• FH Representative

    City of New York (New York, NY)
    Job Description APPLICANTS MUST BE PERMANENT IN THE ASSOCIATE BENEFITS OPPORTUNITY SPECIALIST CIVIL SERVICE TITLE The Department of Social Services (DSS) is ... on-going support, resources and guidance for all new initiatives related FIA, Medicaid , Advocate Inquiry, Office of Administrative Hearing (OAI I), Office Program… more
    City of New York (08/13/25)
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  • Lead Analyst, Payment Integrity

    Molina Healthcare (Yonkers, NY)
    …Assists and executes tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and State regulatory requirements are met for Pre-pay Edits, ... Care Organization (MCO) or health plan setting, including experience in Medicaid and/or Medicare, or equivalent combination of relevant education and experience… more
    Molina Healthcare (08/20/25)
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  • Psychiatrist 1

    New York State Civil Service (East Syracuse, NY)
    …care.* As Psychiatrist 1, you will serve as a practicing specialist under the direction of a higher-level Psychiatrist or Physician. ... from appointment.You are responsible for payment of all required fees. Medicaid and Medicare: In order to be eligible for...or entity on any of the Federal and/or State Medicaid and Medicare exclusion lists (or excluded from any… more
    New York State Civil Service (06/24/25)
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  • Revenue Cycle Coordinator IV

    University of Rochester (Rochester, NY)
    …the system. - Examples of reports:- - - 2nd insurance level report - - Medicare and Medicaid credit balance report - - Over $10,000 report - - Claim Edits - - 10% ... that requirement management intervention; assist management team with Medicare and Medicaid credit balance audits, and third-party payer audits. - Coordinate… more
    University of Rochester (08/07/25)
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  • Fair Hearing Representative

    City of New York (New York, NY)
    Job Description APPLICANTS MUST BE PERMANENT IN THE ASSOCIATE BENEFITS OPPORTUNITY SPECIALIST CIVIL SERVICE TITLE OR OR MUST BE PERMANENT IN THE BENEFITS OPPORTUNITY ... SPECIALIST (BOS) CIVIL SERVICE TITLE PLUS EIGHTEEN (18) MONTHS...resources and guidance for all new initiatives related FIA, Medicaid , Advocate Inquiry, Office of Administrative Hearing (OAI I),… more
    City of New York (07/13/25)
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  • Treatment Team Leader Developmental Disabilities

    New York State Civil Service (Middletown, NY)
    …Chief Physical Therapist, Chief Recreation Therapist, Developmental Disabilities Program Specialist 1, Developmental Disabilities Program Specialist 1 (Spanish ... Language), Developmental Disabilities Program Specialist 2, Developmental Specialist 4, Head Occupational Therapist, Head Physical Therapist, Head Recreation… more
    New York State Civil Service (08/27/25)
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  • Maintenance Supervisor 1

    New York State Civil Service (Tupper Lake, NY)
    …equivalent training and experience such as that required for a Trades Specialist (Carpenter), Trades Specialist (Electrician), Service & Repair Mechanic ... (Electronics), Trades Generalist, Grounds Construction Supervisor, Trades Specialist (Locksmith), Trades Specialist (Machinist), Trades Specialist (Mason &… more
    New York State Civil Service (08/27/25)
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  • Health Plan Operations, Payment Integrity Program…

    Molina Healthcare (Albany, NY)
    …relevant education and experience. + At least 3 years of Experience with Medicaid and/or Medicare. + Proven experience owning operational projects from concept to ... (ICD), Healthcare Common Procedure Coding System (HCPCS), Revenue Codes), and federal/state Medicaid payment rules. + Skilled in Excel and SQL, with the ability… more
    Molina Healthcare (08/14/25)
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  • Case Management Supervisor

    City of New York (New York, NY)
    Job Description APPLICANTS MUST BE PERMANENT IN THE ASSOCIATE BENEFITS OPPORTUNITY SPECIALIST TITLE OR PERMANENT IN THE BENEFITS OPPORTUNITY SPECIALIST TITLE FOR ... A PROVISIONAL APPOINTMENT, WHEN A TEST BECOMES AVAILABLE IN THE ASSOCIATE BENEFITS OPPORTUNITY SPECIALIST (ABOS) TITLE, YOU MUST TAKE AND PASS THE EXAM TO REMAIN IN… more
    City of New York (08/30/25)
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  • Medical Consultant

    City of New York (New York, NY)
    …with essential benefits such as Cash, Food and Rental Assistance as well as Medicaid . The Office of the Medical Director aims to improve the health and well-being ... to the Department of Social Services Chief Medical Officer, the City Medical Specialist will assist with oversight of health services, inclusive of medical and… more
    City of New York (08/13/25)
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