences and interdepartmental rounds to support ongoing utilization management initiatives. * Ensure compliance with NCQA, URAC, CMS, and state/federal guidelines. * Provide clinical guidance and feedback to utilization review staff and care coordination teams. * Maintain documentation of all reviews and decisions in appropriate systems within required timeframes. * Support quality improvement initiatives and clinical policy development as needed. * Participate in audits and appeal processes related to utilization of review decisions. Qualifications: * MD or DO with current, unrestricted license to practice medicine in New York. * Board certification in Psychiatry or Child and Adolescent Psychiatry (required). * Minimum 5 years of clinical experience in behavioral health settings. * At least 2 years of experience in utilization management, care review, or health plan operations (preferred). * Familiarity with utilization review criteria, regulatory standards, and managed care principles. * Strong decision-making, analytical, and interpersonal communication skills. * Proficiency in EMR and UM platforms (e.g., Jiva or similar systems). Preferred Skills: * Experience with Medicaid, Medicare, or commercial insurance utilization review. * Knowledge of behavioral health treatment modalities including inpatient, outpatient, and substance use care. * Ability to work independently and as part of a multidisciplinary team. * Strong organizational and time management abilities.

NYC Health + Hospitals/Gotham Health, in collaboration with Physician Affiliate Group of New York (PAGNY) is seeking a compassionate and skilled physician leader to join our dynamic team at NYC Health + Hospitals/Gotham Health, Brooklyn as Associate Medical Director. Our dedicated team at NYC Health + Hospitals/Gotham Health, the largest Federally Qualified Health Center (FQHC) in the country, provides coordinated, full spectrum care for both children and adults using the best clinical practices and tools to manage patient health. As part of the largest public health care system in the country, NYC Health + Hospitals, we are also able to provide referrals to a vast network of hospitals, home care services, nursing homes and specialty care providers across the city. At each of our Gotham Health sites, we focus on a person-centered care culture that values delivering compassionate, quality healthcare in partnership with our patients, community organizations, and staff. We strive to deliver services in a way that maximizes each patient's opportunity to achieve successful health outcomes. We believe in every person's right to participate in their care plan, facilitate partnerships with other community resources to meet the needs of our patients beyond healthcare, and celebrate and recognize the compassionate care of our committed staff. Join our team if you want to be part of our Gotham Health Family, a person-centered, fully integrated, and innovative ambulatory care network that enables all New Yorkers to live their healthiest lives. The Mission of NYC Health + Hospitals is to extend equally to all New Yorkers, regardless of the ability to pay, comprehensive health services of the highest quality in an atmosphere of humane care, dignity, and respect. Their Values are built on a foundation of social and racial equity and has established the ICARE standards for all staff. NYC Health + Hospitals is the nation’s largest municipal healthcare delivery system in the United States. Dedicated to providing the highest quality health care services to all New Yorkers with compassion, dignity and respect, regardless of immigration status or ability to pay. Opportunity Details: Gotham Health, Brooklyn is a group of community-based practices located throughout North and East Brooklyn which are dedicated to providing high-quality, comprehensive and affordable primary care to every New Yorker regardless of ability to pay or immigration status, in the neighborhoods where our patients live and want to receive their care and in an atmosphere of humane care, dignity, and respect. Brooklyn sites include neighborhood health centers with a focus on Internal Medicine/Adult Primary Care, Pediatrics/Adolescent Health, and Women’s Health. Under the supervision of the Chief Medical Officer (CMO), Gotham Health and the Regional Medical Director for Gotham Health, Brooklyn, the Associate Medical Director for Gotham Health, Brooklyn would spend 50% of their time providing administrative oversight and support for the neighborhood health center sites under their purview and 50% of their time providing clinical care at one of those sites. Core Responsibilities: • Leads and implements the clinical direction for sites under their purview and in alignment with Regional and Gotham-wide strategic direction., • Participates in site management, operational, fiscal and clinical quality strategy development and implementation., • In partnership with the CMO and the Regional Medical Director, designs, implements, and evaluates ongoing medical/clinical protocols to be followed in the site’s clinical practice areas., • Ensures adequate provider staffing is available for all clinical sessions and works with site and regional leadership in anticipation of future shortfalls. Addresses site provider needs and assists in Provider Staffing Plan and provider scheduling, as appropriate., • Helps to onboard, train, coach, and supervise providers under their direct supervision, in coordination with the Regional Medical Director and CMO; works with HR-Talent Acquisition and affiliate HR to recruit, screen and hire new providers under the direction of the CMO., • Monitors providers’ performance on key measures related to productivity and ensures provision of high quality of services., • Coaches and supports providers to meet productivity and Quality Measure targets and goals., • Monitors provider and site performance on Care Gap and Value-based payment (VBP) metrics and works with site care teams to identify gaps and implement solutions to drive improvement., • Completes annual performance evaluation for direct reports., • Participates in the Credentialing and Peer Review Committee(s) and related processes and maintains the confidentiality inherent to these processes., • Participates in Quality improvement committee, performs chart reviews, and implements performance improvement programs., • Builds and leverages cross-functional collaborative relationships with other North Brooklyn, Gotham and NYC H+H sites to achieve shared goals and standardization., • Maintains strong and current knowledge of evidence-based practice and appropriate licensure., • Coordinates with Supervisor of Nursing and Practice managers on related nursing needs and clinical/operational workflows., • Communicates effectively with all levels of staff; creates and maintains effective interpersonal relationships; consistently utilizes and facilitates strategies to encourage collaborative problem solving and decision making., • Onsite presence required for performance of all work duties., • 50% Administrative and 50% Direct Patient/Clinical care responsibilities. Qualifications: • Board Certification in a medical specialty (Internal or Family Medicine, preferred)., • Current DEA registration (all schedules) and a minimum of a BLS certificate., • Competency in providing evaluation and treatment in ambulatory care., • Exhibits a high level of professionalism., • Experience in Federally Qualified Health Centers and/or an NCQA recognized Patient Centered Medical Home is preferred., • Working knowledge of state of the art medical scientific and treatment methods in area of specialty., • Understanding of current medical, educational, and psychosocial intervention procedures., • Ability to perform clinical duties within established guidelines in an organized, efficient manner., • Ability to relate and communicate well to all cultural and ethnic groups in the community including fluency in written and spoken English., • Ability to complete and maintain records in accordance with procedures utilizing an electronic health record system., • General computer skills in Microsoft Office programs (Word, Excel, etc.) and patient medical record system(s). Wages and Benefits include: Annual Base Salary: $244,000* based on a 40-hour work week. The annual total value of compensation package is estimated at $268,400**, which includes the baseline salary, 401(k) contribution, and other factors as set forth below: • 401(k) Company Contribution (subject to IRS contribution limits):, • Employees are immediately vested in a 3% company contribution of base earnings. No employee match is required., • After one year of service, employees receive an additional 7% company contribution of base earnings. No employee match is required., • Annual Continuing Medical Education (CME) Reimbursement., • Generous Annual Paid Time Off (PTO): Vacation, Sick, Holiday, and CME days., • Medical, Prescription, and Dental Coverage: Top-tier plans with employee contributions significantly below market rates., • Life Insurance and Accidental Death and Dismemberment (AD&D) Coverage: Equal to 2x your salary (up to a maximum of $300,000) provided at no cost to you., • Additional employee-paid Voluntary Life and AD&D coverage is available for you and your family., • Loan Forgiveness: Position may be eligible for loan forgiveness through certain state or federal programs., • Medical Malpractice Coverage (equivalent to occurrence-based): Provided at no cost to the employee., • Healthcare and Dependent Care Flexible Spending Accounts (FSAs)., • Pre-tax employee-paid contributions for commuting expenses. Physician Affiliate Group of New York, P.C. (PAGNY) mission is to provide accountable, responsive, quality care with the highest degree of sensitivity to the needs of the diverse population that lives in our New York community. PAGNY is one of the largest physician groups in the country and directly employs nearly 4,000 physicians and allied health professionals who provide services to NYC Health + Hospitals, the largest municipal health care system in the nation serving more than a million New Yorkers annually. Our providers are highly skilled professionals with outstanding credentials who deliver the highest level of quality healthcare to patients throughout New York City. Physician Affiliate Group of New York, P.C. (PAGNY) is an equal opportunity and affirmative action employer committed to diversity and inclusion in all aspects of recruiting and employment. We are committed to fostering an inclusive environment where everyone feels valued and respected. Our policies ensure equal opportunities for all. Learn more about our initiatives by visiting our Diversity, Equity, and Inclusion page. *Salary Disclosure Information: The annual base salary listed complies with the New York City law on Salary Transparency in Job Advertisements. The annual base salary listed is for full-time employment and does not include bonuses/incentive compensation or benefits. Actual total compensation depends on many factors, including experience, specialties, historical productivity, and historical collections. **The annual total value of the compensation package shown is provided as an illustration and is not guaranteed.

