- Humana (Albany, NY)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. ... 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
- National Health Care Associates (Melville, NY)
- …may affect reimbursement + Ensure the highest level of revenue integrity and compliance to all state and federal regulations for MDS completion and coding ... 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
- Molina Healthcare (Yonkers, NY)
- …landing pages utilizing best practices to increase lead conversion + Ensure compliance with consumer protection laws (CAN-SPAM, TCPA, etc.) and all regulating bodies ... communicator, and a desire to improve processes **Preferred:** + Medicaid or Medicare Health Plan experience + Strong analytical skills **PHYSICAL DEMANDS:** Working… more
- WMCHealth (Margaretville, NY)
- …regarding resident care to RN. + Safety/Infection Control: + Ensures staff compliance with standards and regulations. + Reports potential outbreaks and takes ... award-winning 82-bed enhanced care facility. We have received a 5-Star rating from Medicare 's "Nursing Home Compare" and 5-star ratings in US News & World Report's… more
- Catholic Health Services (Roslyn, NY)
- …on Long Island to receive a five-star rating from the Centers for Medicare & Medicaid Services for consistently high patient satisfaction scores. Job Details We ... surgical notes, progress reports, and treatment plans. - Ensure compliance with regulatory and organizational documentation standards. Qualifications: - Graduation… more
- Humana (Albany, NY)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. ... 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
- City of New York (New York, NY)
- …of Quality Assurance (OQA), Office of Accountability Strategies (OAS), Compliance and Contract Monitoring (CCM), Investigation, Revenue and Enforcement ... spending. This work includes identifying Medicaid clients who should apply for Medicare , identifying Medicaid clients who should be part of buy-in program, and… more
- Evolent (Albany, NY)
- …landscape + Good knowledge US Healthcare - Payer side, Knowledge of Medicare , Medicaid, Commercial Plans and understanding on claims workflow, members, providers + ... may be required as part of the application process. This is collected for compliance and security purposes and only reviewed if an applicant advances to the final… more
- HCR Home Care (Rochester, NY)
- …, and participate in , the Agency's mandat ory HIPA A/Privacy Program and Employee Compliance Program . + Read and adhere to all Agency policies and procedures and ... to problem - solve effectively. + Possess es knowledge of the Medicare /Medicaid guidelines governing home health agencies. + Organized, detail-oriented , and… more
- Centene Corporation (Queens, NY)
- …and procedures. + Oversee the Provider Relations department to ensure in compliance with company policies and standards, government laws, regulations and contracting ... experience in a managed care or insurance environment, preferably in Medicare or Medicaid. Previous management experience including responsibilities for hiring,… more