• Specialist , Market Growth & Retention…

    Molina Healthcare (Rochester, NY)
    …purpose of obtaining and maintaining healthcare coverage, and accurate information for eligibility for Medicaid , CHP and Essential Plan. Provide non-clinical ... * Assists Medicaid Members in contacting their social worker regarding eligibility issues and follow-up with members to ensure follow through, if allowed by… more
    Molina Healthcare (11/26/25)
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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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  • Billing Specialist (Temporary)

    YAI (Manhattan, NY)
    …matters, which may include identifying and assisting with resolutions to eligibility issues and coordinating with external parties if/as needed, checking ... eligibility in applicable electronic systems, preparing and distributing reports...and entitlements in the healthcare and/or I/DD field including Medicaid , Medicare and applicable regulatory agencies. + Strong written… more
    YAI (11/27/25)
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  • Senior Administrative Specialist

    SUNY Upstate Medical University (Syracuse, NY)
    …+ Schedules outside services as requested by the physician for the patient ( Medicaid cab, interpreter services, etc.). + Responsible for review of the procedural ... to Applicants: Our benefits package includes health, dental and vision insurance, eligibility for employer 401k funding after 1 year (3% quarterly/5% annual on… more
    SUNY Upstate Medical University (11/20/25)
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  • Senior Administrative Specialist - Plastic…

    SUNY Upstate Medical University (Syracuse, NY)
    …+ Schedules outside services as requested by the physician for the patient ( Medicaid cab, interpreter services, etc.). + Responsible for review of the procedural ... to Applicants: Our benefits package includes health, dental and vision insurance, eligibility for employer 401k funding after 1 year (3% quarterly/5% annual on… more
    SUNY Upstate Medical University (11/19/25)
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  • 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: ... - Prepare daily transmittals on case actions for supervisor's weekly reports. ELIGIBILITY SPECIALIST - 10104 Qualifications 1. Completion of 60 semester… 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) ... Ave, Bronx, NY Jerome- 1365 Jerome Avenue, Bronx, NY Hours/Schedule: 9:00a- 5:00p ELIGIBILITY SPECIALIST - 10104 Qualifications 1. Completion of 30 semester… more
    City of New York (11/08/25)
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  • Registered Nurse

    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,...regarding the program's operation. - Serve as the intra-office specialist with responsibility for consulting and/or conferring with professional… more
    City of New York (09/27/25)
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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 ... Job Description APPLICANTS MUST BE PERMANENT IN THE ASSOCIATE BENEFITS OPPORTUNITY SPECIALIST TITLE OR PERMANENT IN THE BENEFITS OPPORTUNITY SPECIALIST TITLE FOR… more
    City of New York (11/29/25)
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  • Psychiatrist 1

    New York State Civil Service (East Syracuse, 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 ... As Psychiatrist 1, you will serve as a practicing specialist under the direction of a higher-level Psychiatrist or...from appointment.You are responsible for payment of all required fees. Medicaid and Medicare: In order to be eligible for… more
    New York State Civil Service (09/23/25)
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