- Molina Healthcare (Yonkers, NY)
- …and executes tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and State regulatory requirements are met for Pre-pay Edits, Overpayment ... payment integrity issues, and process gaps. + Applies understanding of healthcare regulations, managed care claims workflows, and provider reimbursement models to… more
- Staffing Solutions Organization (Albany, NY)
- …is focused on delighting clients with world-class managed staffing and talent consulting services . SSO is committed to a diverse workforce, which is a reflection of ... our clients and the people they serve. **Principal Healthcare Data Specialist 1 - Albany, NY** **Division of...for implementing the Medicaid policy/legislative changes to the Welfare Management System (WMS), the transition of populations out of… more
- Molina Healthcare (Buffalo, NY)
- …+ Hires, trains and manages a team of pharmacy technicians, pharmacy service representatives, and/or pharmacy internal monitors who support processes involved with ... and average hold time are compliant with Centers for Medicare and Medicaid Services (CMS) regulations. + Ensures that adequate staffing coverage is present at all… more
- Bassett Healthcare (Cooperstown, NY)
- …provide education in multiple non-pharmacologic modalities including self- management , numerous respiratory modalities including chest physiotherapy, secretion ... mobilization devices and non-pharmacologic disease management techniques; and patient navigation through processes listed in this description and according to… more
- Genesis Healthcare (Dix Hills, NY)
- …bringing new, insightful knowledge that will allow us to provide the best services to our clients. We provide employees with comprehensive benefits and compensation, ... 1099) Part time preferred hours or full time hours Prompt payment for services rendered (some positions) Access to clinical support teams Training workshops for… more
- Genesis Healthcare (Hauppauge, NY)
- …yet bring new insightful knowledge that will allow us to provide the absolute best services for our clients. We have recently joined Powerback Rehab in an effort to ... + Part time preferred hours or full time hours + Prompt payment for services rendered (some positions) + Access to clinical support teams + Training workshops for… more
- Bassett Healthcare (Cooperstown, NY)
- …the support of patients through interdisciplinary teamwork. Provides nursing care and services to patients throughout the life span and in various settings ... but not on a regular basis Total Rewards Bassett Healthcare Network's commitment to our employees includes benefit programs...be suspended at any time. Bonus Amount: RN (excluding management ) sign-on bonuses are awarded in the amount of… more
- Molina Healthcare (Yonkers, NY)
- …policies and procedures that guide and support the provision of medical staff services . Maintains a working knowledge of applicable national, state and local laws ... of prior authorization, inpatient concurrent review, discharge planning, case management and interdisciplinary care team activities. + Ensures that authorization… more
- Molina Healthcare (Rochester, NY)
- …and senior management when identified * Implements strategies to ensure service level benchmarks for report turn-around are met. Demonstrates best practices and ... Collects, validates, analyzes, and organizes data into meaningful reports for management decision making as well as designing, developing, testing and deploying… more
- Capgemini (New York, NY)
- **Job Title:** Principal Service Management Consultant - GRC/IRM/TPRM **Location** : Chicago, IL; Atlanta, GA; Houston, TX; Dallas, TX; New York, NY; ... Capgemini. **Job:** _Infrastructure_ **Organization:** _CIS US P&C_ **Title:** _Principal Service Management Consultant - GRC/IRM/TPRM_ **Location:** _IL-Chicago_… more