- Molina Healthcare (Syracuse, NY)
- …complaints. Works with enrollees and providers to facilitate the provision of Medicaid benefits and ensure enrollee's rights are upheld. Helps enrollees understand ... and members regarding community agencies, services and referrals for special needs, Medicaid in general, or other related needs. * Participates in the Statewide… more
- New York State Civil Service (Brooklyn, NY)
- …as an excluded individual or entity on any of the Federal and/or State Medicaid and Medicare exclusion lists (or excluded from any other Federal or Federally ... for your services to be billed through Medicare and Medicaid . If you are appointed and you lose the...you lose the ability to bill through Medicare and Medicaid , you may be terminated from your employment. Some… more
- Centene Corporation (Queens, NY)
- …Relationship building: Develop strong relationships with leaders across business products ( Medicaid , Medicare, and Marketplace) and shared services to be a ... deployment process and the expectations and deadlines with business products ( Medicaid , Medicare, and Marketplace) shared services leaders. + Prioritization and… more
- New York State Civil Service (Albany, NY)
- …as an excluded individual or entity on any of the Federal and/or State Medicaid and Medicare exclusion lists (or excluded from any other Federal or Federally ... for your services to be billed through Medicare and Medicaid . If you are appointed and lose the ability...and lose the ability to bill through Medicare and Medicaid , you may be terminated from your employment. Some… more
- Molina Healthcare (Yonkers, NY)
- …and administration of contracts with State and/or Federal governments for Medicaid , Medicare, Marketplace, and other government-sponsored programs to provide health ... Experience** * 2+ years experience in a managed care environment, preferably in Medicaid environment. * Knowledge of state Medicaid Policies and Programs.… more
- New York State Civil Service (Elmira, NY)
- …as an excluded individual or entity on any of the Federal and/or State Medicaid and Medicare exclusion lists (or excluded from any other Federal or Federally ... for your services to be billed through Medicare and Medicaid . If you are appointed and you lose the...you lose the ability to bill through Medicare and Medicaid , you may be terminated from your employment.Position is… more
- New York State Civil Service (Ithaca, NY)
- …as an excluded individual or entity on any of the Federal and/or State Medicaid and Medicare exclusion lists (or excluded from any other Federal or Federally ... for your services to be billed through Medicare and Medicaid . If you are appointed and you lose the...you lose the ability to bill through Medicare and Medicaid , you may be terminated from your employment. Some… more
- Humana (Albany, NY)
- …of the managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other Medical management organizations, hospitals/ ... in a medical management review organization, such as Medicare Advantage, managed Medicaid , or Commercial health insurance. + Experience with national guidelines such… more
- New York State Civil Service (Albany, NY)
- …as an excluded individual or entity on any of the Federal and/or State Medicaid and Medicare exclusion lists (or excluded from any other Federal or Federally ... for your services to be billed through Medicare and Medicaid . If you are appointed and you lose the...you lose the ability to bill through Medicare and Medicaid , you may be terminated from your employment. Minimum… more
- Molina Healthcare (Albany, NY)
- …director, and quality improvement staff. + Facilitates conformance to Medicare, Medicaid , NCQA and other regulatory requirements. + Reviews quality referred issues, ... license without restrictions to practice and free of sanctions from Medicaid or Medicare. **PREFERRED EDUCATION:** Master's in Business Administration, Public… more