• Technical Trainer

    City of New York (New York, NY)
    …personnel systems. Information Technology Systems (ITS)/Division of Training and Staff Development is recruiting for a Computer Specialist (Software) I, to function ... as well as provide onsite assistance to ITS Systems Development staff in various levels of Microsoft Office, Cloud,...ALERT, MAPPER, POS, AIRS, used in areas such as Medicaid , Food Stamps, Home Care, AIDS Services, Domestic Violence,… more
    City of New York (03/21/25)
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  • Director, Marketing Campaign Management

    Humana (Albany, NY)
    …in the US. Reporting to the Associate VP, CRM Marketing, you will lead a team supporting Stars, Wellness/Go365, Medicaid , Onboarding and Specialty product ... organization's products and/or services. You will build relationships with your business partners, oversee financial budgets, be adept at project management, RFI/RFP… more
    Humana (05/20/25)
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  • Associate Director, DevOps Platforms

    Humana (Albany, NY)
    …delivery platform. You will need to have a delivery oriented mindset as you lead a team of skilled engineers to build a cohesive delivery experience across all ... leadership experience. + You are a caring and compassionate leader focused on enabling team members to grow and...how maturity in both of these areas will ultimately lead to better outcomes for software delivery teams. +… more
    Humana (05/17/25)
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  • Senior Analyst, Quality Analytics & Performance…

    Molina Healthcare (Rochester, NY)
    …cause analysis for business data issues as assigned by the team lead . + Analyze data sets and trends for anomalies, outliers, trend changes and opportunities, ... Medical Record Review tracking, Interventions tracking for at least one line of business among Medicaid , Marketplace and Medicare/MMP. + 3+ Years of experience… more
    Molina Healthcare (05/10/25)
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  • Sr Analyst, Medical Economics (Clinical Analytics…

    Molina Healthcare (Albany, NY)
    …by assisting with Return on Investment (ROI) analysis to determine if various programs will lead to value + Keep abreast of Medicaid and Medicare reforms and ... the Clinical Center of Excellence, Health Plan, and Finance teams through analyzing key business issues related to UM and CM processes and outcomes, as well as its… more
    Molina Healthcare (04/20/25)
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  • Clinician, Olp, Cftss with Bonus

    St. Catherine's Center for Children (Albany, NY)
    …services under the Children and Family Treatment Support Services (CFTSS) array, a Medicaid State Plan Service for children with, or at risk of, behavioral health ... of all services in the AWARDS EHR following all Medicaid and Managed Care Organization standards. + Enter progress...possible to the event, but no later than 5 business days post event. + Work with the MCO… more
    St. Catherine's Center for Children (04/06/25)
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  • Artificial Intelligence Specialist

    Staffing Solutions Organization (Albany, NY)
    …drive actionable insights and improve healthcare analytics, with a focus on Medicaid -related data. This role requires expertise in AI/ML architecture, AI governance, ... technical teams to identify AI-driven opportunities, develop AI roadmaps, and lead the implementation of high-performance AI models. **Additional Requirements and/or… more
    Staffing Solutions Organization (03/14/25)
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  • Director, Stars HOS Improvement and Operations

    Humana (Albany, NY)
    …delivering high plan quality as rated by the Centers for Medicare and Medicaid Services (CMS). The CMS Stars quality rating system evaluates Medicare Advantage and ... addressing HOS domains + Responsible for initiative performance monitoring and development of deep, holistic operational reporting, with regular executive summary… more
    Humana (05/13/25)
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  • Case Manager, RN or Licensed Behavioral Health…

    Excellus BlueCross BlueShield (Rochester, NY)
    …accordance with departmental, corporate, NYS Department of Health (DOH), Centers for Medicaid & Medicare Services (CMS), Federal Employee Program (FEP) and National ... health care providers to assess the needs of the member, facilitate development of an interdisciplinary care plan, coordinates services, evaluates effectiveness of… more
    Excellus BlueCross BlueShield (05/22/25)
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  • Director of Waiver Services

    St John's Community Services (Ithaca, NY)
    …of Waiver Servicesto our team. As theDirector of Waiver Servicesyou will lead a team responsible for providing high quality services to individuals eligible ... Traumatic Brain Injury (TBI) and Nursing Home Transition and Diversion (NHTD) Medicaid waiver program, and the Home Enabling Supports (OPWDD) waiver program. Your… more
    St John's Community Services (05/01/25)
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