- New York State Civil Service (Ogdensburg, 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
- Help at Home (Brooklyn, NY)
- …State requirements. + Ensure compliance with DOH regulations, MLTC guidelines, and Medicaid contractual obligations. + Oversee all aspects of client care including ... home care operations, with significant experience in New York's MLTC and Medicaid landscape. + Proven experience managing clinical teams serving over 5,000 clients… more
- New York State Civil Service (Batavia, NY)
- …cash flow projections, capital outlay and fixed assets schedules, and Medicaid & Medicare reimbursement activities for the facility.* Develops, implements, reviews, ... This challenging opportunity requires competence in: I) preparing Medicare and Medicaid cost reports for healthcare facilities; II) utilizing the Statewide Financial… more
- Humana (Albany, NY)
- …Nurse or Behavioral Health Licensed Professional. + Managed care, Medicaid health plan experience **Additional Information** + **Schedule:** Monday through ... are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal… more
- Humana (Albany, NY)
- …delivering high plan quality as rated by the Centers for Medicare and Medicaid Services (CMS). The CMS Stars quality rating system evaluates Medicare Advantage and ... are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal… more
- EPI (Rochester, NY)
- …Purpose: The primary function of this role is to ensure quality and Medicaid Compliance standards are met, through verification of all completed Office for People ... and documentation requirements are completed timely to meet billing, quality, and Medicaid Compliance standards. + Ensures all yearly paperwork is complete. +… more
- Humana (Albany, NY)
- …The team has a strong dotted-line partnership with the Medicare and Medicaid organization, Humana's largest, which comprises over 80% of the company's total ... are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal… more
- Humana (Albany, NY)
- …delivering high plan quality as rated by the Centers for Medicare and Medicaid Services (CMS). The CMS Stars quality rating system evaluates Medicare Advantage and ... are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal… more
- Trinity Health (Schenectady, NY)
- …Care for the Elderly (PACE)--a unique model that is both the Medicare/ Medicaid insurer and healthcare provider--giving us maximum ability to customize services to ... insurer, we are at full risk, with the ability to combine Medicare and Medicaid resources to provide care in creative ways to reduce hospitalizations and avoid/delay… more
- Humana (Albany, NY)
- …leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal ... are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal… more