- CenterWell (Hauppauge, NY)
- …the HHA Registry (if applicable) and have completed HHA/CNA course to work for a Medicare certified agency. + At least one year experience in the last 24 months as ... of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- CenterWell (Albany, NY)
- …or Bachelor's degree in a related field + Health Plan experience + Previous Medicare /Medicaid Experience a plus + Call center or triage experience + Bilingual is a ... of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- WMCHealth (Valhalla, NY)
- …valuations monthly, assist with annual operating and capital budget, and aid the Manager of Financial Planning and the Director of Budget & Reimbursement in third ... external agencies. + Gathers data in preparation of Annual Medicare & Medicaid Cost Reports. + Aid in the...3 year occupational mix data. Responsible for research and compliance with cost reporting requirements. + Performs other duties… more
- The Institute for Family Health (New Paltz, NY)
- …following: 1. Self-pay/Sliding Fee 2. Managed Care Plans 3. Medicaid 4. Medicare 5. Commercial Plans 6. Payment/denial posting RESPONSIBILITIES: + Ability to perform ... payer contracts and communicates such information in a timely manner to their manager for escalation. + Maintains familiarity with the Institute fee schedules as… more
- Centene Corporation (New York, NY)
- …of member health assessments, clinical needs and interventions in meeting compliance standards. + Participates in meetings to discuss review findings, areas ... of experience in Managed Care (UM, BH, CM) preferred. Familiarity with Medicare and Medicaid programs preferred. **Licenses and Certifications:** A license in one… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …and community events. Essential Accountabilities: Level I * Educates Medicaid, Medicare , and Commercial members on healthcare benefits, and community resources ... needs, and other high-risk issues. * Conducts targeted phone calls for compliance , HEDIS initiatives and health risk assessments. * Collaborate with Case Management… more
- Mount Sinai Health System (New York, NY)
- …direct supervision of the Director of Specialty Pharmacy, the Specialty Pharmacy Manager and the Specialty Pharmacy Clinical Liaison, the Specialty Pharmacy Access ... procurement of financial assistance for patients with government-sponsored health plans including Medicare , Medicaid and TriCare. Preferred: 3 years of health care… more
- Premier Medical Group of the Hudson Valley (Poughkeepsie, NY)
- …(Hourly) LOCATION: 696 Dutchess Turnpike, Poughkeepsie, NY 12603 REPORTS TO: Manager , Care Coordination SHIFT/CORE HOURS: Monday-Friday in office 8:30 AM-5:00 PM ... to detail, and exercise professional work ethics. + Familiarity with applicable Medicare and Medicaid programs preferred. + Understanding of HIPAA, Privacy, Safety,… more
- Catholic Health Services (West Islip, NY)
- …Coordination department, Medical Staff, and SCSH Administrative Staff. + Ensures compliance with Hospital Conditions of Participation. + Implements care management ... required. + Current knowledge of NY Department of Health and Centers of Medicare and Medicaid regulations is required. + Knowledge of Joint Commission Standards, and… more