- Elevance Health (New Hyde Park, 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
- Molina Healthcare (Yonkers, NY)
- …the standards and requirements established by the Centers for Medicare and Medicaid . This position will provide direct support to the implementation efforts specific ... UM, Case Management, Claims, and other departments within Molina Medicare and Medicaid regarding A&G operations and dependencies. * Responsible for the A&G… more
- Truecare Homecare Agency (Brooklyn, NY)
- …of applicants and enrollees using HHA eXchange. + Timely communication with the Program Manager , team members, and the Marketing team. + Constant exchange ... obtain necessary documentation and assisting new patients to get Medicaid or refer patients to a third party to...refer patients to a third party to get active Medicaid for continued enrollment + Follow up with potential… 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
- City of New York (New York, NY)
- …Assistance Program (MAP) administers public health insurance programs, including Medicaid , for the City of New York. Applying individuals and families are ... Unit who will: - Supervise and resolve problems related to processing Medicaid applicants for residential health care facilities. - Oversee review of difficult… 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
- 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
- City of New York (New York, NY)
- …services provided are intensive case management, direct linkages to Cash Assistance, Medicaid , Supplemental Nutrition Assistance Program (SNAP), Long Term Care. ... HIV have improved dramatically over the years. The HASA program has changed to meet the evolving needs of...healthy lives. Under the direction of the HASA Regional Manager , with latitude for independent judgment, initiative and decision-making… more
- University of Rochester (Rochester, NY)
- …to federal and state regulations bringing concerns to the attention of billing Manager and Supervisor. The Claim Resolution Rep III will represent the department and ... assigned tasks, following standard procedures as directed by the Supervisor or Manager . **Machines and Equipment Used** : Standard office equipment, including but… more
- Somatus (Brooklyn, NY)
- …extension of the clinical care team, specifically under the guidance of RN Care Manager and act as an advocate guiding them through their care needs. The individual ... under the guidance of physicians and/or a nurse care manager . + Follow-up with health management plans and goals....assessment to help align patients with the most appropriate program inaccordance with program guidelines. + Documents… more