- New Directions Youth and Family Services (Amherst, NY)
- …Summary The Child and Family Counselor provides in-home and community-based services to Medicaid -enrolled youth ages 0-21 under the Medicaid State Plan Service ... Development Opportunities Staff receive ongoing training in evidence-based practices, Medicaid documentation requirements, and professional skill development. New Directions… more
- Molina Healthcare (Syracuse, NY)
- …and processing. This role will focus on identifying, reviewing, and validating Medicaid secondary payments to ensure alignment with internal configuration rules and ... adjudication, QNXT system navigation, and strong analytical acumen. Experience in Medicaid managed care is required, and a background in payment integrity-either… more
- Staffing Solutions Organization (Albany, NY)
- …Systems group as part of a team responsible for implementing the Medicaid policy/legislative changes to the Welfare Management System (WMS), the transition of ... populations out of WMS, developing the Medicaid Eligibility and Client Management (MECM) System, ongoing development/maintenance of NYS of Health (NYSOH), and the… more
- New York State Civil Service (East Syracuse, NY)
- …may be barred from appointment.You are responsible for payment of all required fees. Medicaid and Medicare: In order to be eligible for appointment and to maintain ... or entity on any of the Federal and/or State Medicaid and Medicare exclusion lists (or excluded from any...for your services to be billed through Medicare and Medicaid . If you are appointed and lose the ability… more
- City of New York (New York, NY)
- …The Medical Assistance Program (MAP) administers public health insurance programs, including Medicaid , for the City of New York. Applying individuals and families ... Insurance (TPHI) Reimbursement Unit is responsible for the authorization of Medicaid reimbursement claims of consumers receiving public health insurance which… more
- Molina Healthcare (Albany, NY)
- …screens potentially eligible recipients for enrollment into Government Programs such as Medicaid / Medicaid Managed Care, Child Health Plus and Essential Plan. ... screen and assist potentially eligible recipients with the enrollment process into Medicaid / Medicaid Managed Care, Child Health Plus the Essential Plan and… more
- New York State Civil Service (Ovid, NY)
- …eligible and maintain eligibility for full and unconditional participation in the Medicaid and Medicare programs. Failure to maintain licensure, certification and ... Medicaid /Medicare eligibility will result in the termination of employment.Mandatory...maintain eligibility for full and unconditional participation in the Medicaid and Medicare programs. Failure to maintain licensure, certification… more
- Humana (Albany, NY)
- …matter expert on NCQA Health Plan Accreditation Member Experience (ME) and Medicaid Module (MED) requirements, advising stakeholders on compliance. + Works closely ... + 3+ years of experience in NCQA Health Plan Accreditation and/or Medicaid Module. + Exceptional analytical and critical thinking skills, including problem solving… more
- New York State Civil Service (Brooklyn, NY)
- …eligible and maintain eligibility for full and unconditional participation in the Medicaid and Medicare programs. Failure to maintain certification and Medicaid ... eligible and maintain eligibility for full and unconditional participation in the Medicaid and Medicare programs. Failure to maintain licensure, certification and … more
- University of Rochester (Albany, NY)
- …+ Identify and confirm uninsured and underinsured patients for appropriate referral to Medicaid Enrollment & Outreach for possible Medicaid application and /or ... resources and investigational skills to solve unique and complex problems. + Re-check Medicaid eligibility every 30 days for active coverage. + May train or perform… more