- Molina Healthcare (NY)
- …to determine if providers have sanctions/exclusions. * Reviews and processes daily alerts for Medicare Opt-Out reports to determine if any provider has opted out of ... Medicare . * Reviews and processes daily NPDB Continuous Query reports and takes appropriate action when new reports are found. **JOB QUALIFICATIONS** **Required… more
- Molina Healthcare (Buffalo, NY)
- …as well as Reporting modules related to Quality/HEDIS for Medicaid, Marketplace and Medicare /MMP. + Analysis and reporting related to Managed care data like Medical ... tracking for at least one line of business among Medicaid, Marketplace and Medicare /MMP. + 3+ Years of experience in working with increasingly complex data problems… more
- New York State Civil Service (Brooklyn, NY)
- …eligibility for full and unconditional participation in the Medicaid and Medicare programs. Failure to maintain Medicaid/ Medicare eligibility will result ... in the termination of employment. Additional Comments Background Investigation Requirements: Prospective appointees will be: 1) Checked against the Staff Exclusion List (SEL) maintained by the Justice Center for the Protection of People with Special Needs.… more
- New York State Civil Service (Brooklyn, NY)
- …eligibility for full and unconditional participation in the Medicaid and Medicare programs. Failure to maintain licensure, certification and/or Medicaid/ Medicare ... eligibility will result in the termination of employment. Additional Comments Background Investigation Requirements: Prospective appointees will be: 1) Checked against the Staff Exclusion List (SEL) maintained by the Justice Center for the Protection of People… more
- New York State Civil Service (Brooklyn, NY)
- …eligibility for full and unconditional participation in the Medicaid and Medicare programs. Failure to maintain Medicaid/ Medicare eligibility will result ... in the termination of employment. OASAS Addiction Treatment Centers (ATCs) are Tobacco Free FacilitiesOASAS and the Division of Addiction Treatment Centers are committed to establishing environments of safety and non-violence in keeping with the trauma… more
- Mount Sinai Health System (New York, NY)
- …institution also received a Health Care Innovation Award from the Centers for Medicare and Medicaid Services to open the first geriatric emergency department in New ... + Ensure Compliance with NYS Prenatal Care Regulations + Ensure compliance with Medicare Teaching Physicians rules (TPR) - This relates to supervisory role of the… more
- Humana (Albany, NY)
- …Intelligence Engineer position will be supporting BI work for our Medicare organizations. **Senior Business Intelligence Engineer** : + Develops and maintains ... efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. … more
- Elevance Health (East Syracuse, NY)
- …member of Elevance Health's family of brands. We administer government contracts for Medicare and partner with the Centers for Medicare and Medicaid Services ... to transform federal health programs. **Work Hours: Monday to Friday, 7:45 AM - 4:15 PM (Local Time)** The **SCA Customer Care Representative I** is responsible for handling or responding to customer service issues. **How you will make an impact:** + Responds… more
- Ellis Medicine (Schenectady, NY)
- …+ Assures completion of discharge forms, ie Important Message from Medicare , PRI, and transportation within established timeframes and according to state/federal ... to the New York State Department of Health and Centers for Medicare and Medicaid Services discharge planning guidelines and departmental/organizational policies and… more
- Humana (Albany, NY)
- …reporting on progress, challenges, and achievements to management. + Partner with Medicare Risk Adjustment (MRA) and vendors to establish data feeds for STARs ... efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. … more