- CVS Health (Albany, NY)
- …within Network; Examples include ensuring data standards are synchronized across Medicaid and Medicare platforms, ensuring duals workflows are support across ... experience in strategy and delivery leadership roles + 5+ years of Medicare/ Medicaid and/or Duals experience + Proven success navigating large scale cross functional… more
- Healthfirst (NY)
- …+ Drive innovation in integrated care models that align with NYS Medicaid requirements and Healthfirsts quality and value-based care goals + Champion initiatives ... experience and deep familiarity with New York State HARP, HCBS, and Medicaid Managed Care programs **Preferred Qualifications:** + Clinical and leadership experience… 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
- Centene Corporation (Queens, NY)
- …managed care or insurance environment, preferably in Medicare or Medicaid . Previous management experience including responsibilities for hiring, training, assigning ... work and managing performance of staff. **License/Certification:** Valid driver's license. **For Fidelis Care only:** Must have valid driver license, personal vehicle and ability to travel. Pay Range: $116,100.00 - $214,700.00 per year Centene offers a… more
- 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
- Molina Healthcare (Syracuse, NY)
- …with business and other IT teams to deliver successful and certifiable Medicaid Management Information Systems solutions. * Works closely with EPMO, business ... stakeholders to manage priorities deliveries and expectations. **Job Qualifications** **Required Education** Graduate Degree or equivalent combination of education and experience **Required Experience** 7-9 years Application Design, Development Experience and,… more
- Catholic Health Services (Melville, NY)
- …clinical documentation requirements. Working knowledge of Centers for Medicare and Medicaid Services rules and regulations, and interest in building this knowledge ... through experience and partnership with Care Management. Excellent communication and presentation skills (both written and oral). Teaching and coaching skills. Analytical ability and problem-solving skills. Working knowledge of electronic medical record (ie,… more
- City of New York (New York, NY)
- …in need with essential benefits such as Cash, Food and Rental Assistance as well as Medicaid . The Office of the Medical Director aims to improve the health and ... and implement relevant programs. The Office of the Medical Director is seeking to hire one (1) City Medical...requirements and standards. - Review literature, incident reports, DHS, Medicaid and SPARCS data to identify key health issues… 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 ... other health care services at little or no cost. Medicaid Eligibility Operations is recruiting for one (1) Principal...for review by the Section Manager and the Divisional Director and assist in the preparation and submission of… more
- City of New York (New York, NY)
- …real property liens on primary residences of recipients to obtain reimbursement of Medicaid or Cash Assistance. The unit also processes all inquiries coming into the ... unit and calculates and asserts Medicaid liens on behalf of the agency. L&R is...bi-weekly analysis report. Provide these updates to the Executive Director and Director respectively. - Ensure the… more