- National Health Care Associates (Valley Stream, NY)
- …in accordance with GAAP standards + Conduct variance analysis and provide insightful recommendations to improve financial performance and operational efficiency + ... Lead the annual budgeting process and collaborate with departmental...with regulatory requirements and internal policies, including Medicare and Medicaid billing regulations + Assist in special projects and… more
- Humana (Albany, NY)
- …understanding of healthcare operations, particularly around claims processing, enrollment, provider data management and clinical operations; Medicaid preferred ... a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
- Humana (Albany, NY)
- …to adapt and the courage to innovate **Additional Information** Reports to the Lead Medical Director - North Central Medicaid Markets. The Medical Director ... members in the KY, OH, VA, WI and IN Medicaid market populations. May provide cross-coverage for...a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and… more
- Humana (Albany, NY)
- …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. ... sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
- Humana (Albany, NY)
- …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. ... and help us put health first** Own and manage Medicaid claims analytics dataset using Databricks. Ensure data accuracy,...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
- Molina Healthcare (NY)
- …subject matter expert on developing financial models to evaluate the impact of provider reimbursement changes + Provide data driven analytics to Finance, Claims, ... or other issues related to medical care costs. + Work with clinical, provider network and other personnel to bring supplemental context/insight to data analyses, and… more
- Molina Healthcare (NY)
- **JOB DESCRIPTION** **Job Summary** Lead operational readiness initiatives across provider data and credentialing functions, supporting both new implementations ... driving successful launches of new processes, systems, and operational models across Medicaid , Medicare, and Marketplace lines of business. We are seeking a leader… more
- Molina Healthcare (Syracuse, NY)
- …+ Assists and executes tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and State regulatory requirements are met for Pre-pay Edits, ... **Job Description** **Job Summary** Provides lead level support as a highly capable business...executing operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will be relied upon… more
- Humana (Albany, NY)
- …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. ... sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
- Humana (Albany, NY)
- …community and help us put health first** As an Enterprise Transformation Lead within Humana's Shared Services organization supporting the Insurance Segment, ... consultation to senior leaders. Serve as a Enterprise Transformation Lead - Process Engineer supporting Shared Services ...a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and… more
