• Director , Financial Planning & Analysis…

    Humana (Albany, NY)
    …a part of our caring community and help us put health first** The Director , Financial Planning & Analysis analyzes and forecasts financial, economic, and other data ... accurate and timely information for strategic and operational decisions. The Director , Financial Planning & Analysis requires an in-depth understanding of how… more
    Humana (08/26/25)
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  • Ld Director , Medicaid Provider…

    CVS Health (Albany, NY)
    …it all with heart, each and every day. **A Brief Overview** The Lead Director , Provider Data Compliance is responsible for overseeing the compliance of provider data ... initiatives to support audit readiness and collaborates with Compliance, Legal, Medicaid Health Plans, Network Contracting, and Provider Relations to ensure… more
    CVS Health (09/02/25)
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  • Senior Medicaid Salesforce Solution…

    NTT DATA North America (Albany, NY)
    …and forward-thinking organization, apply now. We are currently seeking a Senior Medicaid Salesforce Solution Architect to join our team in Albany, New York ... Operations & Systems The Senior Solution Architect will report to the Technology Director for the Division of Operations and Systems and have responsibility for… more
    NTT DATA North America (08/13/25)
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  • Medicaid Managed Care Liaison

    Abbott House (Bronx, NY)
    …+ Oversees all business functions + Perform other secretarial duties as requested by Medical Director . + Any other related duties as required Educational & ... Job Summary: The Medicaid Managed Care Liaison is the primary contact...Oversee and support program audits + Responsible for closed medical records + Arrange Single Case Agreements with out… more
    Abbott House (07/04/25)
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  • Lead Medicaid Actuary (Manager)

    Humana (Albany, NY)
    …support across a broad range of actuarial, managerial, and business needs for Medicaid -specific product lines. The Lead Actuary will serve as a project manager in ... and documentation. The Lead Actuary will be responsible for Medicaid -specific functions such as capitation rate review, drafting rate...on the business. They will work closely with the Director to ensure key workstreams are meeting timelines and… more
    Humana (08/27/25)
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  • Case Manager, Medicaid Long Term Support…

    MVP Health Care (Tarrytown, NY)
    …care. + The Case Manager will also monitor and review cases with the Medical Director to ensure appropriate outcomes. + Contribute to our humble pursuit ... To achieve this, we're looking for a **Case Manager, Medicaid Long Term Support Program** to join #TeamMVP. If...Through collaborative efforts the Case Manager will identify the medical and psycho-social needs of designated members, act as… more
    MVP Health Care (09/02/25)
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  • Medicaid LTC. Consumer Advocate

    Resource Center for Independent Living (Utica, NY)
    …Insurance with co-pays. + Vision and Dental insurance. + Flexible Spending Accounts- Medical and Dependent Care. + Monthly contribution towards dependent care. (to ... and Identity theft protection. (LifeLock) + Employee Assistance Program. + Family Medical Leave, Paid Family Leave, Military Leave, Bereavement Leave, Jury Duty… more
    Resource Center for Independent Living (07/31/25)
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  • Behavioral Health Medical Director

    Humana (Albany, NY)
    …our caring community and help us put health first** The Behavioral Health Medical Director is responsible for behavioral health care strategy and/or operations. ... The Behavioral Health Medical Director work assignments involve moderately complex...Medical Directors will learn Medicare, Medicare Advantage and Medicaid requirements, and will understand how to operationalize this… more
    Humana (08/09/25)
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  • Medical Director - Florida

    Humana (Albany, NY)
    **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The ... Medical Director work assignments involve moderately complex to complex issues...of the managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other Medical more
    Humana (07/29/25)
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  • Medical Director - NorthEast Region

    Humana (Albany, NY)
    **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The ... Medical Director work assignments involve moderately complex to complex issues...of the managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other Medical more
    Humana (07/25/25)
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