• Vice President, Compliance

    Centene Corporation (New York, NY)
    …state legislative public policy concerning state insurance, Managed Care Organization, Medicare and Medicaid regulations and initiatives + Identify, evaluate and ... analyze the impact of state legislative and regulatory issues and advise management concerning impact + Represent senior management at various committees, meetings, and seminars + Performs other duties as assigned + Complies with all policies and standards… more
    Centene Corporation (06/14/25)
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  • CHHA Field Registered Nurse (UFT union)- Manhattan…

    The New Jewish Home (Bronx, NY)
    …competency in the provision of nursing care. + Demonstrates knowledge of the PPS Medicare system. + Demonstrates knowledge of the Oasis and impact on payment. + ... Demonstrates flexibility and the ability to prioritize responsibilities. + Demonstrate ability to document and coordinate patient care. + Ability to assess, plan and intervene in patient care activities appropriate to patients' age, capabilities, disabilities,… more
    The New Jewish Home (06/13/25)
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  • Claims Adjuster I Workers Compensation I CA…

    Sedgwick (Albany, NY)
    …deductions, disability duration, medical management practices and Social Security and Medicare application procedure as applicable to line of business + Excellent ... oral and written communication, including presentation skills + PC literate, including Microsoft Office products + Analytical and interpretive skills + Strong organizational skill + Good interpersonal skills + Excellent negotiation skills + Ability to work in… more
    Sedgwick (06/12/25)
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  • Endocrinologist

    YAI (Manhattan, NY)
    …beyond MQRs above) + 2+ years of post-residency clinical experience + Active Medicare and NYS Medicaid registration + Familiarity with the NextGen EHR + Experience ... with the I/DD patient population Compensation: + $110.00-190.00/hr. If you share our vision and want to help support people to live the fullest lives possible, YAI will be the right place for you. For more information about the YAI Network, please visit our… more
    YAI (06/12/25)
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  • Outpatient Registered Dietitian

    Saratoga Hospital (Saratoga Springs, NY)
    …as a Dietitian-Nutritionist (CDN) with New York State Department of Education; Medicare Provider Number and credentialing through CAQH. Must hold valid NYS driver's ... license. Why Saratoga Hospital + A caring, community-focused culture rooted in teamwork and trust + Supportive leadership that invests in your development and well-being + Comprehensive benefits, including medical, dental, retirement plans, tuition assistance,… more
    Saratoga Hospital (06/11/25)
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  • RN Case Manager, Eddy Senior Care / PACE

    Trinity Health (Latham, NY)
    …of trends in healthcare, combining an insurance role (we are the Medicare /Medicaid insurer for our participants) with a comprehensive healthcare provider role ... (primary care, home health, adult daycare, transportation, all coordinated by an interdisciplinary team). The primary purpose of your job position is to promote and maintain the health of participants enrolled in Eddy Senior Care through teaching, counseling,… more
    Trinity Health (06/11/25)
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  • Behavioral Health Clinic Director

    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
    Access: Supports For Living (06/10/25)
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  • Manager Enrollment and Billing

    Healthfirst (NY)
    …visualization tools like Tableau and Knowledge of NY lines of business such as Medicare NY, Medicaid, Child Health Plus, QHP, EP, HARP + Bachelor's degree in ... Accounting, Finance, or Business Administration from an accredited institution preferred. + Certification in claims processing or related area (eg, CPC, AIC) WE ARE AN EQUAL OPPORTUNITY EMPLOYER. Applicants and employees are considered for positions and are… more
    Healthfirst (06/10/25)
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  • Licensed Skilled Nursing Home Administrator

    Heritage Ministries (Greenhurst, NY)
    …the residents housed therein. These include but are not limited to Medicare , Medicaid, Veterans Administration benefits, private insurances, etc. + Practice sound ... decision-making and leadership skills that enhance employee relations, resident care, and overall management of the SNF. Benefits: + Paid time off (on an accrual basis) + Paid sick time (New York) + 401k + Employer contributed Medical, Dental, and vision… more
    Heritage Ministries (06/07/25)
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  • Medical Director Physician Engagement and CDQI…

    Mount Sinai Health System (New York, NY)
    …risk adjustment for all populations served, especially our patients covered under a Medicare arrangement (MSSP or MA). The MD will report to Vice President, Clinical ... Integration and Population Health with shared accountability to Director, CDQI. **Responsibilities/Expectations:** + Effective influencer for primary care clinical and administrative leadership throughout MSHS to drive VBC performance, with a special focus on… more
    Mount Sinai Health System (06/03/25)
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