• Clinical Liaison - Home Health

    Guthrie (NY)
    …directly to where patients need it most: home. As a 4-star CMS-rated Medicare - certified agency, we deliver skilled nursing, therapy services, social work, and ... home health aide support across the Southern Tier of New York and Northern Pennsylvania. Our Clinical Liaisons play a pivotal role in helping patients heal, thrive, and remain independent-while finding personal and professional fulfillment in the field.… more
    Guthrie (08/13/25)
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  • Case Manager - Home Health

    Guthrie (NY)
    …directly to where patients need it most: home. As a 4-star CMS-rated Medicare - certified agency, we deliver skilled nursing, therapy services, social work, and ... home health aide support across the Southern Tier of New York and Northern Pennsylvania. Our Case Managers play a pivotal role in helping patients heal, thrive, and remain independent-while finding personal and professional fulfillment in the field. Position… more
    Guthrie (08/13/25)
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  • Director, Home Health (RN) - Home Care - Full Time…

    Guthrie (Vestal, NY)
    …post‐acute care services. 8. Assumes responsibility for the day to day functioning of Medicare certified home health agency. 9. Must have excellent verbal and ... nonverbal communication skills and facilitate communication between team members. 10. Develops, implements, and evaluates agency staffing to ensure adequate staffing. Understands state and federal regulatory requirements and leads the organization in… more
    Guthrie (08/12/25)
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  • Medicare MAP Advisor

    Centers Plan for Healthy Living (Staten Island, NY)
    …with the guidance and plans they need for healthy living. JOB SUMMARY : The Medicare MAP Advisor- Will promote and sale MAP and Medicare Line of Business, ... in a manner that is compliant with Center for Medicare and Medicaid Services (CMS) and company policies and...+ Active NYS Health and Accident license + AHIP certified + Computer/technology literacy + Compliant with CMS and… more
    Centers Plan for Healthy Living (07/15/25)
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  • Behavioral Health Medical Director…

    Humana (Albany, NY)
    …other sources of expertise. The Behavioral Health Medical Directors will learn Medicare , Medicare Advantage and Medicaid requirements, and will understand how ... + MD or DO degree + **Must be board certified in Psychiatry** + 5+ years of direct clinical...an inpatient environment and/or related to care of a Medicare or Medicaid type population + Current and ongoing… more
    Humana (08/09/25)
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  • Medicare Annual Wellness Visit Registered…

    SUNY Upstate Medical University (Syracuse, NY)
    …Nurse (RN), or Certified Nurse Specialist (CNS), to coordinate and conduct Medicare Annual Wellness Visits (AWVs) across seven Primary Care clinics. This role is ... Primary Care clinic Medical Directors and Nurse Leadership. Duties/Responsibilities: Identify Medicare patients overdue for their Medicare Annual Wellness Visit… more
    SUNY Upstate Medical University (05/29/25)
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  • Medical Director - Medicare Grievances…

    Humana (Albany, NY)
    …license, as required, for various states in region of assignment + Board Certified in an approved ABMS Medical Specialty + **Internal Medicine, Family Practice, ... clinical experience + Knowledge of the managed care industry including Medicare , Medicaid and/or Commercial products + Must be passionate about contributing… more
    Humana (08/08/25)
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  • Supervisor, Medicare Pharmacy…

    Molina Healthcare (Buffalo, NY)
    …speed to answer, and average hold time are compliant with Centers for Medicare and Medicaid Services (CMS) regulations. + Ensures that adequate staffing coverage is ... Qualifications** + Supervisory/Leadership experience. + Pharmacy Tech experience. + Certified Pharmacy Technician (CPhT) and/or state pharmacy technician license… more
    Molina Healthcare (08/13/25)
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  • Senior Business Analyst ( Medicare

    Molina Healthcare (Rochester, NY)
    …business analysis, task and workflow analysis. + Subject matter expert of Medicare and Healthcare enrollment 834 files. + Interpret customer business needs and ... + SQL and advanced Excel **Preferred License, Certification, Association** Certified Business Analysis Professional (CBAP), Certification from International Institute… more
    Molina Healthcare (07/27/25)
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  • Senior Medical Director ( Medicare )

    Molina Healthcare (Yonkers, NY)
    …QUALIFICATIONS** **REQUIRED EDUCATION:** * Doctorate Degree in Medicine * Board Certified or eligible in a primary care specialty **REQUIRED EXPERIENCE/KNOWLEDGE, ... License without restrictions (free of sanctions from Medicaid or Medicare ) **PREFERRED EDUCATION:** Master's in Business Administration, Public Health, Healthcare… more
    Molina Healthcare (06/13/25)
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