- 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 Senior** ... with the federal government (The Centers for Medicare and Medicaid Services (CMS) division of the Department of Health...independently on assignments and under minimal guidance from the manager . + Prepare detailed work papers and present findings… more
- Molina Healthcare (Yonkers, NY)
- …intervention initiatives including all lines of business (Medicare, Marketplace, Medicaid ) Executes health plan's member and community quality focused interventions ... and programs in accordance with prescribed program standards, conducts data collection, monitors intervention activity including...to identify opportunities for improvement + Surfaces to the Manager and Director any gaps in processes that may… more
- Trinity Health (Schenectady, NY)
- …and regulations that govern our facility, and as may be required by the Nurse Manager of Clinical Operations, to ensure that the highest degree of quality care is ... in Latham, 385 Watervliet Shaker Road We are a Program of All-Inclusive Care for the Elderly (PACE)--a unique...the Elderly (PACE)--a unique model that is both the Medicare/ Medicaid insurer and healthcare provider--giving us maximum ability to… more
- Bassett Healthcare (Oneonta, NY)
- …What you'll do The Community Health Navigator I role provides quality care to Medicaid recipients eligible for Health Home services. In this role a Navigator I is ... work with their member to achieve self-sufficiency and graduation from the program by providing education and assistance in developing skills to navigate services… more
- City of New York (New York, NY)
- …and administration of New York State Department of Health (NYSDOH) Medicaid and hospital discharge data and NYS-Statewide Health Information Network-New York ... timely data deliverables, respective data use authorizations. -Supervise SPARCS, Medicaid and electronic health record stewards and Vital Data coordinator… 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
- 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** ... with the federal government (The Centers for Medicare and Medicaid Services (CMS) division of the Department of Health...+ Degree in Accounting preferred. + Knowledge of CMS program regulations and cost report format preferred. + Knowledge… more
- City of New York (New York, NY)
- Job Description HIV/AIDS Services Administration (HASA) is the most comprehensive program of its kind in the country, helping New Yorkers living with HIV or AIDS ... housing, and assistance with applying for public benefits and services including Medicaid , food stamps and cash assistance. HASA also provides vocational services… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …and performing all required tasks assigned by the Sales Field Manager . Incumbent will be responsible for educating and enrolling potential beneficiaries ... by explaining program benefits in a manner that is compliant with...manner that is compliant with Center for Medicare and Medicaid Services (CMS) and company policies and regulations. The… more
- New York State Civil Service (Sherrill, NY)
- …3, Dietitian 2, Habilitation Specialist 2, Infection Control Nurse, Intermediate Care Facility Program Manager 1, Intermediate Care Facility Program ... files for various evaluations or studies.* Participates with planning and program development committees to determine and influence policy, treatment, and… more
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