- CenterWell (Albany, NY)
- …being highly knowledgeable regarding post-acute levels of care, and an expert regarding CenterWell Home Health services including home health , hospice, ... care. The Clinical Care Coordinator is expected to communicate with the CenterWell Home Health clinical team and help facilitate timely patient follow-up for… more
- Evolent (Albany, NY)
- …is preferred + Not under current exclusion or sanction by any state or federal health care program, including Medicare or Medicaid, and is not identified as an ... **Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes...General Service Administration (GSA), or reprimanded or sanctioned by Medicare . + No history of a major disciplinary or… more
- Evolent (Albany, NY)
- …is preferred + Not under current exclusion or sanction by any state or federal health care program, including Medicare or Medicaid, and is not identified as an ... **Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes...General Service Administration (GSA), or reprimanded or sanctioned by Medicare . + No history of a major disciplinary or… more
- Evolent (Albany, NY)
- …Proficiency + Not under current exclusion or sanction by any state or federal health care program, including Medicare or Medicaid, and is not identified as ... **Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes...General Service Administration (GSA), or reprimanded or sanctioned by Medicare . + No history of a major disciplinary or… more
- Humana (Albany, NY)
- **Become a part of our caring community and help us put health first** The Senior Business Systems Analysis Professional performs analysis of business, process and ... to properly analyze and investigate requirements to determine other liable parties due to Medicare set aside settlement arrangements for both Part C and Part D +… more
- Molina Healthcare (NY)
- …outreach and management. + Promotes integration of services for members including behavioral health care and long term services and supports/ home and community ... integrated delivery of care across the continuum, including behavioral health and long term care, for members with high...service. This position will be supporting our Washington State Medicare plan. We are seeking a candidate with previous… more
- Ultimate Care Inc (Congers, NY)
- Ultimate Care is looking for a talented Home Health Registered Nurse to join our team! The Home Health Registered Nurse will be responsible for providing ... The ideal candidate will have a strong background in home health care, an understanding of state... care or a related field + Knowledge of Medicare and Medicaid regulations + Excellent assessment and critical… more
- Molina Healthcare (Albany, NY)
- …Medicare . **PREFERRED EDUCATION:** Master's in Business Administration, Public Health , Healthcare Administration, etc. **PREFERRED EXPERIENCE:** + Peer Review, ... medical director, and quality improvement staff. + Facilitates conformance to Medicare , Medicaid, NCQA and other regulatory requirements. + Reviews quality referred… more
- University of Rochester (Rochester, NY)
- …and/or trends that requirement management intervention; assist management team with Medicare and Medicaid credit balance audits, and third-party payer audits. + ... Coordinate responses and resolution to Medicaid and Medicare credit balances- - - Review all accounts on...western New York, Rochester is our namesake and our home . One of the world's leading research universities, Rochester… more
- Humana (Albany, NY)
- **Become a part of our caring community and help us put health first** Become a part of our caring community and help us put health first The Encounter Data ... regulations or adjacent sectors **Preferred Qualifications** + Comprehensive knowledge of Medicare , Medicaid, and DSNP encounter processes and policies. + Working… more