Recognized as NCQA Level 3 PCMH since 2014- Dedicated Children's Hospital- Highly educated patient base with high standards- All patients are seen by physicians - not mid-level- Practice owner is a BC developmental and behavioral pediatricianOur ideal candidate will:- A minimum of one year experienc

Union Community Health Center, Inc. • FT/PT, • Hours: 40 Hours Weekly, • Employed, • New Graduates, • Average Patients seen: 18, • Call Schedule: No Call, • Loan Repayment, • Compensation: - Base Salary Ranging from $190,000 - $230,000- Negotiable Based on Experience, • Benefits: - 4 weeks PTO - Health - Vision - Dental - Retirement - 403b - Short Term Disability - Long Term Disability - Life Insurance - Loan Repayment through NHSC - CME 5 days a year with a $1,500 Allowance, • Additional Info: Union Community Health Center has been caring for residents of the Bronx for over 100 years. Today we are recognized as an award-winning leader among NYS health centers, providing the highest level of quality, affordable health care.- Federally Qualified Health Center providing family-oriented health care services from six (6) locations throughout the Bronx.- Practice in an NCQA Level 3 PCMH community-based practice.-Ranked in the 97th percentile by HRSA for clinical, financial, and regulatory performance.- We are seeking candidates that are wanting to grow within an organization.- Close to the Bronx Park, the New York Botanical Gardens, and the Bronx Zoo.- Work and live in a thriving urban setting only 45 minutes from New York City.- PREFERRED: Ideal candidates will have 3+ years of experience. Knowledge of fluent or medical Spanish a plus.

The HIV Specialist/Family Practice-With OB position is based at the Boriken Neighborhood Health Center, a state-of-the-art Federally Qualified Health Center (FQHC) and NCQA-accredited Patient-Centered Medical Home in East Harlem offering comprehensive pediatric and adult primary care, specialty care

HIV SPECIALIST/INTERNAL MEDICINE (MD) The HIV Specialist/Internal Medicine position is based at the Boriken Neighborhood Health Center, a state-of-the-art Federally Qualified Health Center (FQHC) and NCQA-accredited Patient-Centered Medical Home in East Harlem offering comprehensive pediatric and ad

Responsible for managing the Quality Execution Team, to drive identification and execution of initiatives to increase EmblemHealth's quality ratings (Medicare Stars, Quality Incentive Awards, Quality Rankings, Accreditation Status) and ensure compliance with NCQA, state and federal regulations and r

Join a 20 year old private practice with 40 Primary Care Providers and 16 Specialists in 2 offices.Full service, multi-specialty medical center and NCQA level III Patient Centered Medical Home.Patient ages 10 year to geriatrics.Office lab, x-ray and full imaging services in house including ultrasoun

Represent provider network management in all enterprise compliance and regulatory activities such as the monthly compliance committee, regulatory compliance committee, and NCQA accreditation; leading and implementing any and all initiatives impacting provider network management. Lead the operational

Document each patient visit in accordance with NCQA standards.

Job DescriptionCardiology Nurse Practitioner/ Physician Assistant Location: Oceanside, NY Schedule: Full-Time (5 days per week) Salary: $150,000.00 - $200,000.00 About Infinite Medical P.C. Infinite Medical P.C. is a nationwide network of advanced practice providers and specialty clinicians committed to delivering high-quality, proactive care directly to residents in skilled nursing and long-term care facilities. Our partnership with MedElite Healthcare Management Group empowers us to focus on what matters most: providing compassionate, personalized care that meets the unique needs of each resident. Together, we champion continuous innovation and collaboration in our shared mission to redefine senior care across the country. Job Summary We are seeking a friendly and compassionate Cardiology Nurse Practitioner or Physician Assistant to join our team. As a Cardiology Nurse Practitioner/Physician Assistant, you will play a crucial role in providing comprehensive care to patients with heart-related conditions. This is an exciting opportunity to make a difference in the lives of patients while working alongside a dedicated team of healthcare professionals. . Responsibilities • Perform comprehensive patient assessments, including physical examinations, medical histories, and diagnostic tests, • Collaborate with cardiologists to develop and implement treatment plans for patients with cardiovascular conditions, • Administer medications, monitor patient responses, and adjust treatment plans as necessary, • Conduct cardiac stress tests, electrocardiograms (EKGs), and other diagnostic procedures, • Educate patients and their families about cardiovascular health, preventive measures, and the importance of medication adherence, • Provide counseling and emotional support to patients and their families, • Knowledge of CMS Regulations and NCQA HEDIS Guidelines, • Document accurate medical records to ensure compliance with OSHA and Government regulations and perform duties in accordance with site quality and safety systems, • Collaborate with the interdisciplinary team, • Analyze and organize the care of critically complex patientsRequirements, • Minimum 6 months of experience in long-term care or a skilled nursing facility, • Active and unrestricted Nurse Practitioner, Physician Assistant, or Physician license, • DEA License, • CPR BCLS/BLS certified, • Must hold a Master's Degree in Nursing, • Completed a degree from an accredited Nurse Practitioner program, • Preferred experience in cardiology: training provided, • Preferred experience in Documenting EMR (Sigma, Visual, PCC, etc.): training provided, • Competitive salary: $150,000.00 - $200,000.00, • Health, • Dental, • Vision, • 401K, • Company-Sponsored Life Insurance, • Paid Time Off, • Malpractice Insurance, • Paid subscription to Up-to-dateWhy Work With Us?, • Make a meaningful impact on the lives of seniors, • Work in a collaborative, mission-driven environment The above-noted job description is not intended to describe, in detail, the multitude of tasks that may be assigned but rather to give the applicant a general sense of the responsibilities and expectations of this position. As the nature of business demands change so, too, may the essential functions of the position. Ready to Make a Difference? Apply today and help us deliver compassionate, personalized care where it matters most.

