- Molina Healthcare (Syracuse, NY)
- …to, phone, chat, email, and off phone work supporting our Medicaid, Medicare and/or Marketplace business. * Provide exemplary customer service to customers including ... members, co-workers, vendors, providers, government agencies, business partners, and general public * Assists agents with questions and escalated contact center communication channels and across multiple states and/or products. Recognizes trends and patterns… more
- CVS Health (Albany, NY)
- …and developing yourself and others) skills **Required Qualifications** * Commercial, Medicare , and/or Medicaid knowledge * 5+ years related experience, proven and ... proficient managed care network negotiating skills. * 3+ years contracting for large facilities or provider groups. * Proven working knowledge of competitor strategies, complex contracting options, financial/contracting arrangements, and regulatory… more
- Molina Healthcare (NY)
- …inquiries. + Performs Plan Required Reporting. + Interpret and analyzes Medicare , Medicaid and MMP Required Reporting Technical Specifications. + Create and ... maintain monthly and quarterly Key Performance Indicator (KPI) reports. + Support the management of the regulatory memo distribution process Ability to work independently and set priorities. + Manages compliance incidents management and related processes,… more
- Staffing Solutions Organization (Albany, NY)
- …have professional experience in public health insurance programs, including Medicaid, Medicare and/or Child Health Plus. Preferred candidates will also have ... excellent verbal and written communication skills; strong analytical skills and attention to detail; strong organizational skills; proficiency in Microsoft Office (Word, Excel, Access); the ability to work well independently and as part of a team, and to… more
- Staffing Solutions Organization (Albany, NY)
- …experience; professional experience in public health insurance programs, including Medicaid, Medicare and/or Child Health Plus. Preferred candidates will also have ... excellent verbal and written communication skills; strong analytical skills and attention to detail; strong organizational skills; proficiency in Microsoft Office (Word, Excel, Access); the ability to work well independently and as part of a team, and to… more
- Staffing Solutions Organization (Albany, NY)
- …experience in public health insurance programs, including New York's Medicaid, Medicare and/or Child Health Plus. Candidates will also have excellent verbal ... and written communication skills; strong analytical skills and attention to detail; strong organizational skills; proficiency in Microsoft Office (Word, Excel, Access); the ability to work well independently and as part of a team, and to manage multiple… more
- Catholic Health Services (West Islip, NY)
- …is required. Current knowledge of NY Department of Health and Centers of Medicare and Medicaid regulations is required. Knowledge of Joint Commission Standards, and ... federal, state and QIO regulations. Familiarity with admission and concurrent in-patient criteria is preferred. Experience with data analytics preferred. Education: Bachelor of Science in Nursing (BSN) degree required. Master of Science degree strongly… more
- Rochester Regional Health (Rochester, NY)
- …to the Rochester Regional Certified Home Health Agency (CHHA) clients per Medicare , Medicaid and NYS Department of Health (DOH) regulations. Provide superior ... customer service by modeling the Brand Promise and Core Values. Unit/Department Specific Info> RESPONSIBILITIES: + Completes accurately and timely all documentation of assigned clients' care per Federal and State regulatory standards. + Participates in the… more
- Wolters Kluwer (New York, NY)
- …(CMS, FDA, etc.) covering drug control/compliance programs, covered programs ( Medicare /Medicaid) and other government drug-related policy and program information. * ... Have an in-depth understanding of drug classification systems, drug packaging attributes, drug clinical attributes, pricing and reimbursement data, and regulatory classifications-and how these data types are used in drug data-driven business workflows across… more
- Staffing Solutions Organization (Albany, NY)
- …have professional experience in public health insurance programs, including Medicaid, Medicare and/or Child Health Plus. Preferred candidates will also have ... excellent verbal and written communication skills; strong analytical skills and attention to detail; strong organizational skills; proficiency in Microsoft Office (Word, Excel, Access); the ability to work well independently and as part of a team, and to… more