- New York State Civil Service (Brooklyn, NY)
- …eligibility for full and unconditional participation in the Medicaid and Medicare programs which must be maintained for continued employment. Failure to ... do so will result in the termination of your employment.** Qualifying post-licensure medical experience is; general medical experience in a private, clinical, or hospital medical practice which includes diagnosing and treating illness and injuries,… more
- Molina Healthcare (Albany, NY)
- …or other health care or management certification. * Leadership experience. * Medicaid/ Medicare population experience. To all current Molina employees: If you are ... interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $77,969 - $171,058 /… more
- MVP Health Care (Rochester, NY)
- …person-centered care. + Compliance & Quality: Ensure adherence to Medicaid, Medicare , and accreditation standards (eg, NCQA), including documentation and reporting. ... + Cost Management: Monitor service utilization to maintain cost-effectiveness and manage Medical Loss Ratio (MLR). + Appeals & Denials: Participate in the appeals process for denied services and ensure timely resolution. + Training & Support: Educate staff and… more
- Aveanna Healthcare (Batavia, NY)
- …to children and adults.We are a national leader. 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
- Access: Supports For Living (Poughkeepsie, NY)
- …and progress. + Ensures all behavioral health services meet or exceed Medicaid, Medicare and other federal, state and local standards. Ensures that the clinic meets ... state and CARF accreditation standards at the highest level. + Collaborates with the other formal leaders within the agency. + Implements agency administrative initiatives, including daily management systems and clinical huddles. + Trains all clinical staff,… more
- Healthfirst (NY)
- …managing in a virtual environment** **Understanding of health plans such as Medicare , Medicaid and//or Managed Long-Term Care Plan (MLTCP)** **Experience working as ... a case manager for a long-term care programs such as PACE, MAP or MLTC** **Strong understanding of value-based care principles and their application to MLTC populations** **Experience accessing and maintaining patient health information (PHI) electronically in… more
- Intermountain Health (Albany, NY)
- …cycle (Payment Posting, Billing, Follow-Up) required + Knowledge of Medicaid and Medicare billing regulations required + Two (2) years of experience in hospital ... or physician insurance related activities (Authorization, Billing, Follow-Up, Call-Center, or Collections) preferred **Physical Requirements** + Operate computers and other office equipment requiring the ability to move fingers and hands. + Remain sitting or… more
- YAI (Bronx, NY)
- …primary care physician + Experience with the I/DD patient population + Active Medicare and NYS Medicaid registration + Familiarity with the NextGen EHR Compensation: ... + Compensation is from 160000 USD to 180000 USD per year All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, or status as a… more
- Grifols Shared Services North America, Inc (Albany, NY)
- …the business territory including major accounts and large players (ie, Commercial, Medicare , and Medicaid) *Understanding of Hospital formulary with guidance of RSD ... and NAM/NAD to educate on the Grifols portfolio of plasma therapies to stimulate clinical demand. If a neighboring hospital does not have a formulary contract or use of a Grifols product, ability to decipher the best path forward for the territory business and… more
- Merck (Albany, NY)
- …or reimbursement support * Strong knowledge of health insurance structures ( Medicare Part B, Medicaid, commercial) and related access processes, including benefit ... verification, prior authorization, and appeal processes * Expertise in pharmaceutical compliance and HIPAA regulations regarding patient confidentiality * Excellent interpersonal and communication skills; demonstrated ability to engage and influence diverse… more