- Westchester Jewish Community Services (White Plains, NY)
- …management skills. + Familiarity with OPWDD regulations, individual accounts, and Medicaid billing processes is a strong plus; OPWDD experience strongly preferred. ... + Experience with Sage Intacct or similar accounting/ERP software preferred. + Detail-oriented with excellent organizational, analytical, and communication skills. + Ability to work independently and collaboratively in a fast-paced environment. What WJCS has… more
- Equinox, Inc (Albany, NY)
- …selection of residents; compliance with OMH certification requirements and Medicaid documentation requirements; financial oversight within the program; facilities ... oversight; establishing and maintaining community/provider relationships; and participation in agency management and planning activities. Essential Duties and Responsibilities: + Carry out staffing function (selection, training, supervision and discipline) +… more
- Ellis Medicine (Schenectady, NY)
- …York State Department of Health and Centers for Medicare and Medicaid Services discharge planning guidelines and departmental/organizational policies and processes + ... Utilization Management: + Ensures order in chart/EMR coincides with the InterQual review or CMS rules and regulations for appropriate Level of Care and status on all patients through collaboration with Utilization Review RN + Contacts the attending physician… more
- Heath System Services (Niagara Falls, NY)
- …a plus. + Background in customer service highly preferred. + Knowledge of Medicare, Medicaid and third-party insurances, a plus. ✔️ What You Get - Benefits That Go ... Beyond the Basics + Comprehensive Health Coverage - Medical, Dental, and Vision insurance to keep you and your family well + Future-Ready Retirement Plan - 401K with 3% company contribution after one year and 1,000 hours worked + Time to Recharge - Generous… more
- CUNY (New York, NY)
- …peers to campus and community services and public benefits such as SNAP and Medicaid . It partners with health care and social service providers and city agencies. In ... Fall 2023, CUNY launched CUNY CARES at its three Bronx campuses. Based on results of an ongoing evaluation f its first three years, the long-term vision is to expand CARES to all 26 CUNY campuses serving 240,000 students, the majority from low-income,… more
- Molina Healthcare (Albany, NY)
- …familiarity with various managed healthcare provider compensation methodologies, primarily across Medicaid and Medicare lines of business, including but not limited ... to; fee-for service, capitation, and various forms of risk, ASO, etc. **Preferred Education** Bachelor's or master's degree. **Preferred Experience** + 5+ years' experience in managed healthcare administration and/or Provider Services. + 5+ years' experience… more
- The Salvation Army (Bronx, NY)
- …Program through connection with and referrals from those who service the Medicaid insured population including direct referrals from provider and coordination of ... services. Understand our agency's strategic goals, align marketing and outreach strategies supportive of those goals. Ability to work independently and collaborate with administrative team. Responsibilities + Educate community providers and community interest… more
- Access: Supports For Living (Poughkeepsie, NY)
- …risk and progress. + Ensures all behavioral health services meet or exceed Medicaid , Medicare and other federal, state and local standards. Ensures that the clinic ... meets state and CARF accreditation standards at the highest level. + Collaborates with the other formal leaders within the agency. + Implements agency administrative initiatives, including daily management systems and clinical huddles. + Trains all clinical… more
- Molina Healthcare (Rochester, NY)
- …experience is required + Previous dental, case management, pediatric, and/or Medicaid managed care experience is preferred **Required Competencies / Knowledge / ... Skills** : + Compassion to serve people and make a difference in people's lives + Typing a minimum of 35wpm proficiently + Ability to talk and data enter simultaneously + Intermediate proficiency level with Microsoft Office products, including Word and Excel +… more
- New York State Civil Service (Albion, NY)
- …as an excluded individual or entity on any of the Federal and/or State Medicaid and Medicare exclusion lists (or excluded from any other Federal or Federally ... assisted program.) If you are appointed and subsequently listed as an excluded individual or entity on any of these lists (or excluded from any other Federal or Federally assisted program), you may be terminated from your employment.2. Continued employment as… more