• Eligibility Worker

    City of New York (New York, NY)
    …community health centers, and drug treatment programs. HASA is recruiting for three (3) Eligibility Specialist to function as an Eligibility Worker who will: - ... document mandated information. Conduct thorough interviews to determine continued financial eligibility and the issuance of accurate benefits per agency guidelines.… more
    City of New York (09/26/25)
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  • Eligibility Worker

    City of New York (New York, NY)
    Job Description APPLICANTS MUST BE PERMANENT IN THE ELIGIBILITY SPECIALIST CIVIL SERVICE TITLE FOR AT LEAST ONE YEAR The HIV/AIDS Services Administration (HASA) is ... housing, and assistance with applying for public benefits and services including Medicaid , food stamps and cash assistance. HASA also provides vocational services… more
    City of New York (11/08/25)
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  • Licensed Master Social Worker

    New York State Civil Service (NY)
    …of the applicant's service needs.* Review and process level of care eligibility determinations (lced's)* Confirm Medicaid status/enrollment; communicate with the ... in the Medicare and Medicaid programs. Continued employment will depend on maintaining eligibility . * If you are employed by state government you may be able to… more
    New York State Civil Service (11/24/25)
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  • Specialist, Appeals & Grievances - Remote ( Must…

    Molina Healthcare (Buffalo, NY)
    …claims processing experience, including coordination of benefits (COB), subrogation and eligibility criteria. * Experience with Medicaid and Medicare claims ... accordance with the standards and requirements established by the Centers for Medicare and Medicaid Services (CMS). M-F from 8am - 4:30pm EST will require to work 1… more
    Molina Healthcare (11/23/25)
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  • Specialist, Appeals & Grievances

    Molina Healthcare (Buffalo, NY)
    …claims processing experience, including coordination of benefits (COB), subrogation and eligibility criteria. * Experience with Medicaid and Medicare claims ... accordance with the standards and requirements of Centers for Medicare and Medicaid Services (CMS). **Essential Job Duties** * Responsible for the comprehensive… more
    Molina Healthcare (11/21/25)
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  • Eligibility Verification Specialist

    City of New York (New York, NY)
    …of Revenue Management and Development (ORMD)/The Bureau of Case Integrity & Eligibility Verification's (BCIEV) mission is to identify system enhancements to improve ... that had not previously been recognized. Bureau of Case Integrity and Eligibility Verification (BCIEV) is recruiting one (1) Principal Administrative Associate II to… more
    City of New York (10/31/25)
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  • Specialist, Appeals & Grievances

    Molina Healthcare (Syracuse, NY)
    …+ Health claims processing background, including coordination of benefits, subrogation, and eligibility criteria. + Familiarity with Medicaid and Medicare claims ... and requirements established by the Centers for Medicare and Medicaid **KNOWLEDGE/SKILLS/ABILITIES** + Responsible for the comprehensive research and resolution… more
    Molina Healthcare (11/07/25)
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  • Unit Supervisor

    City of New York (New York, NY)
    …City-tax levy savings for the City. The Bureau of Case Integrity & Eligibility Verification's mission is to identify system enhancements to improve claiming and to ... potential errors by reviewing records of Cash Assistance and Medicaid Assistance Program (MAP) cases and analyzing their contents...III to function as the Unit Supervisor in the Medicaid Data Analysis Unit who will: Supervise and guide… more
    City of New York (10/10/25)
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  • Registered Nurse

    Health Advocates Network (Albany, NY)
    …as the liaison to the Governor's office, Centers for Medicare and Medicaid Services, and other state-agencies. Position Description: The Bureau of Specialized ... a wide range of services and programs for children provided under the Medicaid program including the Children's Health Home program, the voluntary foster care… more
    Health Advocates Network (11/18/25)
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  • Research Scientist 2 (Biostatistics/Health…

    New York State Civil Service (Albany, NY)
    …the Medicare and Medicaid programs. Continued employment will depend on maintaining eligibility .* If you are employed by state government you may be able to ... Duties Description The Research Scientist 2 position will work within the Bureau of Medicaid Data Reporting and Analysis and will assist in a broad range of… more
    New York State Civil Service (11/11/25)
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