• Senior Child Behavioral Medical Director

    Centene Corporation (New York, NY)
    …of staff. Previous experience within a managed care organization and with Medicaid programs is preferred. Experience treating or managing care for a culturally ... diverse population preferred. **License/Certification:** Board certification in a medical specialty recognized by the American Board of Medical Specialists or the American Osteopathic Association's Department of Certifying Board Services. **(Certification in… more
    Centene Corporation (08/08/25)
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  • Occupational Therapist

    The Arc Madison Cortland (Herkimer, NY)
    …in insurance including, but not limited to Medicare and New York State Medicaid . + Selects therapy suited to individual's physical capacity, intelligence level, and ... interest to upgrade individual to maximum independence. + Provides therapy in functional, prevocational, vocational, homemaking skills, and activities of daily living. Benefits include but not limited to: + 401K Employer Match + Health, dental and vision… more
    The Arc Madison Cortland (08/08/25)
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  • DevOps Development Manager

    General Dynamics Information Technology (Menands, NY)
    …which is the target platform for the NYSOH Application. . Healthcare, Medicaid or Health Exchange experience Familiarity with the following technical environment: ... **Languages** : Java, BASH Shell, SQL and PL/SQL **Web Technologies** : Drools 8, JDBC, WSDL, HTML, JSP, XML, JSON, WSDL, WADL, DOM, JAX RPC, CSS, Dozer 5.5.1, Java Script, Angular JS, Type Script, jQuery, Ajax, Java Script, Log4J **Frameworks** : J2EE,… more
    General Dynamics Information Technology (08/08/25)
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  • Risk Adjustment Audit Operations Analyst - RADV

    Molina Healthcare (NY)
    …Spark, or similar data platforms + Familiarity with Medicare Advantage or Medicaid programs + Awareness of CMS audit processes or healthcare compliance requirements ... **Ideal Candidate Attributes** + **Curious and Eager to Learn** : Interested in understanding healthcare data and willing to dig into unfamiliar topics. + **Team-Oriented** : Works well in a collaborative environment and seeks input from more experienced… more
    Molina Healthcare (08/08/25)
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  • Manager, Risk Score Accuracy

    Healthfirst (NY)
    …of the changes occurring in our provider community. + Keep abreast of New York Medicaid and Medicare reforms and their impact on the health plan and owner hospital ... performance. **Minimum Requirements:** + Bachelors degree from an accredited institution. + At least 5 years previous work experience within risk adjustment + Credentialed Associate of the Society of Actuaries (ASA) + Proficiency in SQL (Script Development,… more
    Healthfirst (08/08/25)
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  • Patient Care Technician - PCT

    Fresenius Medical Center (Camillus, NY)
    …assist devices for the heavier items. **EDUCATION** + Center for Medicaid /Medicare Services (CMS)-approved state and/or national certification or High School diploma ... or GED and must meet certification requirements within the required state or CMS timeline. + All appropriate state licensure education and training (if any) required. **EXPERIENCE AND REQUIRED SKILLS** + Previous patient care experience in a hospital setting… more
    Fresenius Medical Center (08/08/25)
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  • Attorney: Criminal Appellate or Clerkship…

    New York State Civil Service (New York, NY)
    …Enforcement and Financial Crimes Bureau, the Organized Crime Task Force, and the Medicaid Fraud Control Unit, and must be provided an opportunity to intervene in ... any case in which the constitutionality of a state criminal statute is challenged.The bureau also responds to federal habeas corpus petitions bringing constitutional challenges to state court convictions obtained by district attorneys throughout the state, as… more
    New York State Civil Service (08/08/25)
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  • Community and Constituent Advocate

    New York State Civil Service (Bronx, NY)
    …court proceedings* Knowledge of benefit programs such as SCRIE/DRIE, SNAP, Medicaid , medical insurance, HEAP, FHEPS, and Section 8.* Computer literacy, including ... expertise with Microsoft Office and Google Docs* Ties to the Bronx preferred* Fluency in Spanish is a plus Additional Comments * Please include your home address, email, and telephone number on your resume Some positions may require additional credentials or a… more
    New York State Civil Service (08/08/25)
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  • Care Manager

    LIFEPlan CCO NY (Ithaca, NY)
    …and Community Based (HCBS) waiver. + Identify and access benefits and entitlements ( Medicaid , Social Security, SNAP, etc.) when a member is eligible. Ensure existing ... benefits and other entitlements are maintained. + Ensure a current and accurate information sharing consent is present within the electronic health record and updated as necessary when changes occur or are requested by the member and/or representative. +… more
    LIFEPlan CCO NY (08/08/25)
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  • Auditor, HCC Risk Adjustment Coding - Full Time…

    Datavant (Albany, NY)
    …coding. + Experienced in HCC coding across Medicare, commercial, and Medicaid sectors. + In-depth knowledge of medical terminology, abbreviations, pharmacology, and ... disease processes. + Ability to excel in a fast-paced production environment while upholding high-quality standards. + Strong written and verbal communication skills, adeptness in remote work, and exceptional time management skills. + Working knowledge of the… more
    Datavant (08/08/25)
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