Job Description Chief Medical Officer (CMO) Brooklyn, NY 325 - 400k Summary The Chief Medical Officer (CMO) reports to the CEO; leads all clinical operations, quality initiatives, and medical staff. Ensures patient-centered, high-quality care. Chairs the Quality Assurance Committee. Key Responsibilities Clinical Leadership & Strategy * Lead and mentor clinical team; foster accountability and excellence * Oversee onboarding, training, and performance of providers * Develop and enforce clinical protocols, workflows, and policies * Supervise and evaluate NP/PAs; precept clinical trainees * Conduct audits and lead retraining on documentation and follow-ups * Coordinate recruitment, credentialing, and professional development * Maintain liaisons with hospitals and other health partners * Participate in management team and provider staff meetings Quality Improvement & Compliance * Ensure compliance with NYS DOH, HRSA, NCQA, and other regulators * Lead Quality Assurance Committee and oversee QA/QI plan * Monitor UDS measures, patient safety, satisfaction, and grievances * Conduct clinical audits; manage risk assessments and corrective actions * Serve as clinical lead during audits and ensure CLIA/FTCA/OSV compliance * Evaluate patient programs and lead community health needs assessments Operations & Staffing * Collaborate with COO on patient flow and wait time improvements * Monitor provider productivity and recommend efficiency strategies * Set call schedules; recommend medical equipment purchases * Act as liaison between providers and administration Governance & Reporting * Report clinical performance and compliance to CEO and Board * Support PCMH accreditation and participate in strategic planning Clinical Practice * Provide direct patient care, including preventive and chronic care * Maintain thorough, timely documentation * Participate in call coverage Qualifications * MD or DO; board-certified in a primary care specialty * Licensed to practice in New York State * Minimum 5 years of leadership experience To apply send resume to:

Job DescriptionCardiology Nurse Practitioner/ Physician Assistant Location: Brooklyn, NY Schedule: Full-Time (5 days per week) Salary: $150,000.00 - $200,000.00 About Infinite Medical P.C. Infinite Medical P.C. is a nationwide network of advanced practice providers and specialty clinicians committed to delivering high-quality, proactive care directly to residents in skilled nursing and long-term care facilities. Our partnership with MedElite Healthcare Management Group empowers us to focus on what matters most: providing compassionate, personalized care that meets the unique needs of each resident. Together, we champion continuous innovation and collaboration in our shared mission to redefine senior care across the country. Job Summary We are seeking a friendly and compassionate Cardiology Nurse Practitioner or Physician Assistant to join our team. As a Cardiology Nurse Practitioner/Physician Assistant, you will play a crucial role in providing comprehensive care to patients with heart-related conditions. This is an exciting opportunity to make a difference in the lives of patients while working alongside a dedicated team of healthcare professionals. Responsibilities Perform comprehensive patient assessments, including physical examinations, medical histories, and diagnostic tests • Collaborate with cardiologists to develop and implement treatment plans for patients with cardiovascular conditions, • Administer medications, monitor patient responses, and adjust treatment plans as necessary, • Conduct cardiac stress tests, electrocardiograms (EKGs), and other diagnostic procedures, • Educate patients and their families about cardiovascular health, preventive measures, and the importance of medication adherence, • Provide counseling and emotional support to patients and their families, • Medication Management: NPs/PAs ensure residents receive the appropriate medications, monitor for side effects, and adjust dosages as needed. Chronic Disease Management: They provide ongoing care for residents with chronic conditions such as diabetes, heart disease, and dementia, helping to manage symptoms and improve quality of life., • Wound Care: NPs/PAs are skilled in wound assessment and treatment, promoting healing and preventing complications., • Fall Prevention: They identify residents at risk for falls and implement strategies to reduce fall incidents., • Knowledge of CMS Regulations and NCQA HEDIS Guidelines, • Document accurate medical records to ensure compliance with OSHA and government regulations and perform duties in accordance with site quality and safety systems, • Collaborate with the interdisciplinary team, • Analyze and organize the care of critically complex patients Requirements, • Minimum 6 months of experience in long-term care or a skilled nursing facility, • Active and unrestricted Nurse Practitioner, Physician Assistant, or Physician license, • DEA License CPR BCLS/BLS certified, • Must hold a Master's Degree in Nursing, • Completed degree from an accredited Nurse Practitioner program, • Preferred experience in cardiology: training provided, • Competitive salary: $150,000.00 - $200,000.00, • Health, • Dental, • Vision, • 401K, • Company-Sponsored Life Insurance, • Student Loan Repayment Program, • Paid subscription to Up-to-date, • Paid Time Off, • Malpractice Insurance Why Work With Us? • Make a meaningful impact on the lives of seniors, • Work in a collaborative, mission-driven environment The above-noted job description is not intended to describe, in detail, the multitude of tasks that may be assigned but rather to give the applicant a general sense of the responsibilities and expectations of this position. As the nature of business demands change so, too, may the essential functions of the position. Ready to Make a Difference? Apply today and help us deliver compassionate, personalized care where it matters most.

Monitors monthly, as assigned by medical director: Provider Productivity, Provider Quality Performance (Peer Review and Clinical Registries), Provider Evaluation at practice sites, Regulatory Compliance of the practice sites (Joint Commission, NCQA). Communicates with their supervising regional medi

