• Medicaid Enroll & Outrch Spc II

    University of Rochester (Canandaigua, NY)
    …Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: 500169 Medicaid Enrollment Work Shift: UR - Day (United States of America) Range: UR URCA ... GENERAL PURPOSE In addition to the duties of Medicaid Enrollment and Outreach Specialist (MEOS I), MEOS II supports...+ They may accompany or represent the patient at eligibility interviews, case conferences or fair hearings + They… more
    University of Rochester (08/07/25)
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  • Licensed Master Social Worker

    New York State Civil Service (Thiells, NY)
    …to enroll into the waiver.PRIMARY DUTIES AND RESPONSIBILITIES:As part of the Eligibility unit, the functions performed are unique to this position and are ... addressing the following work activities:* Complete a clinical review of eligibility documentation comprised of testing and assessments* Assist with coordination of… more
    New York State Civil Service (08/26/25)
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  • Associate VP, Resolution - CTM Oversight…

    Humana (Albany, NY)
    …insurance operations for higher quality and operational efficiency. + Ensure enrollment and claims processes comply with regulatory requirements and guidelines. + ... member satisfaction, and regulatory compliance. + Oversee resolution of member enrollment issues, claim disputes, and other reconciliation needs, especially during… more
    Humana (08/27/25)
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  • ATTAIN Lab Coordinator, NYC

    The Research Foundation for SUNY (Staten Island, NY)
    …agency and ATTAIN project staff, this position will work to achieve the enrollment , usage and outcomes specified in their performance objectives and Program Year ... resources and any additional online third-party resource(s) + Conduct ATTAIN enrollment process and maintain participant records + Determine participant Temporary… more
    The Research Foundation for SUNY (08/15/25)
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  • Customer Care Representative

    CDPHP (Latham, NY)
    …Representative will work closely with all departments, such as Marketing, Enrollment , Pharmacy (internal and external), Provider Services, and Claims Operations to ... as defined within Member Services Procedures. The incumbent will also review eligibility requirements, provide rates for various health products, provide usual and… more
    CDPHP (08/12/25)
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  • Community Relations Specialist - Bilingual Spanish

    Centene Corporation (Latham, NY)
    …Community Relations Specialist is responsible for leading activities to achieve membership/ enrollment goals through various means including, but not limited to, ... relationships and information that will result in opportunities to increase membership/ enrollment targets. + Represents the department at internal and external… more
    Centene Corporation (08/03/25)
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  • Vocational Coordinator

    The Arc Madison Cortland (Oneida, NY)
    …coordinating with families, providers, and advocates, conducting intakes, and submitting eligibility requests. Benefits include but not limited to: + 401K Employer ... of experience in rehabilitation placement or related fields, and enrollment in a specialized course approved by ACCES-VR; or...specialized course approved by ACCES-VR; or a bachelor's degree, enrollment in a specialized course, and enrollment more
    The Arc Madison Cortland (07/23/25)
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  • Licensed Master Social Worker (4 Positions)…

    New York State Civil Service (NY)
    …the applicant's service needs. * Review and process level of care eligibility determinations (lced's) * Confirm Medicaid status/ enrollment ; communicate with the ... the following: Service Access (Front Door and Waiver Services), Eligibility , Self-Direction, Housing, Crisis, Property/Development, Fiscal, and Quality Management/Technical… more
    New York State Civil Service (08/23/25)
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  • Social Health Engagement Specialist - Behavioral…

    Whitney Young Health Center (Albany, NY)
    …is responsible for conducting Health Related Social Needs (HRSN) screenings, eligibility assessments, and navigation activities for Whitney Young Health patients ... conducting and managing closed-loop referrals and service coordination, benefits enrollment , and health system navigation. + Health Advocacy: Facilitating access… more
    Whitney Young Health Center (08/09/25)
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  • Health Insur & Auth Rep III

    University of Rochester (Albany, NY)
    …confirm uninsured and underinsured patients for appropriate referral to Medicaid Enrollment & Outreach for possible Medicaid application and /or Financial ... payers. + Maintain a monitoring system for adequate benefit coverage and eligibility throughout the inpatient stay. + Review payer denials and communication from… more
    University of Rochester (08/25/25)
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