- Mount Sinai Health System (New York, NY)
- …implementation and contract compliance related to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves ... as MSHP's subject matter experts on: Facility related Agreements and Amendments, financial performance for all contracts, and facility, ancillary related contract negotiations. The Managed Care Team is at the forefront of implementing Facility and Ancillary… more
- Mount Sinai Health System (New York, NY)
- …implementation and contract compliance related to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves ... as MSHP's subject matter experts on: Facility related Agreements and Amendments, financial performance for all contracts, and facility, ancillary related contract negotiations. The Managed Care Team is at the forefront of implementing Facility and Ancillary… more
- New York State Civil Service (East Syracuse, NY)
- …from appointment.You are responsible for payment of all required fees.Medicaid and Medicare : In order to be eligible for appointment and to maintain employment, ... on any of the Federal and/or State Medicaid and Medicare exclusion lists (or excluded from any other Federal...as Health Care Spending Account and the Dependent Care Advantage Account offer employees options to pay for uncovered… more
- New York State Civil Service (NY)
- …individual or entity on any of the Federal and/or State Medicaid and Medicare exclusion lists (or excluded from any other Federal or Federally assisted program). ... appointed, you may be required to become an enrolled Medicare provider; obtain and provide to your employer a...as Health Care Spending Account and the Dependent Care Advantage Account offer employees options to pay for uncovered… more
- New York State Civil Service (Binghamton, NY)
- …individual or entity on any of the Federal and/or State Medicaid and Medicare exclusion lists (or excluded from any other Federal or Federally assisted program). ... appointed, you may be required to become an enrolled Medicare provider; obtain and provide to your employer a...as Health Care Spending Account and the Dependent Care Advantage Account offer employees options to pay for uncovered… more
- New York State Civil Service (Corinth, NY)
- …individual or entity on any of the Federal and/or State Medicaid and Medicare exclusion lists (or excluded from any other Federal or Federally assisted program). ... appointed, you may be required to become an enrolled Medicare provider; obtain and provide to your employer a...as Health Care Spending Account and the Dependent Care Advantage Account offer employees options to pay for uncovered… more
- Molina Healthcare (Albany, NY)
- …automated analytical modules related to Risk Adjustment for Medicaid, Marketplace and Medicare /MMP. + Assist Risk Adjustment Data Analytics Leaders in designing and ... Science Techniques and languages like Python and R programming would be an added advantage . + 5+ Years of experience in Analysis related to Risk Scores, Encounter… more
- New York State Civil Service (Queens Village, NY)
- …system to ensure that treatment plans remain in compliance with Medicare , Medicaid and third-party insurance requirements. *participating in Quality Improvement ... and maintain eligibility for full and unconditional participation in the Medicare and Medicaid programs. Continued employment will depend on maintaining… more
- Molina Healthcare (Rochester, NY)
- …as well as Reporting modules related to Quality/HEDIS for Medicaid, Marketplace and Medicare /MMP. + Analysis and reporting related to Managed care data like Medical ... like Python and R programming would be an added advantage . + 3+ years of experience with Microsoft Azure,...least one line of business among Medicaid, Marketplace and Medicare /MMP. + 3+ Years of experience in working with… more
- Molina Healthcare (Rochester, NY)
- …member satisfaction - CAHPS, regulatory-related, Molina Quality programs, and taking advantage of electronic solutions (EDI, EFT, EMR, Provider Portal, Provider ... various managed healthcare provider compensation methodologies, primarily across Medicaid and Medicare lines of business, including but not limited to, fee-for… more