- Planned Parenthood of Central and Western NY (Buffalo, NY)
- …computer system, verifying insurance, and screening applicants for presumptive eligibility, Medicaid for Pregnant Women, and the Family Planning Benefit Program ... other payment sources such as but not limited to: Medicaid Presumptive Eligibility for Pregnant Women and the Family...Eligibility for Pregnant Women and the Family Planning Benefit Program + Assists patients with completion of insurance forms… 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
- 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)
- …experience in healthcare claims review and/or member appeals and grievance processing/resolution, including 3 years in a manager role. * Experience with Medicare ... the standards and requirements established by the Centers for Medicare and Medicaid . This position will provide direct support to the implementation efforts specific… more
- City of New York (New York, NY)
- …housing, and assistance with applying for public benefits and services including Medicaid , food stamps, and cash assistance. HASA also provides vocational services ... members by providing administrative and technical support for all matters related to program eligibility and benefits, hence freeing up time for the Center Directors… more
- Somatus (Brooklyn, NY)
- …+ Subsidized, personal healthcare coverage (medical, dental vision) + Accrual of 3 weeks' Vacation (PTO) + Professional Development, CEU, and Tuition Reimbursement + ... care team, specifically under the guidance of RN Care Manager and act as an advocate guiding them through...assessment to help align patients with the most appropriate program inaccordance with program guidelines. + Documents… more
- CenterWell (Albany, NY)
- …CenterWell ACO and Medicare payment model programs via the Center for Medicare and Medicaid Services (CMS), such as ACO REACH, MSSP, and future models. Under general ... teams to manage all aspects of ACO operations including program administration, contract oversight, process, performance improvement, compliance, governance,… more
- Mount Sinai Health System (New York, NY)
- …of financial assistance for patients with government-sponsored health plans including Medicare , Medicaid and TriCare. Preferred: 3 years of health care related ... direct supervision of the Director of Specialty Pharmacy, the Specialty Pharmacy Manager and the Specialty Pharmacy Clinical Liaison, the Specialty Pharmacy Access… more
- 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
- Elderwood (North Creek, NY)
- …at North Creek has earned a 4-star rating from the Centers for Medicare and Medicaid Services (CMS)-exceeding both the New York state average ( 3 .33) and the ... 11% more with our Pay in Lieu of Benefits Program (higher base pay) + Employee Referral Bonus -...of residents, as necessary. + Report to RN Unit Manager /Assistant Unit Manager or Charge RN Supervisor… more