- The Arc Erie County NY (Williamsville, NY)
- …agency, the Office for People With Developmental Disabilities OPWDD, Medicaid , Medicare, insurance companies, municipalities, Department of Health, school districts, ... direct supervision from the Coordinator of Physical and Occupational Therapy, Associate Director of Related Services and/or Associate Director of Clinical… more
- The Arc Erie County NY (Buffalo, NY)
- …agency, the Office for People With Developmental Disabilities OPWDD, Medicaid , Medicare, insurance companies, municipalities, Department of Health, school districts, ... Receives direct supervision from the Coordinator of Speech Therapy and/or Associate Director of Clinical Services. Provides guidance and instruction to support staff… more
- Erie 2-Chautauqua-Cattaraugus BOCES (Williamsville, NY)
- …agency, the Office for People With Developmental Disabilities OPWDD, Medicaid , Medicare, insurance companies, municipalities, Department of Health, school districts, ... Receives direct supervision from the Coordinator of Speech Therapy and/or Associate Director of Clinical Services. Provides guidance and instruction to support staff… more
- Humana (Albany, NY)
- …of this evolution is Humana's Insurance Segment, which provides Medicare Advantage, Medicaid , and other health plans to millions. By integrating insurance with care ... plays a pivotal role in defining the future of Humana's Medicare and Medicaid businesses, which generate the majority of the company's total revenue and earnings.… more
- University of Rochester (Albany, NY)
- …to all and is a place where all can thrive. **Job Location (Full Address):** Remote Work - New York, Albany, New York, United States of America, 12224 **Opening:** ... Full time Scheduled Weekly Hours: 40 Department: 910397 URMC Medical Staff Services Work Shift: UR - Day (United...not limited to, The Joint Commission TJC, Center for Medicaid and Medicare Services (CMS), National Committee for Quality… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …external standards set by regulatory and accreditation entities. Refers appropriate cases to the Medical Director for review. Refer to and work closely with Case ... identifies and refers potential quality of care and utilization issues to Medical Director . + Utilizes appropriate communication techniques with members and… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …mandatory trainings as required. + May be required to attend Fair Hearings with Medical Director relating to specific cases. + Works independently, as well as ... Community Health Assessment (CHA) Tools to determine functional status, medical , behavioral, psychological, and community resource needs for coordinating,… more
- Callen-Lorde Community Health Center (New York, NY)
- …Job Location(s) Callen-Lorde Community Health Center - Manhattan - New York, NY Remote Type Hybrid Position Type Full Time Education Level High School Salary Range ... health issues. About the Role TheManager of Billingworks directly with the Director of Billing Operations to oversee all billing, reconciliation, and collections for… more
- Humana (Albany, NY)
- …mitigate risks. The Senior Clinical Compliance Professional will support the Director of Compliance, by ensuring compliance with governmental requirements for ... revenue cycle management (related to billing, coding, collections for Medicare and Medicaid claims) + Experience with Auditing and monitoring of healthcare records +… more
- Humana (Albany, NY)
- …gaps. They will work closely with established functions inside utilization management ( Medical Director , clinician decision making teams, quality audits, prior ... years + experience working with CMS Compliance Regulations + Experience working with medical directors in some capacity ie Committees, projects. + 3 or more years'… more