- 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
- Philips (Syracuse, NY)
- …clinical evidence to physicians. + Being the expert on Medicare, Medicaid and private insurance coverage-criteria for InCourage vest therapy, while effectively ... educating healthcare teams in identifying patients who meet coverage criteria. Obtaining medical record documentation in order for coverage to be obtained. + Analyzing data to effectively target priority healthcare teams and create sales call routing. Capable… more
- Community Missions of the Niagara Frontier (Niagara Falls, NY)
- …and submit Resident fees for service. Maintain and submit documentation for Medicaid billing for service. Qualifications: Bachelor's Degree in Social Work, Human ... Services, Community Mental Health or related field. One year experience of human services, preferably Adult Mental Health. Hours: Full-Time Salary Range: $39,000 - $43,000, annually. If interested, please email your resume & cover letter to Sarah at… more
- Molina Healthcare (NY)
- …driving successful launches of new processes, systems, and operational models across Medicaid , Medicare, and Marketplace lines of business. We are seeking a leader ... with proven experience in **launch planning, execution, and post-implementation stabilization** . **Key responsibilities include:** + Leading operational readiness efforts for new processes, systems, and operational initiatives across provider data and… more
- New York State Civil Service (Wassaic, 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… more
- Molina Healthcare (NY)
- …+ Background Training + Managed Care background and/or is familiar with Medicare and Medicaid . + Process based, + Able to build forms and trainings in Canva, ... Snag-It, PowerPoint, Visio, Process Mapping, Excel for tracking and training results and resources, One-Note, SharePoint (Able to Be the Administrator), Teams Channels + Bilingual is a plus! (Spanish or Mandarin) + Design, develop, and deliver training… 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 ... 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
- Mount Sinai Health System (New York, NY)
- …such as IDX, Soarian, etc. + Knowledge of the New York State Medicaid and CMS Medicare regulations and related reporting requirements, such as STARS,QARR, MMCOR, ... MEDS, RAPS and HEDIS is a strong plus. + Experience working in a health plan or consulting actuarial, financial reporting or medical economics departments highly valuable. + Experience as a nurse informaticist highly valuable. + Experience working in… more
- Access: Supports For Living (Queens, NY)
- …+ Document Habilitation services contemporaneously in accordance with the Agency, OPWDD, Medicaid and other requirements. + Provide input into the development and ... implementation of the Staff Action Plan Habilitation Plan in accordance with the Life Plan as developed by each person receiving services, family, advocate and Care Coordinator. + Monitor the safety and welfare of people served, take corrective actions as… 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