- Cardinal Health (Albany, NY)
- …long and short-range changes in the reimbursement environment including Medicare, Medicaid , Managed Care, and Commercial medical and pharmacy plans while planning ... diploma or equivalent preferred + Knowledge of Medicare (A, B, C, D), Medicaid & Commercial payers policies and guidelines for coverage, preferred + Strong people… more
- New York State Civil Service (NY)
- …management issues, non-personnel spending, continuous quality improvement and Medicaid compliance activities, emergency management and incident management functions- ... eligibility for full and unconditional participation in the Medicare and Medicaid programs. Continued employment will depend on maintaining eligibility.* If you… more
- Public Consulting Group (Albany, NY)
- …communications, and training activities related to MEMS Modules, MMIS Core Solutions, Medicaid DSS/DW and SI. * Prepare change impact assessments, identify risks, ... equivalent experience required. * 5 years of previous OCM experience preferred. * Medicaid experience a plus. * Ability to understand both the service delivery… more
- Independent Health (Buffalo, NY)
- …policies, summary plan descriptions, member contracts, and Centers for Medicare and Medicaid Services (CMS) guidelines for all lines of business. The individual will ... other insurance companies, regulatory agencies (ie Centers of Medicare and Medicaid ) and internal departments effectively. + Identify and perform appropriate… 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. ... care allowed under the member's benefit plan and as available through Medicaid benefits and/or other community resources. + Develops relationships with hospital… 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
- Graham Windham (Bronx, NY)
- …Coaching Guide, Legal (Understanding the legal process or CW cases), Medicaid Compliance, Mandated Reporter, Be trained to facilitate Restorative Justice ... Coaching Guide, Legal (Understanding the legal process or CW cases), Medicaid Compliance, Mandated Reporter, Be trained to facilitate Restorative Justice… more
- Educational Alliance, Inc. (New York, NY)
- …Power Point, Outlook, EMRs, HRA STARS) + Knowledge of OASAS and Medicaid regulations + Knowledge of ICD-10/DSM diagnostic criteria, primarily related to substance ... quality admissions assessments in accordance with regulatory bodies (OASAS, CARF, and Medicaid ) + Support the training of new admissions staff + Track enrollments… more
- City of New York (New York, NY)
- …The Medical Assistance Program (MAP) administers public health insurance programs, including Medicaid , for the City of New York. Applying individuals and families ... Operations who will: - Supervise and resolve problems related to processing Medicaid applicants for residential health care facilities. - Oversee review of difficult… more
- Molina Healthcare (NY)
- …and clinical performance is achieving desired results + Keep abreast of Medicaid and Medicare reforms and their impact on Molina Healthcare **Job Qualifications** ... + 5+ years of related experience in healthcare + Demonstrated understanding of Medicaid and Medicare programs or other healthcare plans + Analytical work experience… more