- Molina Healthcare (Albany, NY)
- …with the National Committee for Quality Assurance (NCQA), Centers for Medicare and Medicaid Services (CMS), state Medicaid entity requirements and all other ... groups. + Assists in preparation of documents for Centers for Medicare and Medicaid Services (CMS), state Medicaid , National Committee for Quality Assurance… more
- Catholic Charities of the Dioscese of Albany (Amsterdam, NY)
- …is reviewed by a real member of our HR team or a trained hiring manager . Your journey matters to us. 1115 Waiver Enhanced Navigator - Catholic Charities of Fulton ... and stability. In this role, you will: + Conduct screenings with Medicaid -eligible individuals using the approved screening tools - ensuring accuracy, compassion,… more
- Helio Health Inc. (Syracuse, NY)
- …position and also take into account information provided by the hiring manager and program . Job LocationsUS-NY-Syracuse Category Accounting/Finance Position Type ... in conjunction with the Director of Revenue Cycle Management and the Program Service Directors. + Ensures assessment of patient billing; sets measurable goals… more
- Access: Supports For Living (Middletown, NY)
- …per hour Hours: Monday-Friday 8:00AM-4:30PM (40hrs) Job Description: Reporting to the A/R Manager , the Senior Billing Specialist is a key position in the financial ... of weekly claims processing + Analyze, billing and processing program claims for accuracy and completeness; submit claims to...+ Maintain a working knowledge of OMH, OASAS, Medicare, Medicaid , Medicaid Managed Care and other payers'… more
- CVS Health (Albany, NY)
- …and more compassionate. And we do it all with heart, each and every day. ** Program Summary:** Join our Aetna care management team as we lead the way in providing ... (DSNP) members, who are enrolled in both Medicare and Medicaid . As a member of the care team, you...for our members through close collaboration with the Care Manager , Social Worker, and other interdisciplinary team members. This… more
- City of New York (New York, NY)
- …on-going support, resources and guidance for all new initiatives related FIA, Medicaid , Advocate Inquiry, Office of Administrative Hearing (OAI I), Office Program ... related to Agency decisions affecting receipt of Cash Assistance, SNAP and Medicaid benefits, and the preparation of documentation for presentation of evidence at… more
- The Salvation Army (Rome, NY)
- …OF POSITION:The SCC will have responsibilities for both managed care and program coordination for The Salvation Army's participation in the Social Care Network ... Waiver). The Social Care Coordinator is a direct point of contact for Medicaid Members with ongoing HRSNs (health-related social needs) and is responsible for… more
- CVS Health (Albany, NY)
- …an essential member of our Special Needs Plan (SNP) care team, the telephonic Care Manager Specialist (CMS) plays a key role in coordinating the care of our members, ... conditions. The CMS collaborates closely with the Registered Nurse Care Manager , Care Coordinator, Social Worker, and other interdisciplinary care team participants… more
- Humana (Albany, NY)
- …part of our caring community and help us put health first** The Care Manager , Telephonic Behavioral Health 2 , in a telephonic environment, assesses and evaluates ... for the care and wellbeing of members. The Care Manager , Telephonic Behavioral Health 2 work assignments are varied...associate (Support SS) in our Special Needs Plan (SNP) program and serves as part of an interdisciplinary care… more
- Elderwood (Buffalo, NY)
- …year 401(k) retirement plan with vested employer match up to 4% Substantial Referral program Reporting to the Manager of Clinical Operations, the Care navigator ... the call needs to be routed to a care manager . + Completing call audits + Coordinating and managing...and cost outcomes. + Understands the organization's quality management program and the care coordinator's role within that … more