- New York State Civil Service (Albany, NY)
- NY HELP Yes Agency Medicaid Inspector General, NYS Office of the Title Auditor 1/Auditor Trainee 1/Auditor Trainee 2 (NY HELPS) Occupational Category Financial, ... documents as an attachment in Microsoft Word or PDF format.The Office of the Medicaid Inspector General is proud to be an equal opportunity employer. We encourage… more
- Humana (Albany, NY)
- …Guidance on following and reviewing home health, SNF, DME, dual Medicare/ Medicaid and Waiver requests. The Medical Director provides medical interpretation and ... leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal… more
- J&J Family of Companies (Smithtown, NY)
- …and affordability solutions across multiple payer types and plans (ie, Medicare, Medicaid Managed Care, Commercial). . Execute business in accordance with the ... payer approval processes and business acumen. . Understanding of Medicare, Medicaid , and private payer initiatives affecting reimbursement of pharmaceutical and… more
- J&J Family of Companies (New York, NY)
- …and affordability solutions across multiple payer types and plans (ie, Medicare, Medicaid Managed Care, Commercial). + Execute business in accordance with the ... payer approval processes and business acumen. + Understanding of Medicare, Medicaid , and private payer initiatives affecting reimbursement of pharmaceutical and… more
- J&J Family of Companies (Newburgh, NY)
- …and affordability solutions across multiple payer types and plans (ie, Medicare, Medicaid Managed Care, Commercial). + Execute business in accordance with the ... payer approval processes and business acumen. + Understanding of Medicare, Medicaid , and private payer initiatives affecting reimbursement of pharmaceutical and… more
- Comunilife (New York, NY)
- …of the program.- Complete weekly progress notes in accordance with Medicaid billing procedures.- Coordinate crisis intervention with mental health and/or substance ... directives.- Working knowledge of regulations for Part 595 and Medicaid funding and reimbursement procedures.- Responsible, organized, effective, and efficient.-… more
- CVS Health (Albany, NY)
- …within Network; Examples include ensuring data standards are synchronized across Medicaid and Medicare platforms, ensuring duals workflows are support across ... experience in strategy and delivery leadership roles + 5+ years of Medicare/ Medicaid and/or Duals experience + Proven success navigating large scale cross functional… more
- CVS Health (Albany, NY)
- …the ICD codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, ... (ICD) codes required. + Experience with Medicare and/or Commercial and/or Medicaid Risk Adjustment process and Hierarchical Condition Categories (HCC) required. +… more
- Northwell Health (New York, NY)
- …care setting (preferred) + Claims adjudication experience + Knowledge of MLTC/ Medicaid / Medicaid benefit + Knowledge of Member (Subscriber) enrollment & billing ... + Knowledge of Utilization Authorizations + Knowledge of Provider Contracting + Knowledge of CPTs, ICD 9/ICD 10, HCPC, DRG, Revenue, RBRVS + Proficiency in MS Excel, Word, PowerPoint, and experience using a claims processing system or comparable database… more
- The Arc Erie County NY (Williamsville, NY)
- …disabilities and their families. + Regulatory Knowledge - Understands OPWDD, Medicaid , and educational compliance requirements. + Leadership - Guides and motivates ... are compliant with federal, state, and local regulations, including OPWDD and Medicaid standards. + Maintain accurate, audit-ready records of intake and admissions… more