- Datavant (Albany, NY)
- …to realize our bold vision for healthcare. **Role Overview** As a Product Manager , Risk Adjustment Coding Data Integration, you will own the data strategy and ... and compliant onboarding and management of client data for MA, ACA, and Medicaid plans, ensuring HIPAA and CMS compliance + **Standard Data Specifications:** Develop… more
- City of New York (New York, NY)
- …City's Industry Partnership for the healthcare sector seeks an experienced Project Manager to drive initiatives that strengthen New York City's healthcare workforce ... & Strategy: - Track, analyze, and summarize federal and NYS legislation, Medicaid reforms, waiver proposals, and regulatory changes that affect NYC's healthcare… more
- City of New York (New York, NY)
- …in the CAS Reasonable Accommodation Services unit, to function as a Case Manager , who will: - Handle the entire application process for all new applicants, ... for Public Assistance, Supplemental Nutrition Assistance Program (SNAP) and Medicaid . Elicit and record information concerning family composition, income, financial,… more
- Mount Sinai Health System (New York, NY)
- …compliance related to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as MSHP's subject matter experts ... Contracts across the Mount Sinai Health System. MSHP seeks a **Senior Contract Manager Analyst** will play a critical role in testing, coding, modeling, and… more
- Healthfirst (NY)
- …but not limited to the Partial Capitation Managed Long-Term Care plan, the Medicaid Advantage Plus (MAP) and/or Programs for All-inclusive Care for the Elderly ... deadlines are met. + Work in collaboration with the Regulatory Audit Manager on all external agency audits/site visits. **Minimum Qualifications** : + Bachelors… more
- Albany Medical Center (Albany, NY)
- …States of America) Salary Range: $65,102.17 - $100,908.37 The Substance Abuse Case Manager provides Case Management services, as needed to patients under the care of ... applications for state ID and social security cards, help apply or reapply for Medicaid , and help navigate DSS (Department of Social Services) + Schedule medical and… more
- Blue Matter (New York, NY)
- …planning also spans diverse care settings with distinct market access dynamics. As a Manager with Blue Matter, you will join a startup firm with a dynamic and ... benefit across all major US payer segments (eg, Commercial, Medicare, Medicaid , and Federal Markets) + Demonstrated knowledge of reimbursement methodologies across… more
- Datavant (Albany, NY)
- …to realize our bold vision for healthcare. As a Sr. Client Coding Project Manager , you will plan, forecast, and manage client-facing coding projects. You will work ... CRC, or CPC required. + Previous Medicare Advantage Risk Adjustment, CDI, Medicaid , Commercial RA, and HEDIS experience. + Familiarity with HIPAA patient privacy… more
- Calvary Hospital (Bronx, NY)
- …+ Coordinate assessment and documentation requirements for continued Medicare/ Medicaid Recertification's. + Prepare statistical reports for Corporate Compliance ... Regulations @ Home and QA & I. + Maintain overall supervision of discharge medical record completion prior to final filing. + Performs other related duties as assigned. Requirements Qualifications: + Current NYS RN License + Current Driver's License. +… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …benefit plans and strong knowledge of government program contracts (Medicare and Medicaid ) and benefits, preferred. + Strong written and verbal communication skills ... + Ability to multitask and balance priorities. + Must demonstrate ability to work independently on a daily basis. + Deliver efficient, effective, and seamless care to members. Level II (in addition to Level I Qualifications) + Minimum of 2 years in utilization… more