• Licensed Practical Nurse (Hourly) (McPike)

    New York State Civil Service (Utica, 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. Additional Comments If you are employed by state government you may be able to receive loan forgiveness under the Public Service Loan Forgiveness Program (PSLF). The PSLF Program forgives the remaining… more
    New York State Civil Service (09/05/25)
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  • Licensed Practical Nurse Hourly (Kingsboro…

    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 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 (09/05/25)
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  • Addictions Counselor 1 Hourly (Kingsboro ATC)

    New York State Civil Service (Brooklyn, NY)
    …eligibility for full and unconditional participation in the Medicaid and Medicare programs. Failure to maintain certification and Medicaid/ Medicare eligibility ... will result in the termination of employment. Additional Comments Salary:$28.74The mission of the New York State Office of Addiction Services and Supports (OASAS) is to provide, support, and oversee a data-driven continuum of addiction services delivered with… more
    New York State Civil Service (09/05/25)
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  • Occupational Therapist

    Sodus Rehab & Nursing Center (Cortlandt, NY)
    …resident, staff and family education and in-servicing + Demonstrates working knowledge of Medicare Part A PPS case management + Complies with Federal and State ... Participates in internal audits as directed + Possess a strong knowledge of Medicare , Medicaid and other payment sources and their responsibility in the SNF setting… more
    Sodus Rehab & Nursing Center (09/01/25)
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  • Director Utilization Management

    Healthfirst (NY)
    …+ **Work experience and deep familiarity of health plans such as Medicare , Medicaid and//or Managed Long-Term Care Plan (MLTCP).** + **Demonstrated understanding of ... UM regulatory requirements, clinical review process, and managed care operations** + **Work experience interpreting and operationalizing regulatory updates and guidance from DOH and CMS.** + **Work experience demonstrating written and verbal communication… more
    Healthfirst (11/29/25)
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  • Coordinator, Pre-Service - Albany Memorial…

    Trinity Health (Albany, NY)
    …Knowledge of federal or state government agencies including but not limited to Medicare , Medicaid, VA or Charity Care programs, or patient management & healthcare ... accounts receivable within the revenue cycle. Pay range: $21.20-$28.55 Pay is based on experience, skills, and education. Exempt positions under the Fair Labor Standards Act (FLSA) will be paid within the base salary equivalent of the stated hourly rates. The… more
    Trinity Health (11/29/25)
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  • Private Duty Nurse LPN/RN

    Aveanna Healthcare (Angola, NY)
    …applicants from diverse backgrounds to apply. As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements ... in all relevant jurisdictions, including required vaccinations and testing, subject to exemptions for medical or religious reasons as appropriate. Notice for Job Applicants Residing in California (https://www.aveanna.com/CaliforniaPrivacyNotices.html) Apply more
    Aveanna Healthcare (11/28/25)
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  • Senior Representative, Dental Provider Services

    Molina Healthcare (Albany, NY)
    …various managed healthcare provider compensation methodologies, primarily across Medicaid and Medicare lines of business, including but not limited to; fee-for ... service, capitation, and various forms of risk, ASO, etc. **Preferred Education** Bachelor's or master's degree. **Preferred Experience** + 5+ years' experience in managed healthcare administration and/or Provider Services. + 5+ years' experience in provider… more
    Molina Healthcare (11/28/25)
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  • QNXT Configuration Analyst

    Molina Healthcare (Rochester, NY)
    …Experience with troubleshooting and analyzing issues. + Experience working in a Medicare environment is highly preferred. + Claims adjudication experience is highly ... preferred. **Job Qualifications** **Required Education** Associate's Degree or two years of equivalent experience **Required Experience** * Four years proven analytical experience within an operations or process-focused environment. Additional required… more
    Molina Healthcare (11/28/25)
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  • Finance Operations Analyst

    CVS Health (Albany, NY)
    …reimbursement from pharmaceutical manufacturers for certain pharmacy claims billed to Medicare . The candidate will contribute to establishing reporting and achieving ... desired financial targets by ensuring accurate posting of AR and driving efficient and comprehensive collections with swift identification of exceptions and decisive actions to achieve our KPIs. **What you will do** + Execute day to day AR management… more
    CVS Health (11/28/25)
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