- Ankura (New York, NY)
- …accreditations, operations, investigations, and/or litigation/dispute matters generally focused on Medicare and Commercial Risk Adjustment. The Senior Director will ... following types of activities: + Help clients manage proactive and reactive Medicare and Commercial Risk Adjustment compliance, audit, and investigation projects for… more
- New York State Civil Service (Buffalo, NY)
- …eligibility for full and unconditional participation in the Medicaid and Medicare programs. Failure to maintain licensure, certification and Medicaid/ Medicare ... eligibility for full and unconditional participation in the Medicaid and Medicare programs. Failure to maintain licensure, certification and Medicaid/ Medicare … more
- New York State Civil Service (Herkimer, NY)
- …individual or entity on any of the Federal and/or State Medicaid and Medicare exclusion lists (or excluded from any other Federal or Federally assisted program). ... appointed you may be required to become an enrolled Medicare provider; obtain and provide to your employer a...to allow for your services to be billed through Medicare and Medicaid. If you are appointed and you… more
- Merck (Albany, NY)
- …how the products are covered under the benefit design (Commercial, Medicare , Medicaid) * Answer questions about coverage, including payer-specific access questions ... matter expert on access and affordability challenges across various payer types, including Medicare , Medicaid, and commercial plans * Educate and update HCPs on key… more
- Northwell Health (Valley Stream, NY)
- …Description Coordinates assessment of patients/residents to comply with Centers for Medicare and Medicaid Services (CMS) and Department of Health requirements, ... assessing residents for Medicare and managed care benefits. Ensures continuous maintenance of...schedules. + Completes and/or assures completion of documentation for Medicare reimbursement. + Reviews documentation of all disciplines and… more
- SUNY Upstate Medical University (Syracuse, NY)
- …Certification consistent to the clinical practice also required. NPI number and be Medicare enrolled with a Medicare Identification Number (or PTAN) (or eligible ... for Medicare Enrollment within 6 months of hire). CPR-BLS Certification required at the time of appointment. Preferred Qualifications: American Nurses Association certification as a Psychiatric Nurse Practitioner preferred. Prior psychiatry experience in a… more
- Intermountain Health (Albany, NY)
- …with ICD-10-CM and Official Coding Guidelines as determined by Centers for Medicare and Medicaid Services (CMS), National Center for Health Statistics (NCHS), US ... AND Demonstrated knowledge of government benefits and regulations related to Medicare , Medicaid or the ACA. AND Demonstrated knowledge of queries. **_Preferred… more
- CVS Health (Albany, NY)
- …to manage multiple health plan clients across multiple lines of business including Medicare , Medicaid, Exchange, and Commercial. This is a remote role, open to ... + Demonstrated understanding of CVSH clinical portfolio, marketplace segments dynamics ( Medicare , Medicaid, Exchange, and or Commercial) and industry trends +… more
- CDPHP (Latham, NY)
- …departmental, corporate, NYS Department of Health (DOH), Centers for Medicaid & Medicare Services (CMS), Federal Employee Program (FEP) and National Committee for ... current NYS DOH, CMS regulations and standards if managing members of Medicare programs, and other regulatory requirements as applicable. + Carries out job… more
- SUNY Upstate Medical University (Syracuse, NY)
- …of certification must be consistent with practice). Must have NPI number and be Medicare Enrolled with Medicare Identification Number (or PTAN) OR be eligible ... for Medicare Enrollment within 6 months of hire (eligibility criteria for NP requires National Certification through AANP or ANCC, and Master's Degree) (eligibility… more