Job Description Why Join Care Medical Practice? Care Medical Practice is a provider-led, community-based health and care partner dedicated to improving the health and well-being of those who need care the most, with a deep commitment to high-needs, urban and rural communities. Our local physicians, nurses, and caregivers work together to serve people and the communities they live in, beyond just treating symptoms. We remove barriers by delivering personalized care as close to home as possible, often in-home, because we know a deep understanding of our patient’s race, culture, and environment is critical to delivering improved health outcomes. By empowering patients, providers, and caregivers with the support they need, we strive to make health and care a reality—not a burden—every single day. Join us in creating a better way to care. Position Overview The Family Nurse Practitioner (FNP) at Care Medical Practice PLLC plays a pivotal role in delivering comprehensive primary care to patients across the lifespan—from pediatrics to geriatrics. Reporting to the Medical Director, the FNP provides clinical leadership and direct care services that reflect a deep commitment to health equity and quality outcomes. This role blends independent clinical judgment with care coordination expertise, with an emphasis on preventative care, chronic disease management, and patient empowerment in both in-office and community-based settings. Key Responsibilities As a Family Nurse Practitioner, you will be responsible for: Patient Assessment, Diagnosis & Treatment • Conducting comprehensive physical examinations of pediatric and adult patients, including reviewing medical histories and performing focused assessments., • Ordering and interpreting diagnostic tests (e.g., laboratory panels, X-rays, ultrasounds) to aid in clinical decision-making., • Diagnosing and managing a broad range of acute and chronic conditions, incorporating evidence-based best practices., • Prescribing medications and treatments in accordance with New York State regulations and care protocols., • Providing routine and preventive care services, including immunizations, screenings, and health counseling., • Delivering patient and family education related to disease management, epidemic awareness, and health promotion., • Collaborating with physicians, behavioral health, nursing staff, and community stakeholders to coordinate care for complex cases., • Supporting performance on quality measures such as HEDIS, CMS Star Ratings, and NCQA standards through proactive gap closure and documentation., • Maintaining accurate and timely documentation in the Electronic Medical Record (EMR) and other reporting systems., • Participating in audits, research initiatives, and continuous learning to advance clinical practice and improve outcomes. Leadership: The FNP will contribute clinical and strategic leadership within the practice to ensure an integrated approach to patient care, reflecting innovation, compassion, and accountability. Strategy: The FNP will help guide practice growth and clinical model design by identifying emerging health trends and proposing strategies that align with Care Medical Practice’s goals for high-quality, sustainable care delivery. Collaboration: The FNP will work cross-functionally with operational, administrative, and community-based teams to ensure a coordinated and effective care ecosystem. Knowledge: The FNP brings advanced clinical expertise in primary care for pediatric and adult populations and contributes to practice protocols, peer development, and patient engagement strategies. Culture: The FNP will help foster an inclusive, collaborative, and high-performance team environment centered around Care Medical Practice’s values of equity, compassion, and innovation. Required Qualifications • Education:, • Current, unrestricted NP or PA license to practice in New York State., • Graduate of an accredited Physician Assistant program or Nurse Practitioner program required., • Board Certification from ANCC or AANP (Nurse Practitioner) or NCCPA (Physician’s Assistant)., • Prescriptive authority/authorization in the State of New York including the ability to obtain DEA controlled substance registration. Financial Well-being • Competitive Compensation: We offer competitive salaries to attract and retain the best talent., • Comprehensive Medical Plan: We proudly offer a comprehensive medical option with an employer contribution., • Dental & Vision Coverage: Maintain your oral and eye health with our employer-paid dental and vision plans via MetLife., • Employer-Paid Insurance: Life, Short-Term Disability (STD), and Long-Term Disability (LTD) insurance are provided at no cost to you., • Continuing Medical Education (CME) Allowance for Providers: Stay at the forefront of your field with our CME allowance., • Commuter Benefits: Save on your commute with our commuter benefits program. This position requires on-site work. The job is performed indoors in a traditional office setting with conditioned air, artificial light, and an open workspace. In this position you will need an ability to work onsite, communicate with customers, vendors, management, and other co-workers in person and over devices, sometimes with people who are agitated. Regular use of the telephone and e-mail for communication is essential. Sitting for extended periods is common. Must be able to receive ordinary information and to prepare or inspect documents. Lifting up to 10 lbs. occasionally may be required. Good manual dexterity for the use of common office equipment such as computer terminals, calculators, copiers, and FAX machines. Good reasoning ability is important. Able to understand and utilize management reports, memos, and other documents to conduct business. Equal Opportunity & Reasonable Accommodation Statement Care Medical Practice is an Equal Opportunity Employer committed to creating an inclusive environment for all employees. We provide equal employment opportunities to all individuals regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other protected characteristic under applicable law. If you require a reasonable accommodation during the application or employment process, please indicate this in your application or speak with your recruiter during the hiring process. Disclaimer This job description is intended to describe the general nature and level of work being performed. It is not intended to be an exhaustive list of all responsibilities, duties, and skills required. Management reserves the right to modify, add, or remove duties as necessary.

Job DescriptionAbout UsNourish is on a mission to improve people's health by making it easy to eat well. Nutrition-related chronic disease is the largest and most overlooked crisis in the world. Food can be medicine: working with a Registered Dietitian is one of the most effective interventions available, but <1% of eligible Americans use their covered benefits.Nourish is building an AI-native, patient-friendly healthcare system centered on nutrition that improves outcomes, lowers costs, and helps people live healthier, longer lives. We launched three years ago, are live in all 50 states, and already have thousands of dietitians and hundreds of thousands of patients on the platform.We are growing quickly, have partnered with national health insurance companies and provider groups, and have raised $115M from top-tier VCs including JP Morgan Growth Equity, Thrive Capital, Index Ventures, Y Combinator, Maverick Ventures, Box Group, Atomico, G Squared, and Pinegrove Venture Partners. Our angel investors include world-class healthcare founders from Oscar, Rightway Health, Headway, Spring Health, and Alto Pharmacy, as well as soccer star Alex Morgan and the founders from Olipop and Notion.Learn more about us here and read about our recent Series B here.About the Role Reporting to our Credentialing Lead, the Credentialing Associate will support all credentialing operations at Nourish, including assisting with day-to-day tasks, maintaining and optimizing workflows, developing net-new processes as we expand into new payers and functions, and helping to ensure the credentialing process runs smoothly. This role is critical for many of Nourish's core operations; you'll get the chance to work cross-functionally with our RCM, Payer Ops, Clinical Ops, and Customer Experience teams. The work you do will positively impact all stakeholders at Nourish—our patients (ensuring they get the life-changing care they need), our dietitians (providing a seamless credentialing experience), our payers, and more. This role is full-time and open to fully remote or in Nourish's NYC office in the heart of Union Square. Key Responsibilities: • Own the end-to-end cycle completion of credentialing applications for new and/existing providers under our contracts, ensuring all requirements are met for successful enrollment., • Assist in building NCQA compliant ongoing monitoring and delegation programs for the Nourish network of RDs., • Support efforts to streamline existing credentialing processes by providing suggestions for automation or new tools, optimizing individual steps, and ensuring smooth workflows., • Develop SOPs (detailed guides) for new payer contracts (detailed guides) and other credentialing processes, and own the implementation across the team.., • Collaborate with team members to prioritize tasks and meet deadlines for application execution and follow-ups. Assist in managing/uptraining our contract credentialing team., • Help track credentialing metrics and report on progress, roadblocks, and other updates; provide suggestions on how to make our reporting more robust & actionable., • Provide direct support to our dietitians and payers, and own/manage all RD credentialing communications Assist in managing RD and payer inquiries, • Communicate effectively with cross-functional teams to share updates, reprioritize work, and gather input as needed..We'd love to hear from you if:, • You have 5+ years of experience in a credentialing and/or provider enrollment role., • You are familiar with credentialing processes and payer and accreditation requirements., • You are an effective communicator and enjoy collaborating with people across different roles and teams.You are meticulously organized and detail-oriented., • You are tech-savvy and open to learning and using new technologies., • You are flexible and adaptable when facing new challenges and circumstances., • You're proactive and eager to learn. You seek opportunities to take ownership of tasks and enjoy problem-solving when challenges arise. Please note that you must be legally authorized to work in the U.S. for this position. #LI-REMOTE #LI-HYBRID

Job Description General Description The Physician is responsible for managing and organizing multiple operations of the practice. Daily responsibilities may include: · Patient Care · Responsible for training clinical staff · Manage vendor relationships · Coordinating all office workflows and patient information · Share data reports, practice financial information and other relevant information with physicians on an on-going basis · Oversee the Medical Supplies/Vaccines ordering · Oversee the NCQA Patient Centered Medical Home application process and contribute as needed · Responsible for maintaining NCQA standards and guidelines practice-wide · Responsible for identifying ad-hoc projects for the practice and/or recognition programs · Become Meaningful Use expert and train staff · Run reports as needed and set goals (registry reports for population management policy, Quality Measures data reports & MAQ dashboard reports) · Incorporate patient portal into the practice, assign roles, adjust workflows, train staff · To sign or close all documents, actions or encounters daily · Bilingual (English and Spanish) work experience / qualifications • Pediatrics residency/primary care experience, • Computer proficiency, • Customer service skills, • Excellent oral and written communication skills, • Experience managing staff, • Budget/Financial expertise a plus education requirements • MD/Board certified Bilingual : Spanish and English Company DescriptionPediatrics officePediatrics office

