• Performance Monitor Specialist, Clinic

    Centene Corporation (New York, NY)
    …accurately capture adherence with required performance standards. + Reviews program descriptions, policies and procedures, step actions, and training materials ... in Managed Care (UM, BH, CM) preferred. Familiarity with Medicare and Medicaid programs preferred. **Licenses and Certifications:** A license in one of the… more
    Centene Corporation (09/09/25)
    - Related Jobs

  • Office Assistant FT

    Seafield Center, Inc. (Patchogue, NY)
    …Other Voluntary Benefits + Reimbursement for Professional Development Expenses + Employee Assistance Program + Retirement Program (401k) + 8 Paid Holidays MAIN ... FUNCTION:To assist the Office Manager with daily operational needs of the facility. ESSENTIAL...ledgers. + Collect payments, review client balances, and track Medicaid cards and tokens. + Assist with scheduling, client… more
    Seafield Center, Inc. (09/04/25)
    - Related Jobs

  • Specialty Pharmacy Financial Access Coordinator,…

    Mount Sinai Health System (New York, NY)
    …direct supervision of the Director of Specialty Pharmacy, the Specialty Pharmacy Manager and the Specialty Pharmacy Clinical Liaison, the Specialty Pharmacy Access ... financial assistance for patients with government-sponsored health plans including Medicare , Medicaid and TriCare. Preferred: 3 years of health care related billing… more
    Mount Sinai Health System (08/08/25)
    - Related Jobs

  • Eligibility Compliance Worker

    City of New York (New York, NY)
    …representation of the Agency at NYS Administrative Hearings in the following program areas: Cash Assistance (CA), Supplemental Nutrition Assistance Program ... - Process extension of Medical coverage for clients entitled to AC and whose Medicaid eligibility is scheduled to expire or has already expired. Process "clock down"… more
    City of New York (08/02/25)
    - Related Jobs

  • Executive Assistant To The Chief Medical Officer

    City of New York (New York, NY)
    …need with essential benefits such as Cash, Food and Rental Assistance as well as Medicaid . The DSS Medical and Health Services Office aims to improve the health and ... procedures, develop sensitive documents, including organizational charts, fillable forms, program description, reports, schedules, spreadsheets, audit response, etc; prepare… more
    City of New York (07/15/25)
    - Related Jobs

  • Regional Pharmacist 36 Hrs (NY/VT)…

    Hannaford (Plattsburgh, NY)
    …market. Hannaford actively seeks out farmers and producers to join our Local program which celebrates not only local foods, but the preservation of farmland, local ... store level sales and marketing opportunities in conjunction with the Store Manager . * Supervise the performance of duties and responsibilities of all pharmacy… more
    Hannaford (09/30/25)
    - Related Jobs

  • Senior Clinical Programs Pharmacist

    CenterWell (Albany, NY)
    …Previous experience with pharmacy benefits management + Previous Commercial, Medicare and/or Medicaid experience + 3 or more years clinical experience in managed ... members + Previous management experience and ability to lead teams + Previous program or project management experience + Proven success in leading teams (both direct… more
    CenterWell (09/30/25)
    - Related Jobs

  • Billing Specialist

    Excelsior Orthopaedics Group (Amherst, NY)
    …and collection activities on past due accounts as directed by the Billing Manager . + Maintain strict confidentiality of patient health and financial information in ... or similar) is required. + Comprehensive knowledge of commercial, Medicare, Medicaid , and workers' comp billing procedures preferred. + Strong analytical skills… more
    Excelsior Orthopaedics Group (09/28/25)
    - Related Jobs

  • RN Clinical Appeals Nurse

    Molina Healthcare (Yonkers, NY)
    …Medical Claims Review, Long Term Service and Support, or other specific program experience as needed or equivalent experience (such as specialties in: surgical, ... Guidelines, MCG, InterQual or other medically appropriate clinical guidelines, Medicaid , Medicare, CHIP and Marketplace, applicable State regulatory requirements,… more
    Molina Healthcare (09/26/25)
    - Related Jobs

  • Director Physician Advisor

    Catholic Health Services (Melville, NY)
    …Advisors, along with developing and monitoring compliance with an educational program . + Collaborates with management in recruiting new Catholic Health Physician ... a hospital strongly preferred. + Two years administrative background as physician manager preferred. + Previous experience as a physician advisor preferred. +… more
    Catholic Health Services (09/26/25)
    - Related Jobs