- Humana (Albany, NY)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. ... **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic… more
- WellLife Network (Smithtown, NY)
- …+ Monitor staff documentation practices to ensure compliance with Medicaid, Medicare , and private insurance billing requirements. + Implement productivity benchmarks ... and support clinical teams to meet or exceed targets while maintaining quality standards. + Community Outreach and Referral Development: + Develop and execute outreach strategies to increase visibility of clinical services and build referral relationships with… more
- HCR Home Care (Rochester, NY)
- …* Analyze and advise on the effects of legal and regulatory issues, including Medicare and Medicaid regulations. * Advise on capital structure of company. * Maintain ... banking relations. * Manage corporate tax affairs. * Review and manage corporate insurance. Education Requirements * Bachelor's degree in accounting, finance or business. Qualifications and Requirements * Minimum ten (10) years of professional… more
- Actalent (Buffalo, NY)
- …programs. This role supports various lines of business, including Medicare , Commercial, Exchange (Marketplace), and Medicaid, managing quality, appropriateness, ... safety, and cost for these member populations. The pharmacist will conduct prior authorization reviews, focusing on the pharmacy benefit side of the industry. Responsibilities + Conduct GLP medication reviews, focusing on weight loss and diabetes medications.… more
- New York State Civil Service (Albany, NY)
- …and maintain eligibility for full and unconditional participation in the Medicare and Medicaid programs. Continued employment will depend on maintaining eligibility. ... * OPWDD is an Equal Opportunity/Affirmative Action employer dedicated to creating and sustaining a culture of inclusion. We believe that we are most effective in managing and improving our service system with a diverse team of employees. With such a large… more
- Molina Healthcare (Syracuse, NY)
- …contact information is current and up to date. + Effectively communicate general Medicare and Medicaid plan benefits to existing members. + Interact with appropriate ... primary care providers to ensure patient registry is current and accurate. + Support pharmacists with completion of comprehensive medication reviews through pre-work up to case preparation. + Proactively identify ways to improve member relations. **Job… more
- New York State Civil Service (Bronx, NY)
- …review experience in a health care facility regulated by Centers for Medicare and Medicaid Services Utilization Review Standards, or* Possession of a license ... and registration to practice nursing and 2 years of post-licensure nursing experience, one of which must have included utilization review and/or discharge planningORCandidates within State Service can be considered for a competitive class appointment if they… more
- New York State Civil Service (East Syracuse, NY)
- …and maintain eligibility for full and unconditional participation in the Medicare and Medicaid programs. Continued employment will depend on maintaining ... eligibility.* 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 balance on Direct Loans after 120 qualifying monthly payments… more
- New York State Civil Service (Staten Island, NY)
- …and maintain eligibility for full and unconditional participation in the Medicare and Medicaid programs. Continued employment will depend on maintaining ... eligibility.* 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 balance on Direct Loans after 120 qualifying monthly payments… more
- New York State Civil Service (Tupper Lake, NY)
- …and maintain eligibility for full and unconditional participation in the Medicare and Medicaid programs. Continued employment will depend on maintaining eligibility. ... * 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 balance on Direct Loans after 120 qualifying monthly payments have been made… more