- New York University (New York, NY)
- …resources and offerings to NYS behavioral health providers navigating the changing Medicaid landscape. This position, under the direction of the Director of ... by working with the website, infrastructure, and Learning Management Systems manager as needed. Interdisciplinary Collaboration & Program Alignment + Collaborate… more
- Albany Medical Center (Albany, NY)
- …but not limited to physician and hospital clinical leadership, legal, compliance , billing, finance, IT, case and utilization management, quality, credentialing, and ... payer accountability. + Develops payer scorecard initiatives to measure payer compliance with contract terms and overall efficiency of payer operations; leads… more
- Catholic Health Services (Melville, NY)
- …(UR), discharge planning (DP), LOC and clinical documentation. Works with Corporate Compliance to interpret new regulatory and compliance requirements and ... hiring and managing Physician Advisors, along with developing and monitoring compliance with an educational program. Collaborates with management in recruiting new… more
- Molina Healthcare (Yonkers, NY)
- …**Highly Qualified Candidates Will Have the Following Experience-** Digital Tag Manager Programs Salesforce Marketing Cloud Google or Adobe analytics (or similar) ... Google AdWords, Tag Manager systems, (Adobe or Google) CMS (content management system)...utilizing best practices to increase lead conversion + Ensure compliance with consumer protection laws (CAN-SPAM, TCPA, etc.) and… more
- HCR Home Care (Rochester, NY)
- …all new interim orders before they are sent to physician. Notify Clinical Manager /Regional Director if unable to approve the order. + Assure orders are written ... and email clinician to review and n otify case manager and physician , as appropriate . + En...the Agency's mandat ory HIPA A/Privacy Program and Employee Compliance Program . + Read and adhere to all… more
- ConvaTec (Massapequa, NY)
- …Billing & Invoicing work is focused on designing and ensuring compliance with billing and invoicing processes including: *Information verification (eg, ensure ... accuracy of billing information, negotiated terms and compliance with current legislation) *Monitoring customer accounts (eg, ensure payments made on time, report on… more
- Humana (Albany, NY)
- …us put health first** We are seeking a highly skilled Lead IT Product Manager to help drive forward the vision, strategy, and delivery of Enterprise Network Services ... Equinix, MegaPort, Google/Azure/AWS/Oracle connectivity, SD-WAN partners etc). * Ensure compliance with enterprise standards and regulatory requirements. * Partner… more
- Hannaford (Schodack Landing, NY)
- …professionalism, and confidentiality. * Authorization to fill Medicare and Medicaid prescriptions. ESSENTIAL JOB FUNCTIONS: 1. Process prescriptions accurately or ... business as required. DUTIES AND RESPONSIBILITIES: 1. Responsible for ensuring regulatory compliance with Federal and State pharmacy laws and regulations. 2. Partner… more
- Staffing Solutions Organization (Albany, NY)
- …projects, and policy knowledge and implementation. The BASP is seeking a passionate Medicaid Senior Healthcare Program Specialist to support the team in its mission ... Program. HH providers are monitored based on performance, quality, and compliance with Federal and State Standards. **Specific responsibilities include:** Works with… more
- University of Rochester (Rochester, NY)
- …**Responsibilities:** GENERAL PURPOSE: Manages and monitors dental status and financial compliance for Dentistry patient base. Acts as a liaison between patients ... insurance approvals. Acts as a resource to patients and care providers of Medicaid approval process and other 3rd party billing issues. Collaborates with all members… more