- City of New York (New York, NY)
- …an Assistant Site Supervisor to provide operational support to the team of Certified Application Counselors at our Corona Health Center location. DUTIES WILL INCLUDE ... 65 or older, Blind and Disabled (ABD) Medicaid and Medicare Savings program (MSP); applying for Medicare ;...- Provide professional assistance as a New York State Certified Application Counselor and prescreen clients for enrollment into… more
- Molina Healthcare (Albany, NY)
- …and experience. + At least 3 years of Experience with Medicaid and/or Medicare . + Proven experience owning operational projects from concept to execution, especially ... ability to synthesize complex information. **PREFERRED QUALIFICATIONS:** + Experience with Medicare , Medicaid, and Marketplace lines of business. + PMP, Certified… more
- New York State Civil Service (Staten Island, NY)
- …providing clinical supervision, program planning, and administration of a licensed or certified addictions program. One year of the experience must have been at ... providing clinical supervision, program planning, and administration of a licensed or certified addictions program. One year of the experience must have been at… more
- CVS Health (Albany, NY)
- …to identify and submit ICD codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are ... job experience equal to approximately 1-2 years for CPC. + CPC ( Certified Professional Coder) or CCS-P ( Certified Coding Specialist-Physician) required.… more
- Molina Healthcare (NY)
- …quality member intervention initiatives including all lines of business ( Medicare , Marketplace, Medicaid). Executes health plan's member and community quality ... excellent problem-solving skills. **PREFERRED QUALIFICATIONS:** + 1 year of experience in Medicare and in Medicaid managed care + Experience with data reporting,… more
- Molina Healthcare (Albany, NY)
- …MCG, InterQual or other medically appropriate clinical guidelines, Medicaid, Medicare , CHIP and Marketplace, applicable State regulatory requirements, including the ... Any one or more of the following: + Active and unrestricted Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager + … more
- Highmark Health (Albany, NY)
- …or CERTIFICATIONS** **Required** + None **Preferred** **(Any of the Following)** + Certified Public Accountant (CPA) + Certified Internal Auditor (CIA) + ... Certified Fraud Examiner (CFE) + Certified in Healthcare Compliance (CHC) + Certified ...and cross-functional strategy development. + Experience with managed care, Medicare and federal and/or state regulations, quality improvement and… more
- New York State Civil Service (Albany, NY)
- …technical assistance. The Housing Unit is tasked with advancing non- certified /independent housing options for people with intellectual and/or developmental ... Additionally, the Housing Unit oversees the state-wide operations of the Certified Residential Opportunities process which supports OPWDD eligible individuals in… more
- Highmark Health (Albany, NY)
- …system entities in response to external coding audits conducted by the Medicare Administrative Contractor, the RAC, MIC, ZPIC, etc. Determine appeal action, prepare ... Credentials (Inpatient or Outpatient): Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS) + AAPC Credentials (Outpatient): … more
- Evolent (Albany, NY)
- …from authoritative sources, including the American Medical Association (AMA), Centers for Medicare & Medicaid Services (CMS), Food and Drug Administration (FDA), and ... such as: + Registered Health Information Technician (RHIT) + Certified Hematology and Oncology Coder (CHONC) + Certified... Certified Hematology and Oncology Coder (CHONC) + Certified Coding Associate (CCA) + Certified Professional… more