• Forensic Auditor: Investigate Complex…

    New York State Civil Service (New York, NY)
    …law enforcement agency charged with ensuring the financial integrity of New York state 's $96 billion Medicaid program by investigating healthcare providers, ... and legal support analysts to conduct complex, long-term healthcare fraud investigations.The Medicaid program provides health coverage to millions of New… more
    New York State Civil Service (11/19/25)
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  • Attorney: Prosecute Medicaid Fraud/Nursing…

    New York State Civil Service (Hauppauge, NY)
    …evidence to grand juries, and conduct evidentiary hearings and trials in New York state courts.The Medicaid program provides health coverage to millions of ... charged with ensuring the financial integrity of New York state 's $96 billion Medicaid program ...unit's investigations are conducted in coordination with other federal, state , or local government and prosecutorial agencies,… more
    New York State Civil Service (11/19/25)
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  • Manager, Government Program (D-SNP)

    CVS Health (Albany, NY)
    …D-SNP Market Lead (DML) with ensuring program compliance with federal and state regulations governing FIDE D-SNP programs . + Partner with D-SNP Market Lead ... Other duties as assigned **Required Qualifications:** + 5+ years' experience working with government programs such as Medicare Advantage Organization (MAO) or … more
    CVS Health (12/17/25)
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  • Medicare Advantage Quality Consultant

    Highmark Health (Buffalo, NY)
    …to meet identified program targets across all the Organization's value-based programs for both the commercial and government business (ACA, Medicare STARS, ... UDC processes, etc.) to PCPs enrolled in Medicare STARS, Medicaid HEDIS and risk revenue programs and...subject matter expert in government value-based reimbursement programs and data analysis.This includes presentation of program more
    Highmark Health (11/06/25)
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  • Psychiatrist 1

    New York State Civil Service (Tarrytown, NY)
    …be listed as an excluded individual or entity on any of the Federal and/or State Medicaid and Medicare exclusion lists (or excluded from any other Federal or ... for full and unconditional participation in the Medicare and Medicaid programs . Continued employment will depend on...depend on maintaining eligibility.* If you are employed by state government you may be able to… more
    New York State Civil Service (12/17/25)
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  • Program Operations Specialist 1

    New York State Civil Service (Rochester, NY)
    …maintain eligibility for full and unconditional participation in the Medicare and Medicaid programs . Continued employment will depend on maintaining eligibility. ... and one year of experience in a federal or state certified human service program , which must...* If you are employed by state government you may be able to… more
    New York State Civil Service (12/11/25)
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  • Medical Analyst: Legal Nurse, Fraud/Patient Abuse

    New York State Civil Service (New York, NY)
    …law enforcement agency charged with ensuring the financial integrity of New York state 's $96 billion Medicaid program by investigating healthcare providers, ... complex, long-term healthcare fraud and patient abuse and neglect investigations. The Medicaid program provides health coverage to millions of New Yorkers,… more
    New York State Civil Service (11/19/25)
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  • Program Operations Specialist 1

    New York State Civil Service (Poughkeepsie, NY)
    …maintain eligibility for full and unconditional participation in the Medicare and Medicaid programs . Continued employment will depend on maintaining eligibility. ... and one year of experience in a federal or state certified human service program , which must...* If you are employed by state government you may be able to… more
    New York State Civil Service (12/13/25)
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  • Program Operations Specialist 1

    New York State Civil Service (Hauppauge, NY)
    …maintain eligibility for full and unconditional participation in the Medicare and Medicaid programs . Continued employment will depend on maintaining eligibility. ... and one year of experience in a federal or state certified human service program , which must...* If you are employed by state government you may be able to… more
    New York State Civil Service (12/13/25)
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  • Research Scientist 3 (Biometrics)

    New York State Civil Service (Albany, NY)
    …eligibility for full and unconditional participation in the Medicare and Medicaid programs . Continued employment will depend on maintaining eligibility.* ... Data sources may include, but are not limited to, Medicaid data, enrollment data, case management records, survey data,...If you are employed by state government you may be able to… more
    New York State Civil Service (11/18/25)
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