- Kelly Services (Menands, NY)
- …access to essential medical services and medications, bridging the gap between Medicaid and private insurance and supporting individuals transitioning to Medicaid ... Responsibilities:** + Respond to and triage Spanish-language calls on the program's eligibility hotline + Process applications for program enrollment + Perform other… more
- Elevance Health (East Syracuse, NY)
- …contracts for Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs._ The **Audit and Reimbursement III** ... Contract (MAC) with the federal government (The Centers for Medicare and Medicaid Services (CMS) division of the Department of Health and Human Services).… more
- Elevance Health (East Syracuse, NY)
- …contracts for Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs. The **Audit and Reimbursement II** ... Contract (MAC) with the federal government (The Centers for Medicare and Medicaid Services (CMS) division of the Department of Health and Human Services).… more
- CVS Health (NY)
- …2 and up to 4 market segments for any particular client (Medicare, Medicaid , Exchange, or Commercial). The Health Plan Clinical Advisor is responsible for ... within a health plan. + Experience in all market segments (Medicare, Medicaid , Exchange and Commercial) + Expertise in Utilization Management, Formulary Management… more
- The Children's Village (Dobbs Ferry, NY)
- …a timely manner. Ongoing coordination also includes quarterly review of the child's eligibility and completing a care plan review and an acuity reassessment every ... + At no time during employment can the employee be placed on the Medicaid Exclusion List or otherwise prohibited from providing Medicaid services in New… more
- WellLife Network (Old Field, NY)
- …to public benefits. The role provides direct help with entitlements such as Medicaid , SNAP, and SSI, while guiding youth through locating, applying for, and ... The Specialist works closely with the agency's Entitlements and Eligibility Services (EES) team to ensure benefit applications are...for public entitlements, including but not limited to: + Medicaid + SNAP (food stamps) + SSI/SSDI + Public… more
- Elderwood (Cheektowaga, NY)
- …as support/liaison to the business office coordinator and/or designee in determining eligibility for Medicare and tracking Medicare days in the facility. + Serves ... and appeals processes. + Manages NYS RUGs III case mix for Medicaid reimbursement. + Completes occasional travel between facilities and Elderwood Learning Center.… more
- Elevance Health (Latham, NY)
- …performing complex actuarial studies related to risk adjustment analytics in both the Medicaid and Medicare Advantage lines of business. **How You Will Make an ... limited to: + Analyzes and develops SAS and SQL programming to support Medicaid and Medicare Advantage risk adjustment initiatives. + Performs data mining and… more
- Centene Corporation (Brooklyn, NY)
- …Community position for Brooklyn, NY** **Enroll members into various Fidelis Medicaid , CHP, EP plans** **Position Purpose:** The Health Benefit Representative (HBR) ... offered through the New York State of Health (NYSOH), Medicaid Managed Care, Child Health Plus, Medicare, MLTC, FIDA...forms of incentives. Benefits may be subject to program eligibility . Centene is an equal opportunity employer that is… more
- WMCHealth (Hawthorne, NY)
- …detailed requirements, guidelines, and deadlines of Centers for Medicare & Medicaid Services, National Committee for Quality Assurance (NCQA) in collaboration with ... agency programs based on providers current enrollment status. + Assessing eligibility of providers for specific programs, making recommendations, and maintaining… more
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