- University of Rochester (Rochester, NY)
- … Medicare credit balances- - - Review all accounts on the Medicaid and Medicare credit balance report + Request insurance adjustments or retractions + Prepare ... reimbursement in the revenue cycle system. + Initiate payer-related accounts receivable report to determine which visits needs special attention and follow up to… more
- Rochester Regional Health (Rochester, NY)
- …relates to Medicare , Blue Cross and Medicaid. Prepare annual institutional cost report , physician questionnaire and other third party information requests as ... and maintain Hospital reimbursement expertise as it relates to Medicare , Blue Cross and Medicaid (as observed by Asst....and submits on a timely basis the annual institutional cost report , physician questionnaire and other third… more
- Molina Healthcare (Rochester, NY)
- …medical director, and quality improvement staff. + Facilitates conformance to Medicare , Medicaid, NCQA and other regulatory requirements. + Reviews quality referred ... among hospitals, skilled nursing facilities and home care to ensure quality, cost -efficiency, and continuity of care. + Ensures that medical decisions are rendered… more
- Amazon (New York, NY)
- …One Medical. We are looking for leaders that have healthcare experience in Medicare or other government funded health insurance to support our internal and external ... on FP&A workstreams. Key job responsibilities - Ownership of monthly Medicare membership models and reporting, including gathering, manipulating, analyzing, and… more
- CenterWell (Albany, NY)
- …evaluating and operationalizing high-impact complex care initiatives to drive quality and cost improvement for high-risk senior populations in full risk Medicare ... quality and value drivers in full risk care delivery, ideally in Medicare /seniors + Demonstrated ability to work collaboratively with clinical and operational… more
- Humana (Albany, NY)
- …Associate Actuary, Medicaid Trend focuses on developing, monitoring, and communicating cost trend drivers, utilization patterns, and economic insights to support ... you will play a critical role in identifying, quantifying, and explaining healthcare cost and utilization trends. The Associate Actuary works together with a team of… more
- Mount Sinai Health System (New York, NY)
- …procurement of financial assistance for patients with government-sponsored health plans including Medicare , Medicaid and TriCare. Preferred: 3 years of health care ... as appropriate. Ensures completion of activities that maximize revenue capture for high- cost medications. 12.Facilitates a high level of customer service by the… more
- New York State Civil Service (New York, NY)
- …the design and implementation of satisfaction surveys for staff and the public to report on the quality of language services received; work closely with vendors to ... maintain eligibility for full and unconditional participation in the Medicare and Medicaid programs. Continued employment will depend on...can bid on positions but must be able to report to work within fourteen (14) days and be… more
- Mount Sinai Health System (New York, NY)
- …procurement of financial assistance for patients with government-sponsored health plans including Medicare , Medicaid and TriCare. Preferred: + 3 years of health care ... Ensures completion of activities that maximize revenue capture for high- cost medications. 8. Facilitates a high level of customer...We are consistently ranked by US News & World Report 's Best Hospitals, receiving high "Honor Roll" status, and… more
- New York State Civil Service (Staten Island, NY)
- …data daily and advises appropriate personnel as necessary, regarding significant findings.- Report and provide information required by City, County, or State Health ... maintain eligibility for full and unconditional participation in the Medicare and Medicaid programs. Continued employment will depend on...can bid on positions but must be able to report to work within fourteen (14) days and be… more
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