Job Description The Director of Quality is responsible for developing, implementing, and maintaining a comprehensive quality improvement (QI) and performance management program for the Federally Qualified Health Center (FQHC). This role ensures compliance with HRSA requirements, NCQA Patient-Centered Medical Home (PCMH) standards, UDS reporting, and other regulatory or accreditation bodies, while fostering a culture of continuous improvement in clinical, operational, and patient experience outcomes. RESPONSIBILITIES: • Directly supervises the Quality Coordinators., • Develops Quality Assurance policies to ensure successful implementation of improvement standards., • Serves as the primary liaison between JPA and Managed Care Organizations (MCOs), representing the organization in all quality-related engagements and ensuring active participation in MCO quality meetings. Assesses patient medical records to ensure compliance with established quality standards., • Coordinates and ensures timely completion of the quarterly provider peer review cycle., • Conduct on-site visits to monitor and assess the implementation of QA/QI activities, including pre-visit planning and daily huddles., • Aggregates statistical quality assurance data, develops comprehensive narrative reports, and partners with clinical informatics specialists to support data-driven improvements., • Collaborates with the CMO to revise the Quality Assurance and Utilization Review plan in accordance with HRSA guidelines., • Coordinates recurring QI/QA meetings with the Quality Coordinators and Department Leads, manages meeting coordination, records minutes, tracks participation, and ensures timely follow-up on all assigned tasks and activities., • Monitor and track performance on HEDIS and other quality measures across payer contracts., • Identify and prioritize care gaps in collaboration with clinical and operational teams., • Develop and implement strategies to close care gaps, including outreach campaigns, provider engagement, and patient education., • Collaborate with clinical teams, payors, and population health staff to align quality improvement efforts with value-based care goals. Maintain up-to-date knowledge of CMS, NCQA, and payer-specific quality measure requirements., • Assist in the reporting and analysis of quality metrics to identify trends, disparities, and opportunities for improvement., • Coordinate with IT and analytics teams to ensure accurate and timely data capture and reporting., • Support the preparation of documentation and evidence for HEDIS audits and external reviews., • Contribute to quality improvement initiatives, such as PDSA cycles, root cause analyses, and performance dashboards. Education: • Bachelor’s degree in healthcare administration, public health, Nursing, or related field required., • Master's degree in public health, Healthcare Administration, or related field preferred., • A licensed Registered Nurse (RN) or Nurse Practitioner (NP) with a strong background in healthcare quality improvement will also be considered in lieu of a master’s degree. Experience: • Minimum 5 years of progressively responsible experience in healthcare quality or performance improvement, preferably in a community health center or FQHC setting., • Strong working knowledge of HRSA, UDS, NCQA PCMH, and related regulatory requirements. Skills: • Demonstrated ability to lead quality initiatives and manage cross-functional teams., • Proficiency in data analysis and quality improvement tools (e.g., Excel, EHR reporting, QI methodologies). Excellent verbal and written communication skills., • Experience with risk management, clinical compliance, and patient safety programs is a plus. Working Conditions: • Primarily office-based with some travel between clinical sites., • May require occasional evenings or weekends for meetings or training. Why Join Us: Be part of a mission-driven organization focused on improving patient outcomes and advancing health equity. Collaborate with cross-functional teams to shape the future of value-based care. Opportunities for growth and professional development in a dynamic healthcare environment.

Job Description The Director of Population Health will provide strategic direction, leadership, and oversight of all population health initiatives within a large Integrated Delivery System (IDS). The incumbent will be responsible for the planning, development, and implementation of comprehensive population health, value-based care, and performance improvement programs. This includes oversight of HEDIS measures, care management, risk stratification, and utilization management to enhance care quality, promote cost savings, and improve patient outcomes. 1. Population Health Strategy & Program Development • Develop and implement a system-wide strategy for population health management aligned with the organization’s mission, vision, and values., • Lead the design and execution of innovative care delivery and value-based initiatives to support improved health outcomes and cost efficiency., • Collaborate with senior leadership to set short- and long-term goals and performance metrics for population health, ensuring alignment with organizational strategy. 2. HEDIS Oversight and Quality Reporting • Oversee the development, implementation, and monitoring of HEDIS-related processes to ensure the highest level of quality and compliance with regulatory requirements., • Ensure accurate and timely data collection, reporting, and analysis for HEDIS, CMS Stars, and other quality measures., • Identify performance gaps and drive improvement initiatives to enhance HEDIS performance across the organization. 3. Care Management and Coordination • Provide leadership and direction for care management teams, including nurses, social workers, and care coordinators, to ensure effective care coordination for high-risk, high-cost patient populations., • Implement risk stratification models and evidence-based care pathways to optimize patient outcomes and resource utilization., • Ensure coordinated transitions of care, reduce readmissions and improve patient engagement through strong interdepartmental collaboration. 4. Utilization Management • Oversee utilization management activities, ensuring adherence to clinical guidelines and best practices to optimize care delivery and reduce unnecessary costs., • Collaborate with providers, payers, and care teams to design and implement strategies to reduce avoidable hospital admissions, readmissions, and Emergency Department (ED) visits., • Drive the utilization review process, establishing benchmarks and key performance indicators to monitor performance and identify improvement opportunities. 5. Data Analytics and Technology Integration • Work closely with IT and Data Analytics teams to leverage population health management software and analytic tools for monitoring, trending, and forecasting clinical and financial outcomes., • Utilize data-driven insights to identify population health trends, develop targeted interventions, and measure program effectiveness., • Champion the use of electronic health records (EHR) to streamline care coordination, clinical documentation, and performance reporting. 6. Collaboration and Stakeholder Engagement • Develop strong partnerships with physicians, clinical leaders, external healthcare organizations, community-based organizations, and payers to foster a culture of collaboration for population health initiatives., • Serve as a subject matter expert for population health and value-based care, providing education, training, and guidance to internal stakeholders., • Represent the organization in community forums, professional associations, and conferences to promote best practices in population health. 7. Regulatory Compliance and Accreditation • Maintain current knowledge of federal, state, and local regulations and accreditation standards related to population health, quality, and value-based care., • Ensure the organization’s compliance with regulatory requirements and accreditation standards (e.g., NCQA, CMS) related to population health and quality programs., • Lead audits, accreditation processes, and quality improvement initiatives to meet and exceed compliance obligations. 8. Financial and Operational Management • Develop and manage the budget for population health initiatives, ensuring cost-effectiveness and alignment with strategic priorities., • Monitor financial performance and ROI for population health programs, implementing course corrections as needed., • Identify and secure grants, partnerships, and other funding opportunities to support and expand population health efforts. 9. Leadership and Team Development • Recruit, mentor, and retain high-performing population health and care management teams, fostering a culture of innovation and continuous learning., • Provide leadership, coaching, and professional development opportunities to direct reports and cross-functional team members., • Establish performance expectations and conduct regular performance evaluations, ensuring accountability and alignment with organizational goals. 1. Education and Certification • Master's degree in public health, Health Administration, Nursing, Business Administration, or a related field required., • Clinical background (RN, MD/DO, or similar) preferred but not required., • Certification in Population Health Management, Case Management, or Healthcare Quality (e.g., CPHQ, CCM) is highly desirable. 2. Experience: • Minimum of 7–10 years of progressive leadership experience in population health, care management, or quality improvement within a large integrated delivery system or health plan., • Demonstrated success in implementing and overseeing HEDIS, CMS Star Ratings, or other quality improvement programs., • Proven track record of leveraging data analytics to drive strategic decisions, reduce costs, and improve clinical outcomes., • Experience in leading interdisciplinary teams and managing complex, system-wide initiatives. 3. Knowledge and Skills: • In-depth knowledge of population health principles, healthcare delivery models, and value-based care arrangements (e.g., ACOs, bundled payments, capitation)., • Familiarity with healthcare regulations, accrediting body standards (e.g., NCQA), and best practices in quality management and performance improvement., • Exceptional analytical and problem-solving skills, with the ability to interpret complex data and implement evidence-based strategies., • Strong leadership, communication, and interpersonal skills to inspire teamwork, influence stakeholders, and drive organizational change., • Proficiency in Microsoft Office Suite, EHR systems, and population health management software., • Working Conditions and Physical Requirements, • Primarily an office-based role with occasional travel to hospitals, outpatient clinics, and community sites within the IDS., • Must be able to operate standard office equipment (computer, phone, copier, etc.). As the largest privately held multispecialty medical group in the Bronx, we provide high-quality, compassionate, and accessible medical care to some of the most vulnerable and under-served residents of New York State. Guided by a Population Health model of care, Essen has five integrated clinical divisions offering urgent care, primary care, and specialty services, as well as nursing home staffing and care management. Founded in 1999, our over 20-year commitment has fueled an unwavering dedication toward innovating a better healthcare delivery system. Essen has expanded from a single primary care office to an umbrella organization offering specialties from women’s health to endocrinology, from psychiatry to a vast array of other specialties. All clinical services are offered via telehealth or in-person at over 35 medical offices and at home through the Essen House Calls program. Essen Health Care is the place Where Care Comes Together! We are looking for the most talented and effective individuals to join our rapidly growing company. With over 1,100 employees and 400+ Practitioners, we care for over 250,000 patients annually in New York City and beyond. From medical providers to administration & operational staff, there is a career here for you. Join our team today!At Essen Health Care, we care for that! \r\n\r\nAs the largest privately held multispecialty medical group in the Bronx, we provide high-quality, compassionate, and accessible medical care to some of the most vulnerable and under-served residents of New York State. Guided by a Population Health model of care, Essen has five integrated clinical divisions offering urgent care, primary care, and specialty services, as well as nursing home staffing and care management. Founded in 1999, our over 20-year commitment has fueled an unwavering dedication toward innovating a better healthcare delivery system. Essen has expanded from a single primary care office to an umbrella organization offering specialties from women’s health to endocrinology, from psychiatry to a vast array of other specialties. All clinical services are offered via telehealth or in-person at over 35 medical offices and at home through the Essen House Calls program. \r\n\r\nEssen Health Care is the place Where Care Comes Together! We are looking for the most talented and effective individuals to join our rapidly growing company. With over 1,100 employees and 400+ Practitioners, we care for over 250,000 patients annually in New York City and beyond. From medical providers to administration & operational staff, there is a career here for you. Join our team today!

