- Hillside Family of Agencies (Batavia, NY)
- …goal of reducing and preventing emergency room visits, hospitalizations, and decreasing overall Medicaid costs as a lead member of the team responsible for the ... client. This role utilizes assessments, care planning, linkage to services and community resources, advocacy, and support to coordinate services for adults, youth, and families using person centered and family driven care strategies. This is a Monday-Friday,… more
- Weill Cornell Medical College (New York, NY)
- …+ Working knowledge of third party payor reimbursement - Medicare, Medicaid , Managed Care and commercial insurance. **Licenses and Certifications** **Working ... Conditions/Physical Demands** Standard office work Cornell welcomes students, faculty, and staff with diverse backgrounds from across the globe to pursue world-class education and career opportunities, to further the founding principle of "any person, any… more
- Fresenius Medical Center (Bronx, NY)
- …+ HighSchooldiplomaorG.E.D. required. + Must meet Center for Medicaid /Medicare Services (CMS)-approved state and/or national certification requirements within ... the required state or CMS timeline. + Allappropriatestatelicensure,education,andtraining(ifany) required. + Demonstrated commitment to organization culture, values, and customer service standards **EXPERIENCE AND REQUIRED SKILLS** **:** +… more
- CVS Health (Albany, NY)
- …and submission of risk adjustment data to the Center for Medicare/ Medicaid services. Responsibilities include, understanding data requirements, using SAS to process ... and create submissions, editing and formatting data received to comply to submission guidelines, creating and maintaining datasets, data retrieval, validation and analysis, audit trail documentation and reconciliation, interacting with vendors, providers and… more
- New York State Civil Service (Newark, NY)
- …eligibility for full and unconditional participation in the Medicare and Medicaid programs. Continued employment will depend on maintaining eligibility.* If you ... are employed by state government you may be able to receive loan forgiveness under the Public Service Loan Forgiveness Program (PSLF). The PSLF Program forgives the remaining balance on Direct Loans after 120 qualifying monthly payments have been made under a… more
- Humana (Albany, NY)
- …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal ... Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information,… more
- New York State Civil Service (Rochester, NY)
- …eligibility for full and unconditional participation in the Medicare and Medicaid programs. Continued employment will depend on maintaining eligibility.* If you ... are employed by state government you may be able to receive loan forgiveness under the Public Service Loan Forgiveness Program (PSLF). The PSLF Program forgives the remaining balance on Direct Loans after 120 qualifying monthly payments have been made under a… more
- Evolent (Albany, NY)
- …or sanction by any state or federal health care program, including Medicare or Medicaid , and is not identified as an "excluded person" by the Office of Inspector ... General of the Department of Health and Human Services or the General Service Administration (GSA), or reprimanded or sanctioned by Medicare. + No history of a major disciplinary or legal action by a state medical board **To comply with HIPAA security… more
- MVP Health Care (Rochester, NY)
- …State Anti-Fraud investigation and reporting requirements including HIPAA, CMS, Medicare, Medicaid , and any corporate compliance initiatives or policies. + Minimal ... travel may be required pertaining to investigations and audits. + Contribute to our humble pursuit of excellence by performing various responsibilities that may arise, reflecting our collective goal of enhancing healthcare delivery and being the difference for… more
- Rochester Regional Health (Rochester, NY)
- …tools highly desired. + May need previously experience in CMS, Medicaid /Medicare billing, and other regulatory processes. EDUCATION: LICENSES / CERTIFICATIONS: ... PHYSICAL REQUIREMENTS: S - Sedentary Work - Exerting up to 10 pounds of force occasionally Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required… more