• Medical Investigator I/II (RN Required)

    Excellus BlueCross BlueShield (Rochester, NY)
    …+ Maintains accurate and up-to-date knowledge of all Government Programs regulations ( Medicaid , Medicare, Federal Employee Program , New York State Department of ... the Food and Drug Administration (FDA), and Centers for Medicare and Medicaid Services (CMS). Provides routine interaction and coordination with the BCBS Association… more
    Excellus BlueCross BlueShield (09/17/25)
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  • Fair Hearing And Conference Specialist

    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 ... and Department and Homeless Services (OHS). Fair Hearing Administration is seeking one ( 1 ) Associate Benefit Opportunity Specialist I to function as Fair Hearing &… more
    City of New York (10/02/25)
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  • Social Care Network Coordinator

    The Salvation Army (Rome, NY)
    …time and sick time . Employer funded Pension Plan (company contributions begin after 1 year of continuous employment) . Tax Deferred Annuity (403B) . Eligibility for ... SCC will have responsibilities for both managed care and program coordination for The Salvation Army's participation in the...Care Coordinator is a direct point of contact for Medicaid Members with ongoing HRSNs (health-related social needs) and… more
    The Salvation Army (08/29/25)
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  • Special Needs Plan- Support Social Services

    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
    Humana (11/06/25)
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  • Social Care Coordinator

    The Salvation Army (Syracuse, NY)
    …redirect to support service connection. + Serve as the Salvation Army internal SCN Care Manager processing clients for Level 1 and Level 2 services. Conduct and ... As the SCC you will serve as both care manager and coordinator for the Salvation Army's participation in...Care Coordinator is the direct point of contact for Medicaid Members with ongoing HRSNs (health-related social needs) and… more
    The Salvation Army (10/09/25)
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  • Director, Data Governance Strategy and Standards,…

    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
    City of New York (10/25/25)
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  • Community Connections Representative I/II (Buffalo…

    Excellus BlueCross BlueShield (Buffalo, NY)
    …community-based organization meetings as required/complement or collaboration with Community Engagement Program Manager . * Gain Subject Matter Expertise (SME) ... On and Off Marketplace health insurance products, including Child Health Plus (CHP), Medicaid Managed Care (MA/MMC), Essential Plan (EP) and the Individual Market -… more
    Excellus BlueCross BlueShield (11/19/25)
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  • Center Director

    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. ... OR BE PERMANENT IN A COMPARABLE TITLE ELIGIBLE FOR 6. 1 .9 TITLE CHANGE OR HAVE PASSED THE OPEN ADMINNISTRATIVE...HIV have improved dramatically over the years. The HASA program has changed to meet the evolving needs of… more
    City of New York (11/05/25)
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  • RN UM Clinical Appeals Nurse Remote

    Molina Healthcare (Buffalo, NY)
    …**Required Qualifications** * At least 3 years clinical nursing experience, with at least 1 year of managed care experience in the specific programs supported by the ... medical claims review, long-term services and supports (LTSS), or other specific program experience as needed (such as specialties in: surgical, ob/gyn, home health,… more
    Molina Healthcare (11/14/25)
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  • Supervisory Social Science Research Analyst

    Centers for Medicare & Medicaid Services (New York, NY)
    …in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Center for Medicare and Medicaid Innovation, Division of ... and monitoring of models related to health plan innovation program . Builds relationships within CMS and HHS, and with...in either the private or public sector, to include: 1 ) Designing, developing, or managing projects or studies to… more
    Centers for Medicare & Medicaid Services (11/24/25)
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