Job Description Benefits Pulled from the full job description • 401(k), • Health insurance, • Paid time off, • Vision insurance, • Dental insurance Full job description Overview At Essen Health Care, we care for that! As the largest privately held multispecialty medical group in the Bronx, we provide high-quality, compassionate, and accessible medical care to some of the most vulnerable and under-served residents of New York State. Guided by a Population Health model of care, Essen has five integrated clinical divisions offering urgent care, primary care, and specialty services, as well as nursing home staffing and care management. Founded in 1999, our over 20-year commitment has fueled an unwavering dedication toward innovating a better healthcare delivery system. Essen has expanded from a single primary care office to an umbrella organization offering specialties from women’s health to endocrinology, from psychiatry to a vast array of other specialties. All clinical services are offered via telehealth or in-person at over 35 medical offices and at home through the Essen House Calls program. Essen Health Care is the place Where Care Comes Together! We are looking for the most talented and effective individuals to join our rapidly growing company. With over 1,100 employees and 400+ Practitioners, we care for over 250,000 patients annually in New York City and beyond. From medical providers to administration & operational staff, there is a career here for you. Join our team today! Job Summary Position title: Credentialing Lead Job Summary: We are seeking an experienced, detail-oriented Credentialing Lead to lead an important part of our credentialing operations. This position plays a key role in ensuring the timely and accurate credentialing and recredentialing of healthcare providers and facilities in compliance with internal policies, regulatory standards, and payor requirements. The ideal candidate will have substantial experience in payor enrollment and credentialing processes, including Medicaid, Medicare, Workers’ Compensation, as well as experience managing offshore support teams. Responsibilities • Team Leadership and Supervision, • Oversee and coordinate the activities of the credentialing team, including assigning tasks, setting priorities, and ensuring timely completion of credentialing and re-credentialing applications., • Supervise and coordinate daily credentialing activities for providers and facilities across all payor types., • Supervise and coordinate workflows with offshore credentialing teams, ensuring quality control and productivity benchmarks are achieved., • Train and mentor credentialing coordinators and offshore staff, fostering a culture of accuracy, efficiency, and accountability., • Conduct training sessions, as needed, for new hires and provide ongoing education to staff to ensure adherence to credentialing standards., • Evaluate team performance, provide constructive feedback, and conduct annual performance reviews., • Credentialing Process Management, • Ensure the accurate and timely processing of initial and re-credentialing applications for healthcare providers., • Verify primary source documentation, including licenses, certifications, malpractice insurance, and board certifications., • Monitor expiration dates for licenses and certifications, initiating renewal processes as necessary to avoid gaps., • Maintain up-to-date provider profiles in credentialing databases and directories., • Oversee, monitor, and maintain end-to-end payor enrollment processes, including initial enrollment and revalidations for Medicare, Medicaid, commercial payors, and Workers' Compensation., • Manage direct credentialing activities, ensuring adherence to payor and regulatory standards., • Lead facility credentialing efforts, including hospital affiliations, CAQH maintenance, and accreditation requirements., • Monitor credentialing pipelines, track timelines, and ensure SLAs are met., • Serve as a subject matter expert and point of escalation for complex credentialing issues., • Collaborate with internal departments (e.g., contracting, revenue cycle, compliance) to resolve enrollment or credentialing-related issues., • Perform any additional duties as applicable or as assigned by leadership, • Compliance and Quality Assurance, • Ensure compliance with regulatory requirements, including those set by NCQA, • Conduct audits of credentialing files to verify accuracy and completeness., • Develop and implement policies and procedures to improve the efficiency and effectiveness of the credentialing process., • Communication and Reporting, • Serve as the primary point of contact for internal and external stakeholders regarding credentialing matters., • Prepare and present regular reports on credentialing activities, including metrics on application processing times and compliance rates., • Address and resolve any issues or discrepancies related to provider credentials. Qualifications: • 4+ years of experience in healthcare credentialing, with at least 2 years in a supervisory or lead role preferred., • Strong understanding of payor enrollment processes for Medicare, Medicaid, commercial payors, and Workers' Compensation., • Demonstrated experience with direct credentialing processes., • Experience with facility credentialing requirements and workflows., • Experience leading and managing offshore teams, including communication, training, and quality oversight., • Proficiency in credentialing software and Microsoft Office Suite., • Ability to analyze data and generate reports., • Knowledge of healthcare regulations and accreditation standards, • Working knowledge of NCQA and CMS credentialing guidelines, • Ability to analyze data and generate reports., • Strong organizational, time management, and interpersonal skills., • Excellent written and verbal communication skills., • Associate’s or Bachelor’s degree in Healthcare Administration, Business, or a related field preferred., • Full-time position with standard business hours; additional hours may be required based on operational needs. Essen Health care is proud to be an equal opportunity employer, and we seek candidates who desire to work in and serve an ethnically diverse population. Job Type: Full-time Pay: $64,000.00 - $70,000.00 per hour Benefits: • 401(k), • Dental insurance, • Health insurance, • Paid time off, • 8 hour shift As the largest privately held multispecialty medical group in the Bronx, we provide high-quality, compassionate, and accessible medical care to some of the most vulnerable and under-served residents of New York State. Guided by a Population Health model of care, Essen has five integrated clinical divisions offering urgent care, primary care, and specialty services, as well as nursing home staffing and care management. Founded in 1999, our over 20-year commitment has fueled an unwavering dedication toward innovating a better healthcare delivery system. Essen has expanded from a single primary care office to an umbrella organization offering specialties from women’s health to endocrinology, from psychiatry to a vast array of other specialties. All clinical services are offered via telehealth or in-person at over 35 medical offices and at home through the Essen House Calls program. Essen Health Care is the place Where Care Comes Together! We are looking for the most talented and effective individuals to join our rapidly growing company. With over 1,100 employees and 400+ Practitioners, we care for over 250,000 patients annually in New York City and beyond. From medical providers to administration & operational staff, there is a career here for you. Join our team today!At Essen Health Care, we care for that! \r\n\r\nAs the largest privately held multispecialty medical group in the Bronx, we provide high-quality, compassionate, and accessible medical care to some of the most vulnerable and under-served residents of New York State. Guided by a Population Health model of care, Essen has five integrated clinical divisions offering urgent care, primary care, and specialty services, as well as nursing home staffing and care management. Founded in 1999, our over 20-year commitment has fueled an unwavering dedication toward innovating a better healthcare delivery system. Essen has expanded from a single primary care office to an umbrella organization offering specialties from women’s health to endocrinology, from psychiatry to a vast array of other specialties. All clinical services are offered via telehealth or in-person at over 35 medical offices and at home through the Essen House Calls program. \r\n\r\nEssen Health Care is the place Where Care Comes Together! We are looking for the most talented and effective individuals to join our rapidly growing company. With over 1,100 employees and 400+ Practitioners, we care for over 250,000 patients annually in New York City and beyond. From medical providers to administration & operational staff, there is a career here for you. Join our team today!

