- New York State Civil Service (Albany, NY)
- NY HELP Yes Agency Medicaid Inspector General, NYS Office of the Title Medicaid Integrity Specialist 1/ Trainee 1/ Trainee 2 Occupational Category Other ... Duties Description Reporting directly to an audit supervisor, the Medicaid Integrity Specialist 1 will join the Multiple CIN...candidate will aid in the development and issuance of Medicaid managed care audits; analyze data and make determinations… more
- Humana (Albany, NY)
- …a part of our caring community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence ... Pricer Business and System Support team responsible for administering complex Medicaid provider reimbursement methodologies. The associate will support existing … more
- City of New York (New York, NY)
- …ELIGIBLE FOR CONTINUED EMPLOYMENT. The Home Care Services Program (HCSP) is a Medicaid funded program that provides long term care to medically fragile and ... Program, the Assisted Living Program, Care at Home Program and Homebound Medicaid . The Medicaid Eligibility Unit is responsible for the Medicaid eligibility… more
- City of New York (New York, NY)
- …ADMINISTRATIVE ASSOCIATE CS TITLE The Home Care Services Program (HCSP) is a Medicaid funded program that provides long term care to medically fragile and vulnerable ... Program, the Assisted Living Program, Care at Home Program and Homebound Medicaid . The Medicaid Eligibility Unit is responsible for the Medicaid eligibility… more
- University of Rochester (Rochester, NY)
- …Subtype: Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: 500169 Medicaid Enrollment Work Shift: UR - Day (United States of America) Range: UR ... and high-risk self-pay acute care patients for the purpose of securing Medicaid eligibility. Shares Medicaid knowledge by providing consultation to Physicians,… more
- City of New York (New York, NY)
- …an area called the Office of Quality Assurance & Fiscal Integrity, the Medicaid Quality Control Unit (MAQC). They conduct complex internal audits and quality control ... need for corrective action plans and/or training. MAQC also ensures the Medicaid programs' continuous adherence to state and federal regulations. State and Federal… more
- CenterWell (Albany, NY)
- …a part of our caring community and help us put health first** The Medicaid Drug Strategy Pharmacist Lead requires a broad understanding of pharmacy, managed care, ... drug strategies to mitigate cost trend and improve health outcomes. The Medicaid Drug Strategy Pharmacist Lead work assignments involve moderately complex to complex… more
- Staffing Solutions Organization (Albany, NY)
- …workforce, which is a reflection of our clients and the people they serve. ** Medicaid Program Advisor (Level 2 or 3) in Albany, NY** **Division of Eligibility & ... will be 100% In-Office and will move to a 50% Remote Schedule.** **Duties:** The Medicaid Program Advisor (level 2 or 3) will be located in the Bureau of Long… more
- City of New York (New York, NY)
- …EXAM, WHEN IT BECOMES AVAILABLE, TO BE ELIGIBLE FOR CONTINUED EMPLOYMENT. The Medicaid Helpline provides information to New Yorkers on enrolling in Medicaid ... Yorkers who qualify enroll in public health insurance programs like Medicaid . The Helpline receives inquiries from providers, hospitals, client representatives,… more
- Humana (Albany, NY)
- …of financial operations for Humana's Michigan HIDE Plan with a focus on Medicaid and state partnership, oversees the budget, financial reporting, and all audit ... **Key Responsibilities** + Provides market specific financial leadership in the State Medicaid Market, developing a deep understanding of Humana's Medicaid … more