• Nursing Home Billing Specialist

    Teresian House (Albany, NY)
    …to residents in compliance with NYS Medicaid, Medicare, Mafae Care Organizations ( MCO 's) and private insurance. + Preparing and submitting claims, resolving billing ... daily. + Preparing and submitting timely billing for Medicare, MCO 's, Medicaid and private insurers using electronic and payer...claims. + Maintaining up to date knowledge of Medicare, MCO and NYS Medicaid regulations and billing practices. +… more
    Teresian House (12/02/25)
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  • Intake Coordinator (Full Time/Mon-Fri 8a-4p)

    Caz Recovery (Buffalo, NY)
    …processes, which includes but is not limited to Managed Care Organizations ( MCO ), Department of Social Services (DSS), Supplemental Security Income (SSI), Social ... * Ensures prospective residents have an active in-network Managed Care Organization ( MCO ) or assists applicants in need of Medicaid managed care with information… more
    Caz Recovery (12/20/25)
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  • Medicaid Managed Care Liaison

    Abbott House (Bronx, NY)
    …a full-time position. Duties and Responsibilities: 29I Core Services Coordinate with MCO (Managed Care Organization) Foster Care Liaison Inform and coordinate PCP ... Assist with consent and/or confidentiality issues Obtain authorizations from all MCO Update the AccuMedic (EHR) system with the authorization information to… more
    Abbott House (11/20/25)
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  • PCP/Endo Business Specialist-Watertown

    Boehringer Ingelheim (Utica, NY)
    …with Managed Care Area Managers to generate and sustain support for products on MCO formularies. Develops and influences an extended team to pull-through MCO ... decisions. Delivers on "continuation of care" model, including discharge protocol, treatment algorithms, disease management, etc. + Analyzes qualitative and quantitative territory information to optimize territory business plan and customer calls. Monitors… more
    Boehringer Ingelheim (11/07/25)
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  • (Bilingual Spanish) Intake Specialist, Homecare

    RiseBoro Homecare Inc. (Brooklyn, NY)
    …Intake and Coordination team. . Advocate for client needs with respective HRA, CASA, MCO , and MLTC offices and other service providers. . Consult and follow up with ... billing in coordination with responsible Homecare units and designated HRA, CASA, MCO , and MLTC offices. . Maintain accurate records of authorization, status change,… more
    RiseBoro Homecare Inc. (10/30/25)
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  • Assistant Program Program Director-Care…

    Comunilife (Bronx, NY)
    …Health (NYS DOH), Health Home Lead agencies, and Managed Care Organization ( MCO ) requirements. The APD oversees the full continuum of program operations, including ... corrective actions as needed. + Lead responses to Health Home Lead audits, MCO reviews, and state monitoring visits. + Develop and update internal policies and… more
    Comunilife (10/23/25)
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  • Sexual Health Clinics Medical Director, Bureau…

    City of New York (New York, NY)
    …guidelines established by NYCDOHMH, NYSDOH, Article 28/NYS, CDC, HRSA/340b, and relevant MCO guidelines. - Communicating new and updated protocols and procedures to ... Sexual Health Clinic clinicians through trainings, written memos. - Facilitate environment for professional development of clinicians through development and sharing of scientific research, publications, continuous training. - Working collaboratively with… more
    City of New York (12/24/25)
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  • Senior Care Manager (RN)

    Centene Corporation (New York, NY)
    …to clinical new hires/preceptees in navigating within a Managed Care Organization ( MCO ) and provides coaching and shadowing opportunities to bridge gap between ... classroom training and field practice​ + Engages and assists New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success + Engages in a collaborative and… more
    Centene Corporation (12/21/25)
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  • Senior LTSS Assessor (RN)

    Centene Corporation (Latham, NY)
    …to clinical new hires/preceptees in navigating within a Managed Care Organization ( MCO ) and provides coaching and shadowing opportunities to bridge gap between ... classroom training and field practice + May engage and assist New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success + Engages in a collaborative and… more
    Centene Corporation (12/10/25)
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  • Care Manager, Children's Health Homes

    St. Catherine's Center for Children (Albany, NY)
    …trainings as set forth by DOH, the contracted Health Homes and the MCO 's. + Assists with the distribution and collection of bi-annual satisfaction surveys. + ... Additional position-related duties and responsibilities as assigned by the Supervisor. What We Offer You** + Competitive Pay with an Excellent Benefits Package + Health Insurance options: Medical, Dental and Vision + $600 Well-being Reimbursement Benefit +… more
    St. Catherine's Center for Children (12/05/25)
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