A growing Multi-Specialty Practice looking for providers willing to embrace our culture of patient driven, team-based healthcare.Group is NCQA Certified for Patient Centered Medical Home and has additionally received recognition by NCQA for Diabetes.We are part of CMS s CPC+ Initiative and strive to

BE/BC Endocrinologist interested in joining a dynamic practice located in the heart of the scenic Hudson Valley.MAHV is NCQA Certified for Patient Centered Medical Home and has additionally received recognition by NCQA for Diabetes.We are part of CMS s CPC+ Initiative and strive to meet all Quality

Directs accreditation work plans and timelines to meet NCQA and contractual deadlines. Serves as a strategic advisor to market teams, mentoring them through the accreditation process. Maintains and updates policies, procedures, and accreditation-related resources.

The above hiring range represents the University's good faith and reasonable estimate of the range of possible compensation at the time of posting. We are considering applicants at the Instructor or Assistant Professor level for our NCQA Level 3 PCMH community-based practice. As a member of the Depa

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Try Telemedicine in the best possible environment - Doctor On Demand offers the Telemedicine App in the US; we are NCQA, HITRUST CFS, and ATA accredited; and our 100% video-based platform is aligned with AMA and FSMB standards of best practice in Telemedicine.

Try Telemedicine in the best possible environment - Doctor On Demand offers the Telemedicine App in the US; we are NCQA, HITRUST CFS, and ATA accredited; and our 100% video-based platform is aligned with AMA and FSMB standards of best practice in Telemedicine.

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Provides timely expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review criteria while located in a state or territory of the United States. Reviews appeals for denied services related to current relevant medical experience or knowledge in accordance with appeal policies, if so delegated. Provides timely peer-to-peer discussions with referring physicians to clarify clinical information and to explain review outcome decisions. Maintains necessary credentials and immediately informs eviCore of any adverse actions relating to medical licenses and/or board certifications. Participates in strategic planning for and evaluation of the Care Management The successful candidate will be an M.D. or D.O. with a current, active, U.S. state medical license and board certified in Neurology, recognized by the American Board of Medical Specialties (ABMS), with recent practice experience in direct patient care (within the past 18 months). Must have a minimum of 5 years clinical experience, beyond residency/fellowship Knowledge of applicable state and federal laws, URAC and NCQA standards a plus, and familiarity with automated processes and computer applications and systems is required No nights, no weekends, not call. Predictable work schedule Full and part time opportunities Salaried position with benefits Supportive organization with collaborative culture eviCore healthcare is committed to making a positive impact on healthcare, and also making a positive impact on our employees. eviCore offers a variety of perks and benefits including, but not limited to: Flexible scheduling and work/life balance with remote and work from home opportunities 4 weeks of PTO(starting) per year plus paid holidays One week of CME Education assistance, tuition reimbursement and professional certifications Health, dental, vision, and life benefits with employer funded HSA Paid Volunteer Community Service Days Ample opportunities for growth, advancement, and promotion 401k retirement plan with company match of 50% employee contributions up to 6% eviCore is committed to hiring and retaining a diverse workforce. We are an Equal Opportunity Employer, making decisions without regard to race, color, religion, sex, national origin, age, veteran status, disability, or any other protected class. Applicants must be able to pass a drug test and background investigation

Provides timely expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review criteria while located in a state or territory of the United States. Reviews appeals for denied services related to current relevant medical experience or knowledge in accordance with appeal policies, if so delegated. Provides timely peer-to-peer discussions with referring physicians to clarify clinical information and to explain review outcome decisions. Maintains necessary credentials and immediately informs eviCore of any adverse actions relating to medical licenses and/or board certifications. Participates in strategic planning for and evaluation of the Care Management The successful candidate will be an M.D. or D.O. with a current, active, U.S. state medical license and board certified in Oncology Radiation, recognized by the American Board of Medical Specialties (ABMS), with recent practice experience in direct patient care (within the past 18 months). Must have a minimum of 5 years clinical experience, beyond residency/fellowship Knowledge of applicable state and federal laws, URAC and NCQA standards a plus, and familiarity with automated processes and computer applications and systems is required No nights, no weekends, not call. Predictable work schedule Full and part time opportunities Salaried position with benefits Supportive organization with collaborative culture eviCore healthcare is committed to making a positive impact on healthcare, and also making a positive impact on our employees. eviCore offers a variety of perks and benefits including, but not limited to: Flexible scheduling and work/life balance with remote and work from home opportunities 4 weeks of PTO(starting) per year plus paid holidays One week of CME Education assistance, tuition reimbursement and professional certifications Health, dental, vision, and life benefits with employer funded HSA Paid Volunteer Community Service Days Ample opportunities for growth, advancement, and promotion 401k retirement plan with company match of 50% employee contributions up to 6% eviCore is committed to hiring and retaining a diverse workforce. We are an Equal Opportunity Employer, making decisions without regard to race, color, religion, sex, national origin, age, veteran status, disability, or any other protected class. Applicants must be able to pass a drug test and background investigation

