- CenterWell (Albany, NY)
- …Experience working in coding languages such as SAS and SQL + Prior Medicare Advantage or health insurance background + Additional skills developing reports and ... role provides a unique opportunity to get hands on Medicare Advantage experience in a rapidly growing area outside...of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing… more
- CenterWell (Albany, NY)
- …innovation for chronically and temporarily homebound, polychronic, and high-risk Medicare patients within a full-risk, value-based framework. The Medical Director ... with clinicians, executives, and operational leaders. + Advanced knowledge of Medicare regulations, value-based care principles, and best practices for complex care… more
- Molina Healthcare (Yonkers, NY)
- …quality member intervention initiatives including all lines of business ( Medicare , Marketplace, Medicaid) Executes health plan's member and community quality ... to identify opportunities for improvement + Surfaces to the Manager and Director any gaps in processes that may...or Healthcare Administration + 1 year of experience in Medicare and in Medicaid managed care + Certified Professional… more
- City of New York (New York, NY)
- …Engagement Unit, Health and Hospitals, and Community-based Organizations. To ensure full compliance of these partnerships the Bureau of Equitable Health Systems is ... 65 or older, Blind and Disabled (ABD) Medicaid and Medicare Savings program (MSP); applying for Medicare ;...report number of clients to the Health Center Facility Manager in the absence of the Site Supervisor. PREFERRED… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …they need for healthy living. JOB SUMMARY: The objective is to ensure ongoing compliance , provide support and training by monitoring the field staff on a monthly ... to utilize in developing strategy and plans that ensure compliance and can also be used to keep class...policies and procedures and job responsibilities of the account manager + Create and implement training materials and tools… more
- New York State Civil Service (Staten Island, NY)
- …Director and Director of Research and reporting to the Chief Research Compliance Officer (CRCO) at Nathan Kline Institute (NKI)/OMH, along with OPWDD/IBR ... initiatives based on the Program's results.* Leads preparation and conducts compliance and quality reviews, investigations of unanticipated problems and non-… more
- Highmark Health (Albany, NY)
- …with coding principles and guidelines. Promotes cooperation with CDMP and compliance programs to improve documentation which supports compliant coding. Interacts ... system entities in response to external coding audits conducted by the Medicare Administrative Contractor, the RAC, MIC, ZPIC, etc. Determine appeal action, prepare… more
- New York State Civil Service (Staten Island, NY)
- …minimums* Track adherence to the Overtime Policy, including making site visits for compliance to posting of float lists, overtime rosters, accurate 28 Day work ... * Create systemic tracking, oversight, and accountability for staff training compliance * Oversee new staff utilization, performance evals, probationary evals for… more
- Fresenius Medical Center (Watertown, NY)
- …nurse in accordance with organization policies, procedures, and training and in compliance with regulations set forth by the corporation, state, and federal ... ongoing performance of other PCT's. + Collaborates with the Clinical Manager and Education Coordinator in driving organization quality standards through education… more
- Omnicell (Watertown, NY)
- …Seven or more years of demonstrated experience leading pharmacy teams in a pharmacy manager or regional manager role is preferred. + A thorough understanding of ... + Five or more years of transplant experience with a strong understanding of Medicare Part B billing requirements is preferred. + A thorough understanding of the… more