• OneHome - Medical Director - Part Time

    Humana (Albany, NY)
    …help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home health, SNF, DME, dual Medicare ... teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and Medicare Advantage requirements, and will understand how to… more
    Humana (11/27/25)
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  • Medical Director - OneHome

    Humana (Albany, NY)
    …help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home health, SNF, DME, dual Medicare ... teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and Medicare Advantage requirements, and will understand how to… more
    Humana (11/27/25)
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  • Actuarial Manager Analyst, Amazon One Medical…

    Amazon (New York, NY)
    …responsible primarily for several critical workstreams which include analysis of Medicare Advantage and Accountable Care Organization data, design and implement an ... compared to plan expectations. Key job responsibilities -Analysis of Medicare Advantage and Accountable Care Organization data primarily -Medical economics… more
    Amazon (11/26/25)
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  • Specialty Billing Clerk

    KPH Healthcare Services, Inc. (Gouverneur, NY)
    …**Job Summary:** Assist in billing and cash application of Medicaid/ Medicare /DME/Home Infusion claims. Manage open accounts receivable which requires rebilling ... inquiries to customers. Help with collection efforts of medical copays and Medicare copays from customers. **Responsibilities** **Job Duties:** + Manual billing and… more
    KPH Healthcare Services, Inc. (11/03/25)
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  • Senior Manager, MarketPoint Sales

    Humana (Albany, NY)
    …customers at the center of everything it does. Are you passionate about the Medicare population, looking for a role in management with the ability to directly impact ... self-driven individuals to join our team. Our Senior Manager, Medicare Sales, motivates and drives a team of ...Medicare Sales, motivates and drives a team of Medicare Sales Field Agents who sell individual health plan… more
    Humana (11/01/25)
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  • Medical Director - Nat'l IP UM Team

    Humana (Albany, NY)
    …internal teaching conferences, and other reference sources. Medical Directors will learn Medicare and Medicare Advantage requirements and will understand how to ... includes some experience in an inpatient environment and/or related to care of a Medicare type population (disabled or >65 years of age). + Current and ongoing Board… more
    Humana (11/15/25)
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  • Outreach and Retention Associate

    Centers Plan for Healthy Living (Staten Island, NY)
    …guidance and plans they need for healthy living. Outreach and Retention Associate (ORA)- Medicare Advantage CPHL is a Medicare Advantage Prescription Drug plan ... and options they are eligible for, + Answer inquiries related to all CPHL Medicare products *Licensed Agents Only. + Educate potential members about Medicare more
    Centers Plan for Healthy Living (10/14/25)
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  • Senior Counsel

    University of Rochester (Brighton, NY)
    …+ Self-Referral Law, the False Claims Act, Civil Monetary Penalties, and + Medicare and Medicaid billing regulations (including CMS, Medicare Advantage and New ... Compliance on relevant reimbursement and billing issues and requirements (including CMS, Medicare Advantage, and New York State Medicaid). Stays abreast of … more
    University of Rochester (09/25/25)
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  • Psychiatrist 1

    New York State Civil Service (East Syracuse, NY)
    …from appointment.You are responsible for payment of all required fees.Medicaid and Medicare : In order to be eligible for appointment and to maintain employment, ... on any of the Federal and/or State Medicaid and Medicare exclusion lists (or excluded from any other Federal...appointed, you may be required to become an enrolled Medicare provider; obtain and provide to your employer a… more
    New York State Civil Service (09/23/25)
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  • Registered Nurse 2, Community, (NY Helps), Mohawk…

    New York State Civil Service (Utica, 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 are… more
    New York State Civil Service (11/26/25)
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