- Evolent (Albany, NY)
- …current exclusion or sanction by any state or federal health care program, including Medicare or Medicaid, and is not identified as an "excluded person" by the ... Human Services or the General Service Administration (GSA), or reprimanded or sanctioned by Medicare . . No history of disciplinary or legal action by a state medical… more
- Cognizant (Albany, NY)
- …and member onboarding for individual, group, and government-sponsored health plans ( Medicare , Medicaid, ACA), ensuring compliance with CMS, ACA, and other regulatory ... sales and enrollment processes for individual, group, and government-sponsored health plans ( Medicare , Medicaid, ACA). * Strong understanding of CMS, ACA, and other… more
- Cognizant (Albany, NY)
- …and member onboarding for individual, group, and government-sponsored health plans ( Medicare , Medicaid, ACA), ensuring compliance with CMS, ACA, and other regulatory ... sales and enrollment processes for individual, group, and government-sponsored health plans ( Medicare , Medicaid, ACA). . Strong understanding of CMS, ACA, and other… more
- Humana (Albany, NY)
- …Coder + Demonstrate ability to problem-solve complex coding issues + Experience with Medicare and Medicaid coding guidelines + Strong data entry and attention to ... efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. … more
- Molina Healthcare (Buffalo, NY)
- …Procedure Coding (HCPC). * Experience demonstrating knowledge of Centers for Medicare and Medicaid Services (CMS) guidelines, MCG, InterQual or other medically ... appropriate clinical guidelines, Medicaid, Medicare , CHIP and Marketplace, applicable state regulatory requirements, including ability to easily access and interpret… more
- Humana (Albany, NY)
- …improving consumer experiences **Preferred Qualifications** + Health insurance experience + Medicare Advantage experience Travel: While this is a remote position, ... efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. … more
- Evolent (Albany, NY)
- …current exclusion or sanction by any state or federal health care program, including Medicare or Medicaid, and is not identified as an "excluded person" by the ... Human Services or the General Service Administration (GSA), or reprimanded or sanctioned by Medicare . + No history of a major disciplinary or legal action by a state… more
- Molina Healthcare (Albany, NY)
- …compliance with the National Committee for Quality Assurance (NCQA), Centers for Medicare and Medicaid Services (CMS), state Medicaid entity requirements and all ... delegated groups. + Assists in preparation of documents for Centers for Medicare and Medicaid Services (CMS), state Medicaid, National Committee for Quality… more
- SUNY Upstate Medical University (Syracuse, NY)
- …Master's Degree, NPI number, DEA certification, medical malpractice insurance and be Medicare enrolled with Medicare Identification Number (or PTAN). Eligibility ... criteria for NP requires National Certification through AANP or ANCC prior to hire. Current BLS certification through the American Heart Association or the American Red Cross is required. Preferred Qualifications: Experience with Pediatric Psychiatry… more
- New York State Civil Service (Staten Island, NY)
- …eligibility for full and unconditional participation in the Medicaid and Medicare programs. Failure to maintain licensure, certification and Medicaid/ Medicare ... eligibility will result in the termination of employment.Mandatory overtime (MOT) is a requirement of this position. Chosen candidate(s) will be added to the mandatory overtime roster, which is utilized on a rotating basis. The MOT is applied during times of… more