- CenterWell (Albany, NY)
- …Previous experience in utilization management within Insurance industry + Previous Medicare Advantage/ Medicare /Medicaid Experience a plus + Current nursing ... veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to… more
- WelbeHealth (Albany, NY)
- …Fulfillment of the role will also include driving efficiency in compliance reporting/revenue rate filings and leveraging insights to improve financial performance ... + Assist with month-end close, quarterly financial reporting, financial audit, Medicare /Medicaid audits, and other PACE specific projects + Keep a… more
- Adecco US, Inc. (Utica, NY)
- …readiness and adoption. 7. Serve as a subject matter expert on Medicare and commercial payer structures, translating complex benefit data into actionable insights ... project execution and account coordination, ensuring alignment with client KPIs, compliance standards, and program milestones. 10. Operate with a high degree… more
- CenterWell (Albany, NY)
- …quality and cost improvement for high-risk senior populations in full risk Medicare arrangements. This individual will help assess the value of each opportunity ... value drivers in full risk care delivery, ideally in Medicare /seniors + Demonstrated ability to work collaboratively with clinical...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- New York State Civil Service (Ovid, NY)
- …reviews, and oversees the implementation of corrective action plans to ensure compliance with nutrition plans, standards, regulations, and requirements; . Serves as ... eligibility for full and unconditional participation in the Medicaid and Medicare programs. Failure to maintain licensure, certification and Medicaid/ Medicare … more
- New York State Civil Service (Brooklyn, NY)
- …assessments as part of treatment plan development * Monitors patient compliance with treatment goals.* Completes required client and facility documentation (both ... eligibility for full and unconditional participation in the Medicaid and Medicare programs. Failure to maintain certification and Medicaid/ Medicare eligibility… more
- Bassett Healthcare (Cooperstown, NY)
- …your name, "How may I help you?") as observed by Supervisor and as noted in compliance reports Ends calls by asking patient if there is anything else we can do for ... them today as observed by Supervisor and as noted in compliance reports Takes clear, complete and accurate phone messages,(and follows up on these messages to make… more
- Whitney Young Health Center (Albany, NY)
- …policies, procedures, controls and reporting systems. Ensures legal and regulatory compliance for all accounting and financial reporting functions. Manages financial ... corporate, and other tax returns and related reports, and ensure ongoing compliance with applicable tax codes, rules and regulations. + Establishes best practices… more
- Bassett Healthcare (Milford, NY)
- …your name, "How may I help you?") as observed by Supervisor and as noted in compliance reports Ends calls by asking patient if there is anything else we can do for ... them today as observed by Supervisor and as noted in compliance reports Takes clear, complete and accurate phone messages, (and follows up on these messages to make… more
- MVP Health Care (Schenectady, NY)
- …Prevention** + Lead FWA detection efforts in collaboration with SIU and compliance teams. + Leverage predictive analytics and rules engines to identify suspicious ... Provide training and oversight to internal teams and vendors on coding compliance . **Regulatory & Industry Engagement** + Integrate payment integrity efforts with… more