• Private Duty Nurse LPN

    Aveanna Healthcare (Eden, 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 (08/25/25)
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  • Home Health Aide - PDN

    Aveanna Healthcare (Hamburg, NY)
    …Contractors, and Employees Residing in California 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 (08/25/25)
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  • Fraud & Investigations, Professional, Clinical…

    MVP Health Care (Schenectady, NY)
    …and State Anti-Fraud investigation and reporting requirements including HIPAA, CMS, Medicare , Medicaid, and any corporate compliance initiatives or policies. + ... Minimal travel may be required pertaining to investigations and audits. + Contribute to our humble pursuit of excellence by performing various responsibilities that may arise, reflecting our collective goal of enhancing healthcare delivery and being the… more
    MVP Health Care (08/25/25)
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  • Care Manager Remote based in New York

    Molina Healthcare (NY)
    …an unrestricted New York SW licensure. Candidates with extensive knowledge on Medicare /Dual Special Needs Populations DSNP, and Medicaid Advantage Plus -FIDE /HIDE ... DSNP are highly preferred. Prior Managed Long term Care LTC and Behavioral Health experience are beneficial. Bilingual candidates are encouraged to apply. Work Hours: Monday - Friday 8:30AM - 5:00PM EST Remote position based in New York… more
    Molina Healthcare (08/24/25)
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  • Analyst, Business Quality (Remote)

    Molina Healthcare (Buffalo, NY)
    …etc. **PREFERRED EXPERIENCE:** + SQL expertise + Excel expertise + Medicare , Medicaid, Marketplace claims expertise **PHYSICAL DEMANDS:** Working environment is ... generally favorable and lighting and temperature are adequate. Work is generally performed in an office environment in which there is only minimal exposure to unpleasant and/or hazardous working conditions. Must have the ability to sit for long periods.… more
    Molina Healthcare (08/24/25)
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  • Representative II, Accounts Receivable

    Cardinal Health (Albany, NY)
    …regulations, or third party policy. + Updates patient files for insurance information, Medicare status, and other changes as necessary or required. + Keeps email ... inbox requests up to date at all times; checks for new messages on an hourly basis. + Mentors new hires; assists + Assists management and team lead with motivating and coaching employees to succeed as needed. + Maintains accurate and detailed notes in the… more
    Cardinal Health (08/24/25)
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  • Health Care Sales Enroller

    MVP Health Care (Whitehall, NY)
    …Health Plus, Essential Plan, Qualified Health Plans (QHPs), HARP, Off-Exchange, Medicare Advantage (MA) products, and Dual Eligible Special Needs Plans (D-SNP). ... + **Conduct both individual and group outreach activities** to present our innovative health care solutions on- and off-site at various events-from health fairs and community expos to festivals and holiday-themed gatherings-ensuring MVP's presence is both seen… more
    MVP Health Care (08/24/25)
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  • Supervisor to EAP Counselors

    City of New York (New York, NY)
    …Program, Management Benefits Fund, Employee Assistance Program, Work Well NYC, Medicare Part B Reimbursement and Pre-Tax Benefits & Citywide Programs including ... the Deferred Compensation Plan and NYCE IRA. In addition to negotiating collective bargaining agreements, OLR serves as a resource to agencies with regard to workforce labor issues and works with the Municipal Labor Committee (MLC) to pursue innovations in a… more
    City of New York (08/24/25)
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  • Senior Analyst, Special Investigative Unit

    CVS Health (Albany, NY)
    …Investigative experience + Marketplace Broker Investigative experience + Medicaid and Medicare experience **Education** + Bachelor's degree in Criminal Justice or ... equivalent experience **Anticipated Weekly Hours** 40 **Time Type** Full time **Pay Range** The typical pay range for this role is: $46,988.00 - $112,200.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the… more
    CVS Health (08/24/25)
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  • Clinical Review Nurse - Prior Authorization

    Centene Corporation (New York, NY)
    …and determine medical necessity of service preferred. Knowledge of Medicare and Medicaid regulations preferred. Knowledge of utilization management processes ... preferred. NYS RN License Required **License/Certification:** + LPN - Licensed Practical Nurse - State Licensure required + RN - Registered Nurse - State Licensure required Pay Range: $26.50 - $47.59 per hour Centene offers a comprehensive benefits package… more
    Centene Corporation (08/24/25)
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