Provides timely expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review criteria while located in a state or territory of the United States. Reviews appeals for denied services related to current relevant medical experience or knowledge in accordance with appeal policies, if so delegated. Provides timely peer-to-peer discussions with referring physicians to clarify clinical information and to explain review outcome decisions. Maintains necessary credentials and immediately informs eviCore of any adverse actions relating to medical licenses and/or board certifications. Participates in strategic planning for and evaluation of the Care Management The successful candidate will be an M.D. or D.O. with a current, active, U.S. state medical license and board certified in Cardiology, recognized by the American Board of Medical Specialties (ABMS), with recent practice experience in direct patient care (within the past 18 months). Must have a minimum of 5 years clinical experience, beyond residency/fellowship Knowledge of applicable state and federal laws, URAC and NCQA standards a plus, and familiarity with automated processes and computer applications and systems is required No nights, no weekends, not call. Predictable work schedule Full and part time opportunities Salaried position with benefits Supportive organization with collaborative culture eviCore healthcare is committed to making a positive impact on healthcare, and also making a positive impact on our employees. eviCore offers a variety of perks and benefits including, but not limited to: Flexible scheduling and work/life balance with remote and work from home opportunities 4 weeks of PTO(starting) per year plus paid holidays One week of CME Education assistance, tuition reimbursement and professional certifications Health, dental, vision, and life benefits with employer funded HSA Paid Volunteer Community Service Days Ample opportunities for growth, advancement, and promotion 401k retirement plan with company match of 50% employee contributions up to 6% eviCore is committed to hiring and retaining a diverse workforce. We are an Equal Opportunity Employer, making decisions without regard to race, color, religion, sex, national origin, age, veteran status, disability, or any other protected class. Applicants must be able to pass a drug test and background investigation

Provides timely expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review criteria while located in a state or territory of the United States. Reviews appeals for denied services related to current relevant medical experience or knowledge in accordance with appeal policies, if so delegated. Provides timely peer-to-peer discussions with referring physicians to clarify clinical information and to explain review outcome decisions. Maintains necessary credentials and immediately informs eviCore of any adverse actions relating to medical licenses and/or board certifications. Participates in strategic planning for and evaluation of the Care Management The successful candidate will be an M.D. or D.O. with a current, active, U.S. state medical license and board certified in Oncology, recognized by the American Board of Medical Specialties (ABMS), with recent practice experience in direct patient care (within the past 18 months). Must have a minimum of 5 years clinical experience, beyond residency/fellowship Knowledge of applicable state and federal laws, URAC and NCQA standards a plus, and familiarity with automated processes and computer applications and systems is required No nights, no weekends, not call. Predictable work schedule Full and part time opportunities Salaried position with benefits Supportive organization with collaborative culture eviCore healthcare is committed to making a positive impact on healthcare, and also making a positive impact on our employees. eviCore offers a variety of perks and benefits including, but not limited to: Flexible scheduling and work/life balance with remote and work from home opportunities 4 weeks of PTO(starting) per year plus paid holidays One week of CME Education assistance, tuition reimbursement and professional certifications Health, dental, vision, and life benefits with employer funded HSA Paid Volunteer Community Service Days Ample opportunities for growth, advancement, and promotion 401k retirement plan with company match of 50% employee contributions up to 6% eviCore is committed to hiring and retaining a diverse workforce. We are an Equal Opportunity Employer, making decisions without regard to race, color, religion, sex, national origin, age, veteran status, disability, or any other protected class. Applicants must be able to pass a drug test and background investigation

Provides timely expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review criteria while located in a state or territory of the United States. Reviews appeals for denied services related to current relevant medical experience or knowledge in accordance with appeal policies, if so delegated. Provides timely peer-to-peer discussions with referring physicians to clarify clinical information and to explain review outcome decisions. Maintains necessary credentials and immediately informs eviCore of any adverse actions relating to medical licenses and/or board certifications. Participates in strategic planning for and evaluation of the Care Management The successful candidate will be an M.D. or D.O. with a current, active, U.S. state medical license and board certified in Surgery - Orthopedics, recognized by the American Board of Medical Specialties (ABMS), with recent practice experience in direct patient care (within the past 18 months). Must have a minimum of 5 years clinical experience, beyond residency/fellowship Knowledge of applicable state and federal laws, URAC and NCQA standards a plus, and familiarity with automated processes and computer applications and systems is required No nights, no weekends, not call. Predictable work schedule Full and part time opportunities Salaried position with benefits Supportive organization with collaborative culture eviCore healthcare is committed to making a positive impact on healthcare, and also making a positive impact on our employees. eviCore offers a variety of perks and benefits including, but not limited to: Flexible scheduling and work/life balance with remote and work from home opportunities 4 weeks of PTO(starting) per year plus paid holidays One week of CME Education assistance, tuition reimbursement and professional certifications Health, dental, vision, and life benefits with employer funded HSA Paid Volunteer Community Service Days Ample opportunities for growth, advancement, and promotion 401k retirement plan with company match of 50% employee contributions up to 6% eviCore is committed to hiring and retaining a diverse workforce. We are an Equal Opportunity Employer, making decisions without regard to race, color, religion, sex, national origin, age, veteran status, disability, or any other protected class. Applicants must be able to pass a drug test and background investigation

Provides timely expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review criteria while located in a state or territory of the United States. Reviews appeals for denied services related to current relevant medical experience or knowledge in accordance with appeal policies, if so delegated. Provides timely peer-to-peer discussions with referring physicians to clarify clinical information and to explain review outcome decisions. Maintains necessary credentials and immediately informs eviCore of any adverse actions relating to medical licenses and/or board certifications. Participates in strategic planning for and evaluation of the Care Management The successful candidate will be an M.D. or D.O. with a current, active, U.S. state medical license and board certified in Maternal - Fetal Medicine, recognized by the American Board of Medical Specialties (ABMS), with recent practice experience in direct patient care (within the past 18 months). Must have a minimum of 5 years clinical experience, beyond residency/fellowship Knowledge of applicable state and federal laws, URAC and NCQA standards a plus, and familiarity with automated processes and computer applications and systems is required No nights, no weekends, not call. Predictable work schedule Full and part time opportunities Salaried position with benefits Supportive organization with collaborative culture eviCore healthcare is committed to making a positive impact on healthcare, and also making a positive impact on our employees. eviCore offers a variety of perks and benefits including, but not limited to: Flexible scheduling and work/life balance with remote and work from home opportunities 4 weeks of PTO(starting) per year plus paid holidays One week of CME Education assistance, tuition reimbursement and professional certifications Health, dental, vision, and life benefits with employer funded HSA Paid Volunteer Community Service Days Ample opportunities for growth, advancement, and promotion 401k retirement plan with company match of 50% employee contributions up to 6% eviCore is committed to hiring and retaining a diverse workforce. We are an Equal Opportunity Employer, making decisions without regard to race, color, religion, sex, national origin, age, veteran status, disability, or any other protected class. Applicants must be able to pass a drug test and background investigation

Join an innovative team of physicians who are significantly improving access to care with a secure 1-4 month contract this winter. Try Telemedicine in the best possible environment - Doctor On Demand offers the Telemedicine App in the US; we are NCQA, HITRUST CFS, and ATA accredited; and our 100% video-based platform is aligned with AMA and FSMB standards of best practice in Telemedicine. More about this unique opportunity: -Work from home or office - your choice -Comprehensive training and onboarding process -Guaranteed schedule and compensation -Flexible 4, 8, 10-hour shift options - emphasis on weekend and evening coverage -Web-based EMR - intuitive, easy to use -24/7 Clinical & IT Support -Opportunity to explore positions within our employed practice at contracts end