- City of New York (New York, NY)
- …CHANGE. The Office of Liens and Trusts (OLT) is responsible for protecting against fraud and recovering Cash Assistance and Medicaid pursuant to SSL 104, 104-b, ... a disabled person with excess resources to shelter their assets and qualify for Medicaid . The SNT Program monitors over 2,000 first party trusts with a portfolio of… more
- New York State Civil Service (Rochester, NY)
- …administered by OTDA and other Executive agencies (eg, the Department of Health's Medicaid program, the Office of Children and Family Services' foster care and ... benefit program determinations. They may also preside over hearings addressing fraud , license revocation or suspension, violations, or health and safety… more
- CVS Health (Albany, NY)
- …review findings. - Must be able to articulate findings to investigators, Medicaid plan leadership, law enforcement, legal counsel, providers, state regulators, etc. ... state and federal policies. - Identify potential billing errors, abuse, and fraud . - Identify opportunities for savings related to potential cases which may… more
- City of New York (New York, NY)
- …received from various program areas such as IREA Claims and Collections, Bureau of Fraud Investigation and the Office of Liens and Trusts. Deposit checks and money ... from customers who wish to make a payment by credit card for the Medicaid Pay-in program and processes credit card transactions using a POS terminal. Oversee and… more
- City of New York (New York, NY)
- …to identify new investigative initiatives, refer cases with the highest probabilities of fraud , and ensure data quality and reporting. The OAS-DART is recruiting for ... The Oracle queries would be executed in Enterprise Data Warehouse (EDW), Medicaid Data Warehouse (MDW) and Automated List of Eligibility Requirement Racking System… more
- New York State Civil Service (Albany, NY)
- …healthcare compliance, complex healthcare transactions, matters involving state and federal fraud and abuse compliance, general health law and regulatory issues, ... management and medical malpractice; health information technology; managed care; Medicare/ Medicaid Conditions of Participation (CoPs) and Conditions for Coverage… more
- CVS Health (Albany, NY)
- …findings and ensure the team articulates findings effectively to investigators, Medicaid plan leadership, law enforcement, legal counsel, providers, and state ... state and federal policies, and identify potential billing errors, abuse, and fraud . + Identify opportunities for savings related to potential cases that may… more
- Legal Services of the Hudson Valley (Peekskill, NY)
- …and foreclosure prevention, domestic violence, disability, elder law, healthcare, consumer fraud and more. Our services support almost 600,000 poor and low-income ... families living in Westchester and Putnam Counties in matters including Medicaid , Food Stamps, Family Assistance, Safety Net Assistance, and unemployment benefits.… more
- Centene Corporation (New York, NY)
- …various standards + Oversee, administer, and implement various compliance programs, including fraud and abuse and HIPAA + Provide guidance to various departments ... public policy concerning state insurance, Managed Care Organization, Medicare and Medicaid regulations and initiatives + Identify, evaluate and analyze the impact… more