• Registered Nurse (RN) Care Manager - Women's…

    Whitney Young Health Center (Albany, NY)
    …professional nursing practice, excellent communication and critical thinking skills, self- management expertise along with outstanding customer service to promote and ... assist individuals to manage their health through chronic disease management , wellness promotion and early detection. The Care Manager...outcomes and reduce gaps in care. + Adheres to CMS guidelines as it relates to care coordination, care… more
    Whitney Young Health Center (08/16/25)
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  • Payment Integrity Program Manager - Health Plan

    Molina Healthcare (Albany, NY)
    …executes tasks and projects to ensure Centers for Medicare & Medicaid Services ( CMS ) and State regulatory requirements are met for Pre-pay Edits & Overpayment ... Action Items (SAIs) including assisting and executing projects and tasks to ensure CMS and State regulatory requirements are met for pre-pay edits, post payment… more
    Molina Healthcare (08/14/25)
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  • Contact Center Triage Consultant - Junior

    ASM Research, An Accenture Federal Services Company (Albany, NY)
    …are handled according to contractual service standards and document all cases in the Case Management System ( CMS ). + Performs call follow-up and reporting as ... Cyber Awareness and PII to ensure access to the CMS system is maintained. **Minimum Qualifications** +...to type 50 wpm + Excellent organization and time management skills + Comply with all HIPAA regulations +… more
    ASM Research, An Accenture Federal Services Company (08/14/25)
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  • Clinical Program Manager- Payment Integrity…

    Molina Healthcare (Rochester, NY)
    …executes tasks and projects to ensure Centers for Medicare & Medicaid Services ( CMS ) and State regulatory requirements are met for Pre-pay Edits & Overpayment ... **Job Qualifications** **REQUIRED QUALIFICATIONS:** + Experience demonstrating knowledge of CMS Guidelines, MCG, InterQual or other medically appropriate clinical… more
    Molina Healthcare (08/14/25)
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  • Senior Coordinator Complaint & Appeals

    CVS Health (Albany, NY)
    …resolving Medicare complaints received via the Centers for Medicaid and Medicare Services ( CMS ). In this role, you will manage a queue of Medicare complaints. These ... in place that include, but not limited to quality and productivity. Time management is very important in order to maintain compliancy with Medicare. **Required… more
    CVS Health (08/14/25)
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  • Supervisor, Medicare Pharmacy Operations/Call…

    Molina Healthcare (Buffalo, NY)
    …average hold time are compliant with Centers for Medicare and Medicaid Services ( CMS ) regulations. + Ensures that adequate staffing coverage is present at all times ... for review. + Assures that activities and processes are compliant with CMS and National Committee of Quality Assurance (NCQA) guidelines and Molina policies… more
    Molina Healthcare (08/13/25)
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  • Manager, Web Engineering, MSNBC

    NBC Universal (New York, NY)
    …of the world's leading media and entertainment companies. We create world-class content , which we distribute across our portfolio of film, television, and streaming, ... workforce to create and deliver a wide range of content reflecting our world. Comcast NBCUniversal has announced its...the codebase, and shape the long-term maturity of our CMS and front-end systems. The ideal candidate has deep… more
    NBC Universal (08/13/25)
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  • RN - Nursing Supervisor

    Elderwood (North Creek, NY)
    …+ + Evenings: 3pm -11pm + Nights 11pm - 7am Proudly Rated 4 Stars by CMS ! Elderwood at North Creek has earned a 4-star rating from the Centers for Medicare and ... Medicaid Services ( CMS )-exceeding both the New York state average (3.33) and the national average (3.32). This distinction reflects our commitment to quality care,… more
    Elderwood (08/11/25)
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  • Global Content Marketing Manager,…

    Amazon (New York, NY)
    …- Fluent reading, writing skills in German and/or Japanese a plus - Experience with content management systems ( CMS ) and SEO - Experience working with Asana ... process for multiple in-country translations for all asset types, including web/ CMS translations. * Drive end-to-end content development process from… more
    Amazon (08/11/25)
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  • Weekend Warrior LPN - Licensed Practical Nurse

    Elderwood (North Creek, NY)
    …Environment: Work in a collaborative, resident-focused setting. Proudly Rated 4 Stars by CMS ! Elderwood at North Creek has earned a 4-star rating from the Centers ... for Medicare and Medicaid Services ( CMS )-exceeding both the New York state average (3.33) and the national average (3.32). This distinction reflects our commitment… more
    Elderwood (08/11/25)
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