• Retention Specialist

    Help at Home (Brooklyn, NY)
    …we are part of._ Help at Home is hiring an onsite Retention Specialist ! We offer weekly pay between $21.00-$23.00 an hour! Office hours Monday-Friday ... 39th St. Brooklyn (Industry City), NY 11232. **Job Summary:** The Retention Specialist may, where permitted, develop, and monitor appropriate care plans to ensure… more
    Help at Home (11/14/25)
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  • Transition Specialist

    Resource Center for Independent Living (Utica, NY)
    …providers and natural supports. + Collaborate with applicants and/or their Housing Specialist , IL Specialist , Nursing Home Discharge Planner, Care Manager (CM), ... full integration of individuals with disabilities. + Knowledge of the State's Medicaid Program and community resources which can assist people with disabilities in… more
    Resource Center for Independent Living (11/11/25)
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  • PHS SCN Hrsn Specialist

    Comunilife (New York, NY)
    PHS SCN HRSN Specialist Job Details Job Location New York, NY Position Type Full Time Education Level 2 Year Degree Salary Range $60000.00 - $65000.00 Salary Travel ... Description Reporting to the Director of SCN services, the HRSN Specialist will focus conducting standardized screenings to identify unmet health-related social… more
    Comunilife (10/23/25)
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  • Fair Hearing Eligibility Specialist

    City of New York (New York, NY)
    Job Description CANDIDATE MUST BE PERMANENT IN THE ELIGIBILITY SPECIALIST TITLE. The Department of Social Services (DSS) is comprised of the administrative units of ... Medical coverage for clients entitled to AC and whose Medicaid eligibility is scheduled to expire or has already...Livingston Street, Brooklyn NY Hours/Schedule: 9am - 5pm ELIGIBILITY SPECIALIST - 10104 Qualifications 1. Completion of 30 semester… more
    City of New York (10/05/25)
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  • Entitlements Specialist

    Project Renewal, Inc. (Bronx, NY)
    Title: Entitlement Specialist Program: Ana's Place Salary Range: $35,000/yr Program Description: Ana's Place is a 108 bed 24/7 emergency shelter for homeless men ... nurse. Essential Duties and Responsibilities: The essential duties of the Entitlement Specialist include, but are not limited to, the following activities: + Regular… more
    Project Renewal, Inc. (09/02/25)
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  • Specialist , Appeals & Grievances - Remote…

    Molina Healthcare (Buffalo, NY)
    …accordance with the standards and requirements established by the Centers for Medicare and Medicaid Services (CMS). M-F from 8am - 4:30pm EST will require to work 1 ... coordination of benefits (COB), subrogation and eligibility criteria. * Experience with Medicaid and Medicare claims denials and appeals processing, and knowledge of… more
    Molina Healthcare (11/23/25)
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  • Specialist , Appeals & Grievances

    Molina Healthcare (Buffalo, NY)
    …accordance with the standards and requirements of Centers for Medicare and Medicaid Services (CMS). **Essential Job Duties** * Responsible for the comprehensive ... coordination of benefits (COB), subrogation and eligibility criteria. * Experience with Medicaid and Medicare claims denials and appeals processing, and knowledge of… more
    Molina Healthcare (11/21/25)
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  • Revenue Integrity Coding Billing Specialist

    Guidehouse (New York, NY)
    …types of authoritative information. + Maintains current knowledge of Medicare, Medicaid , and other third-party payer billing compliance guidelines and requirements. ... documentation. + Knowledge, understanding and proper application of Medicare, Medicaid , and third-party payer UB-04 billing and reporting requirements including… more
    Guidehouse (11/21/25)
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  • Associate, Post-Acute Clinical Support…

    MVP Health Care (Tarrytown, NY)
    …To achieve this, we're looking for an **Associate, Post-Acute Clinical Support Specialist ** to join #TeamMVP. If you have a passion for enhancing patient ... metrics. + Review documentation for completeness ensuring compliance (eg: CMS, Medicaid , NCQA). + Support quality improvement initiatives and process enhancements. +… more
    MVP Health Care (11/29/25)
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  • Human Resources Specialist - Onboarder

    YAI (Manhattan, NY)
    …onboarding specialists may be selected for assignment as lead or background/clearance specialist and may perform the following tasks, in addition to the above: ... + Conducts monthly staff checks including but not limited to Medicaid /Medicare Exclusion reporting, random drug testing, and license verification. Minimum… more
    YAI (11/27/25)
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