- Excellus BlueCross BlueShield (Buffalo, NY)
- …Services has overall accountability for BH services for all Medicaid Managed Care enrollees under age 21 years. Essential Responsibilities/Accountabilities: ... in child and adolescent psychiatry without restrictions and free of sanctions from Medicaid or Medicare required. + Minimum of five (5) years of experience working… more
- Whitney Young Health Center (Albany, NY)
- …related paperwork. + Utilize the Electronic Provider Assisted Claim Entry System/ Medicaid Eligibility Verification System (ePACES/MEVS) and other data sources to ... confirm Medicaid enrollment and Health Related Social Care (HRSN) screening status, as well as existing care team management. + Manage member/patient consent and… more
- New York State Civil Service (Jamaica, 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
- New York State Civil Service (West Brentwood, NY)
- …eligible and maintain eligibility for full and unconditional participation in the Medicaid and Medicare program. Failure to maintain licensure, certification and ... Medicaid /Medicare eligibility will result in the termination of employment. Additional Comments OASAS Addiction Treatment Centers (ATCs) are Tobacco Free… more
- New York State Civil Service (West Brentwood, NY)
- …and maintain eligibility for full and unconditional participation in the Medicaid and Medicare programs. Failure to maintain Medicaid /Medicare eligibility ... will result in the termination of employment. Additional Comments Background Investigation Requirements: Prospective appointees will be: 1) Checked against the Staff Exclusion List (SEL) maintained by the Justice Center for the Protection of People with… more
- Constructive Partnerships Unlimited (Manhattan, NY)
- …Job Brief Responsible for preparing Medicaid and Social Security Administration (SSA) ... redemption in the Billing/Entitlements shared drive. + Complete NYC & NYS Medicaid recertification packets for all service recipients within congregate care level II… more
- Stony Brook University (Commack, NY)
- …discussions, and reimbursement escalations. + Ensure compliance with Medicare and Medicaid reimbursement methodologies and stay current on commercial and government ... Article 28, Article 36, and Article 44, New York Education Law (|) 6527, Medicaid Managed Care Model Contact, CON regulations) federal regulations (ACA, 42 CFR Part… more
- New York State Civil Service (Staten Island, NY)
- …and maintain eligibility for full and unconditional participation in the Medicaid and Medicare programs. Failure to maintain Medicaid /Medicare eligibility ... will result in the termination of employment Additional Comments South Beach ATC is a Tobacco-Free Facility.Background Investigation Requirements: Prospective appointees will be: 1) Checked against the Staff Exclusion List (SEL) maintained by the Justice… more
- Humana (Albany, NY)
- …clinical experience + Knowledge of the managed care industry including Medicare, Medicaid and/or Commercial products + Must be passionate about contributing to an ... are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal… more
- YAI (Manhattan, NY)
- …(Office for People with Developmental Disabilities (OPWDD), Centers for Medicare and Medicaid Services (CMS), Office of Medicaid Inspector General (OMIG), ... Department of Health (DOH)), etc. + Develops monitoring tools and checklists for use in internal audits to assess compliance with applicable regulations and identify areas of concern in preparation for external audits. + Supports program leadership with… more