• Audit Reviewer

    City of New York (New York, NY)
    …Term Care (MLTC) Program, the Assisted Living Program, Care at Home Program and Homebound Medicaid . The Medicaid Eligibility Unit is responsible for the ... Medicaid eligibility review and processing of initial applications, change actions,...as an Audit Reviewer in the Home Care Contract Management Services Unit, who will: - Review audit reports… more
    City of New York (05/14/25)
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  • Senior Healthcare Program Specialist - Medicare…

    Staffing Solutions Organization (Albany, NY)
    …Program Specialist (Level 2 or 3) - Albany, NY** **Division of Eligibility & Marketplace Integration (DEMI)** **Bureau of Third-Party Health Insurance, Medicare ... (TPHI) and make the necessary determination regarding when and how to update eligibility and claims systems. + Take the appropriate actions regarding Medicaid … more
    Staffing Solutions Organization (07/23/25)
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  • Executive Director, Data Analytics & Verification

    City of New York (New York, NY)
    …Revenue and Enforcement Administration (IREA), Office of Data Security Management (ODSM) and the Accountability Initiative and Change Monitoring (AICM). ... Executive Director, Data Analytics & Verification who will: - Oversee the management , administration, and operation of the office of Data Analytics and Verifivation.… more
    City of New York (05/14/25)
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  • Case Management Supervisor

    City of New York (New York, NY)
    …eligibility for immediate needs grant (food and non-food); for employability and eligibility for public assistance, SNAP benefits and Medicaid ; works with ... supervising a team of BOS staff, who provide various functions of eligibility determination, financial planning, and employment planning and monitoring and other… more
    City of New York (08/01/25)
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  • Case Management Team Leader

    City of New York (New York, NY)
    …eligibility for immediate needs grant (food and non-food); for employability and eligibility for public assistance, food stamps and Medicaid ; works with ... supervising team(s) of BOS staff, who provide various functions of eligibility determination, financial planning, economic support opportunities and monitoring other… more
    City of New York (08/01/25)
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  • Manager, Special Investigation

    CVS Health (Albany, NY)
    …lost funds, and to comply with state regulations mandating fraud plans and reporting; Medicaid experience is preferred. Leads a team in the planning and execution of ... + A minimum 3 years of experience in a Healthcare Program Integrity, Medicaid Special Investigation or Medicaid / Medicare / Commercial Compliance role… more
    CVS Health (08/01/25)
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  • Case Management Team Leader

    City of New York (New York, NY)
    … eligibility for immediate needs grants (food and non-food), employability and eligibility for public assistance, food stamps and Medicaid ; works with ... supervising a team of ABOS staff, who provide various functions of eligibility determination, financial planning, and employment planning and monitoring and other… more
    City of New York (05/14/25)
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  • Health Insur & Auth Rep III

    University of Rochester (Rochester, NY)
    …Utilize resources and investigational skills to solve unique and complex problems. + Re-check Medicaid eligibility every 30 days for active coverage. + May train ... Quality Management + Consistently monitor current admissions to ensure eligibility and additional clinical requirements. + Develop a process to monitor caseload,… more
    University of Rochester (05/29/25)
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  • Psychiatrist 1

    New York State Civil Service (Rochester, NY)
    …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 ... from appointment.You are responsible for payment of all required fees. Medicaid and Medicare: In order to be eligible for...to verify your identity. Name Finger Lakes Human Resources Management Office - Posting Department Telephone ### Fax ###… more
    New York State Civil Service (06/24/25)
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  • Registered Nurse 2 Psychiatric (JL Norris ATC)

    New York State Civil Service (Rochester, NY)
    …maintain eligibility for full and unconditional participation in the Medicaid and Medicare programs. Failure to maintain licensure, certification and/or ... Medicaid /Medicare eligibility will result in the termination...to verify your identity. Name Bureau of Human Resources Management Telephone ### Fax ### Email Address ###@oasas.ny.gov Address… more
    New York State Civil Service (07/19/25)
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