• Medicaid Quality Control Case Review…

    City of New York (New York, NY)
    …Within DSS-AO, resides an area called the Office of Quality Assurance & Fiscal Integrity , the Medicaid Quality Control Unit (MAQC). They conduct complex internal ... DSS Accountability Office (DSS-AO) is responsible for protecting the integrity of social services programs administered by the New...Reviewers in their eligibility review findings. - Assist the Medicaid Audit and Quality Control director with… more
    City of New York (10/04/25)
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  • Legal Nurse: Investigate Medicaid

    New York State Civil Service (Syracuse, NY)
    …ensuring the financial integrity of New York state's $96 billion Medicaid program by investigating healthcare providers, such as pharmaceutical companies, ... legal support analysts to conduct complex, long-term healthcare fraud investigations. The Medicaid program provides health coverage to millions of New Yorkers,… more
    New York State Civil Service (09/12/25)
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  • Legal Nurse: Investigate Medicaid

    New York State Civil Service (New York, NY)
    …ensuring the financial integrity of New York state's $96 billion Medicaid program by investigating healthcare providers, such as pharmaceutical companies, ... legal support analysts to conduct complex, long-term healthcare fraud investigations. The Medicaid program provides health coverage to millions of New Yorkers,… more
    New York State Civil Service (09/12/25)
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  • Executive Director , Data Analytics…

    City of New York (New York, NY)
    …for Medicare, identifying Medicaid clients who should be part of buy-in program , and identifying SDOH Medicaid clients who should no longer have benefits. ... Services Accountability Office (DSS-AO) is responsible for supporting the integrity of social services programs administered by the New...Staff Analyst NM III to function as an Executive Director , Data Analytics & Verification who will: - Oversee… more
    City of New York (08/13/25)
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  • Associate Director of Outreach

    The Arc Erie County NY (Williamsville, NY)
    …for over 65 years. Position Now Available at The Arc Erie County NY: Associate Director (AD) of Outreach Full Time, 40 hours per week, Monday - Friday Overview The ... not for profit local agency helping people with developmental disabilities. Our Associate Director of Outreach position plays a key leadership role in managing and… more
    The Arc Erie County NY (08/23/25)
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  • Medical Director (AZ)

    Molina Healthcare (Syracuse, NY)
    …and effective resource management. + Develops and implements a Utilization Management program and action plan, which includes strategies that ensure a high quality ... of the criteria for medical necessity. + Participates in and maintains the integrity of the appeals process, both internally and externally. Responsible for the… more
    Molina Healthcare (09/26/25)
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  • Director Of Supplemental Needs Trust

    City of New York (New York, NY)
    Medicaid . SNT is recruiting for one (1) Executive Agency Counsel M-II to function as Director of the SNT Program will: - Serve as a legal advisor on complex ... Accountability Office (DSS AO) is responsible for protecting the integrity of social services programs administered by the New...for protecting against fraud and recovering Cash Assistance and Medicaid pursuant to SSL 104, 104-b, 369, and 42… more
    City of New York (08/30/25)
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  • Director Of Human Services Payments

    City of New York (New York, NY)
    …Receivable (DAP) comprise of Miscellaneous Contracts & Medical Payments, Employment Program Payments, the operations of Contract Agency Monthly Financial Report ... Control Bank Disbursement System. Under the direction of the Bureau's Executive Director and with wide latitude for independent judgment and decision-making, the … more
    City of New York (08/22/25)
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  • Director of Residential Services - OMH…

    East House Corporation (Rochester, NY)
    Director of Residential Services - OMH Licensed Programs Rochester, NY (http://maps.google.com/maps?q=259+Monroe+Avenue+Rochester+NY+USA+14607) Description East ... a supportive environment that promotes healing and long-term recovery. The Director of Residential Servicesis responsible for planning, developing, and implementing… more
    East House Corporation (08/20/25)
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  • Sr. Director of Finance

    Outreach Development Corporation (Richmond Hill, NY)
    …health services and training. For more information, please visit www.opiny.org. The Sr. Director of Finance will serve a key member of the financial leadership team, ... is $125,000 - $150,000. Job Scope Working closely with the CFO, the Sr. Director for Finance will provide Financial Leadership and Strategy + Collaborate to provide… more
    Outreach Development Corporation (08/11/25)
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