- Aveanna Healthcare (Buffalo, NY)
- …Job Details Requisition #: 205400 Location: Buffalo, NY 14221 Category: Nurse Manager Salary: $75,000.00 - $80,000.00 per year Position Details Join a Company ... affecting clinical caregivers, including hiring and termination as appropriate. Maintain compliance in accordance with company policies and procedures, laws and… more
- Bassett Healthcare (Oneonta, NY)
- …of services provided to clients. Ensures all members information is entered into Medicaid Health Home data systems. Compliance with policy, procedure and ... What you'll do The Community Health Navigator I role provides quality care to Medicaid recipients eligible for Health Home services. In this role a Navigator I is… more
- Molina Healthcare (NY)
- …intervention initiatives including all lines of business (Medicare, Marketplace, Medicaid ). Executes health plan's member and community quality focused interventions ... to identify opportunities for improvement + Surfaces to the Manager and Director any gaps in processes that may...+ 1 year of experience in Medicare and in Medicaid managed care + Experience with data reporting, analysis,… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …On and Off Marketplace health insurance products, including Child Health Plus (CHP), Medicaid Managed Care (MA/MMC), Essential Plan (EP) and the Individual Market - ... outreach and community events. Essential Accountabilities: Level I * Educates Medicaid , Medicare, and Commercial members on healthcare benefits, and community… more
- Truecare Homecare Agency (Brooklyn, NY)
- …with active patients to obtain necessary documentation and assisting new patients to get Medicaid or refer patients to a third party to get active Medicaid ... and enrollees using HHA eXchange. + Timely communication with the Program Manager , team members, and the Marketing team. + Constant exchange of information… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …and performing all required tasks assigned by the Sales Field Manager . Incumbent will be responsible for educating and enrolling potential beneficiaries ... benefits in a manner that is compliant with Center for Medicare and Medicaid Services (CMS) and company policies and regulations. The Medicare MAP advisor will… more
- CVS Health (Albany, NY)
- …Dual Eligible Special Needs Plan (DSNP) members, who are enrolled in Medicare and Medicaid and present with a wide range of complex health and social challenges. ... in the care planning process in collaboration with the Care Manager , to include the following actions: assessment, goal setting, establishing interventions… more
- Mount Sinai Health System (New York, NY)
- …issues in an accurate and timely fashion. In collaboration with the Underpayment Team manager , the Senior CBO Appeals Analyst will work to further the CBO's goals of ... enhancing contract compliance by researching, analyzing, documenting, and reporting underpayment trends, payer updates, payer regulations, and provide feedback on… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …they need for healthy living. JOB SUMMARY: The objective is to ensure ongoing compliance , provide support and training by monitoring the field staff on a monthly ... to utilize in developing strategy and plans that ensure compliance and can also be used to keep class...policies and procedures and job responsibilities of the account manager + Create and implement training materials and tools… more
- Whitney Young Health Center (Albany, NY)
- …policies, procedures, controls and reporting systems. Ensures legal and regulatory compliance for all accounting and financial reporting functions. Manages financial ... corporate, and other tax returns and related reports, and ensure ongoing compliance with applicable tax codes, rules and regulations. + Establishes best practices… more