- Access: Supports For Living (Middletown, NY)
- …We seek an Accountant specializing in Behavioral Health insurance billing and Medicaid Managed Care billing. The ideal candidate will have expertise in Net ... staff and leadership regarding financial matters. + Ensure compliance with Medicaid Managed Care and Behavioral Health insurance billing regulations. + Utilize… more
- Centene Corporation (Bronx, NY)
- …including "metal" products offered through the New York State of Health (NYSOH), Medicaid Managed Care , Child Health Plus, Medicare, MLTC, FIDA and HARP. Ability ... diploma or GED, required. 2 to 5 years prior experience in managed care , sales, customer service or related experience preferred. Basic computer skills.… more
- CDPHP (Latham, NY)
- …machine and mail. The Medicaid Special Programs Case Manager typically works in the telephonic managed care setting but may be called on to work from a variety ... patients with social needs preferred. + Experience in home care , medical office setting, or managed health plan preferred. + Ability to provide case management… more
- Mount Sinai Health System (New York, NY)
- …strong, collaborative relationships with cross-functional stakeholders including DTP, Human Performance, Managed Care , Finance, and clinical departments. * Work ... with finance and managed care teams to improve registration, coding, and billing accuracy and performance. * Support clinical leaders and administrators by… more
- CenterWell (Albany, NY)
- …services such as inpatient rehabilitation. **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed ... caring community and help us put health first** The Medical Director, Primary Care relies on medical background and reviews health claims. The Medical Director,… more
- Centene Corporation (Latham, NY)
- …including "metal" products offered through the New York State of Health (NYSOH), Medicaid Managed Care , Child Health Plus, Medicare, MLTC, FIDA and HARP. Ability ... diploma or GED, required. 2 to 5 years prior experience in managed care , sales, customer service or related experience preferred. Basic computer skills.… more
- Molina Healthcare (Albany, NY)
- …guidelines. + Experience in Utilization/Quality Program management + HMO/ Managed care experience **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** ... and action plan, which includes strategies that ensure a high quality of patient care , ensuring that patients receive the most appropriate care at the most… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …proficiency + Strong multi-tasking abilities Preferred: + Experience working within a managed care environment + Experience working with the geriatric population ... a multidisciplinary care team to help assist with the care of members enrolled in CPHL Managed Long Term Care program and other LOBs to facilitate,… more
- Centers Plan for Healthy Living (Brooklyn, NY)
- …department and assists with the care of all members enrolled in CPHL's managed care plans. The Field Coordinator schedules and completes in-person visits as ... to detail and multi-tasking skills Preferred: + Experience working in managed care environment + Experience working with geriatric population + Bilingual… more
- Mount Sinai Health System (New York, NY)
- …and governmental programs, regulations, and billing processes (eg, Medicare, Medicaid, etc.), managed care contracts and coordination of benefits is required. ... government payers, applicable federal and state regulations, healthcare financing and managed care . + Expected to stay updated on current medical billing and… more