- Molina Healthcare (Syracuse, NY)
- …evaluate, and submit encounter deletions for Medicare Advantage, ACA, and Medicaid lines of business. This role has decision-making accountability for ensuring ... Healthcare or Operational experience in related job. + 2 years minimum in Director level role or above. + Extensive understanding of Medicare Advantage, ACA and… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …to governmental agencies (eg APS/CPS) as needed, and any suspected/possible Medicaid fraud to the Special Investigations Unit (SIU) or designated internal/external ... and ensures all regulatory requirements such as DOH, CMS, Medicaid , and accreditation requirements such as NCQA, URAC and...May be required to attend Fair Hearings with Medical Director relating to specific cases. + Works independently, as… more
- City of New York (New York, NY)
- …provided to the attorney staff in the department. Under direction of the Director of Operations, the Data Control Supervisor will perform difficult and responsible ... administrative staff assisting with data collection and analysis for agency Medicaid collections efforts. - Oversee the data collection and analysis reporting… 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 ... work to assist the MAP ADC in overseeing their Medicaid program areas. The Project Coordinator manages the Case...varied activities of the office of the ADC/ Executive Director 's for distribution to staff and Program Directors. -… more
- City of New York (New York, NY)
- …is responsible for protecting against fraud and recovering Cash Assistance and Medicaid pursuant to SSL 104, 104-b, 369, and 42 USC 1396p(2)(b)(ii)(d)(4)(SNT). ... excess resources to shelter their assets and qualify for Medicaid . The SNT Program monitors over 2,000 first party...and execute ad hoc projects as assigned by the Director . Establish and monitor milestones to measure the success… more
- New York State Civil Service (Jamaica, NY)
- …NYS Veterans Home at St. Albans. The position reports to the Fiscal Director of the Health Facilities Management Group. The position also reports to Administrator ... cash flow projections, capital outlay and fixed assets schedules, and Medicaid & Medicare reimbursement activities for the facility.* Develops, implements, reviews,… more
- New York State Civil Service (Batavia, NY)
- …the NYS Veterans Home at Batavia. The position reports to the Fiscal Director of the Health Facilities Management Group. The position also reports to Administrator ... cash flow projections, capital outlay and fixed assets schedules, and Medicaid & Medicare reimbursement activities for the facility.* Develops, implements, reviews,… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …benefits in a manner that is compliant with Center for Medicare and Medicaid Services (CMS) and company policies and regulations. The Medicare MAP advisor will ... Primary Responsibilities: + Educate prospects on CPHL MAP product designed for Full Medicaid and Medicare recipients that need in home care and Long-term care… more
- Caz Recovery (Buffalo, NY)
- …data sheets, and more. + Actively works with the agency's Dietetic Technician, Director of Food Services or Nutritionist to ensure that all residents' dietary needs ... the Program Manager, this position shall collaborate with the Director of Food Services. + Conducts daily inspections of...regulations, including Federal Confidentiality (42 CFR, Part 2), HIPAA, Medicaid and/or HUD, and any others. + Carries out… more
- New York State Civil Service (Albany, NY)
- …of Statewide Services. The RN 3 will work under the supervision of the Assistant Director of Nursing and will be responsible for: * Monitoring and responding to all ... and categorize questions received from providers. * Analyze and report to the Assistance Director of Nursing trends in questions that can be used to inform the… more