• Program Manager, HCS

    Molina Healthcare (Buffalo, NY)
    …years supervisory/management experience in a managed healthcare environment. + Medicaid/ Medicare Population experience with increasing responsibility. + 3+ years of ... nursing experience. **Preferred License, Certification, Association** Any of the following: Certified Case Manager (CCM), Certified Professional in Healthcare… more
    Molina Healthcare (08/02/25)
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  • Neuroradiology - Physician - Mount Sinai Hospital…

    Mount Sinai Health System (New York, NY)
    …Icahn School of Medicine at Mount Sinai is seeking a fellowship-trained, Board Certified Neuroradiologist for a full time position in its Division of Neuroradiology ... New York Medical License + Board Eligible or Board Certified in Radiology + Completed an Accredited Fellowship in...a Health Care Innovation Award from the Centers for Medicare and Medicaid Services to open the first geriatric… more
    Mount Sinai Health System (08/17/25)
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  • Senior Technology Lead Anaplan OWP

    Humana (Albany, NY)
    …organization focused on continuously improving consumer experiences **Preferred Qualifications** + PMP Certified + Anaplan Experienced + Six Sigma Certified + ... efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. ​… more
    Humana (08/15/25)
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  • MDS - Nurse Assessment Coordinator (RN)

    National Health Care Associates (Melville, NY)
    …to Work** Huntington Hills is a proud affiliate of National Health Care Associates. As a Certified Great Place to Work, we think that you are going to love it here. ... governing the MDS, Electronic Medical Record (EMR), PDP, MDS 3.0, Medicaid and Medicare requirements helpful + Interest in the nursing needs of the aged and… more
    National Health Care Associates (08/15/25)
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  • Epic Payer Platform Sr. Technology Leader

    Humana (Albany, NY)
    …**Preferred Qualifications** + Epic Payer Platform Experience + Epic Bridges Certification + PMP Certified + Six Sigma Certified + MBA or another Advanced Degree ... efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. ​… more
    Humana (08/13/25)
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  • Auditor, HCC Risk Adjustment Coding - Full Time…

    Datavant (Albany, NY)
    …of HCC Auditing experience + High school diploma or GED equivalent + AHIMA certified credentials (RHIA, RHIT, CCS) or AAPC certified credentials (CPC, CPC-H, ... + Proficient in ICD-10 coding. + Experienced in HCC coding across Medicare , commercial, and Medicaid sectors. + In-depth knowledge of medical terminology,… more
    Datavant (08/08/25)
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  • Program Director, Quality Improvement (Remote)

    Molina Healthcare (Rochester, NY)
    …experience with HEDIS programs. + 2 years Medicaid experience + 2 years Medicare experience + 3 years management experience + Operational knowledge and experience ... Quality program leadership and direction **Preferred License, Certification, Association** + Certified Professional in Health Quality (CPHQ) + Nursing License (RN… more
    Molina Healthcare (08/02/25)
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  • Advanced Practice Provider - Primary Care

    Dartmouth Health (Hoosick Falls, NY)
    …leading professional organizations, including The Joint Commission, the Centers for Medicare and Medicaid Services and the American Nurses Credentialing Center. ... Graduate of accredited APRN or PA program * Board Certified by AANP, ANCC or NCCPA Required Licensure/Certifications -...Graduate of accredited APRN or PA program - Board Certified by AANP, ANCC or NCCPA * Area of… more
    Dartmouth Health (07/08/25)
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  • Revenue Integrity Analyst

    WMCHealth (Valhalla, NY)
    …+ Researches technical guidance in UB-92 Editor, CPT/HCPCs Guide, CMS website, Medicare Manuals, etc. to resolve billing issues and promote regulatory compliance. + ... degree in healthcare preferred, Bachelor's, preferred. Licenses / Certifications: Certified Professional Coder (CPC) or Certified Professional Coder-Hospital… more
    WMCHealth (06/27/25)
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  • Clinical Accreditation Specialist - Aomc Qmpi

    Arnot Health (Elmira, NY)
    …interpretation of regulatory standards, including The Joint Commission and Centers for Medicare and Medicaid Services (CMS); ensures a constant state of readiness; ... field preferred . Certification is preferred - may include CPHA ( Certified Specialist in Healthcare Accreditation), CPHQ ( Certified Professional in… more
    Arnot Health (06/25/25)
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