- Humana (Albany, NY)
- …approvals, as well as modeling financial impact of emerging therapeutics across Medicare and Medicaid LOBs + Researches and analyzes drugs and emerging therapeutics, ... experiences **Preferred Qualifications** + PharmD + Health Plan experience + Knowledge of Medicare as it relates to pharmacy + Six Sigma and/or Project Management… more
- Humana (Albany, NY)
- …expert on the End Stage Renal Disease (ESRD) population for Humana's individual Medicare Advantage plans. This includes: + Owning and improving our ESRD claims ... technical skills, especially SQL, VBA, and Databricks/Python + Individual Medicare Advantage experience + Knowledgeable on ESRD population **Additional Information**… more
- Humana (Albany, NY)
- …This role will support a few tools used within our Individual Medicare Advantage pricing and internal reporting process. This includes: + Helping make ... Qualifications** + Strong technical skills, especially SQL and VBA + Individual Medicare Advantage experience Travel: While this is a remote position, occasional… more
- Deloitte (Rochester, NY)
- …Required: + 5+ years of health actuary experience and consulting and/or health plan/ insurance company experience + 2+ years of experience with Medicaid managed care ... individual medical and small group markets + Experience with Medicare products, including Medicare Advantage or ...including value based care/ACO modeling + Knowledge of group insurance products including disability, long term care, etc. The… more
- CDPHP (Latham, NY)
- …and community-based not-for-profit health plan that offers high-quality affordable health insurance to members throughout New York. The company values people, ... departmental, corporate, NYS Department of Health (DOH), Centers for Medicaid & Medicare Services (CMS), Federal Employee Program (FEP) and National Committee for… more
- SUNY Upstate Medical University (Syracuse, NY)
- …of certification must be consistent with practice). Must have NPI number and be Medicare Enrolled with Medicare Identification Number (or PTAN) OR be eligible ... for Medicare Enrollment within 6 months of hire (eligibility criteria...Applicants: Our benefits package includes health, dental and vision insurance , eligibility for employer 401k funding after 1 year… more
- Molina Healthcare (Rochester, NY)
- …according to the SIU's standards. Position must have thorough knowledge of Medicaid/ Medicare /Marketplace health coverage audit policies and be able to apply them in ... data from all types of healthcare providers that bill Medicaid/ Medicare /Marketplace. **KNOWLEDGE/SKILLS/ABILITIES** + Ensure investigators are managing their cases… more
- SUNY Upstate Medical University (Syracuse, NY)
- …of certification must be consistent with practice). Must have NPI number and be Medicare Enrolled with Medicare Identification Number (or PTAN) OR be eligible ... for Medicare Enrollment within 6 months of hire (eligibility criteria...Applicants: Our benefits package includes health, dental and vision insurance , eligibility for employer 401k funding after 1 year… more
- SUNY Upstate Medical University (Syracuse, NY)
- …of certification must be consistent with practice). Must have NPI number and be Medicare Enrolled with Medicare Identification Number (or PTAN) OR be eligible ... for Medicare Enrollment within 6 months of hire (eligibility criteria...Applicants: Our benefits package includes health, dental and vision insurance , eligibility for employer 401k funding after 1 year… more
- SUNY Upstate Medical University (Syracuse, NY)
- …Minimum Qualifications: NYS licensed/registered PA required. Must have NPI number and be Medicare Enrolled with Medicare Identification Number (or PTAN) OR be ... eligible for Medicare Enrollment within 6 months of hire (eligibility criteria...Applicants: Our benefits package includes health, dental and vision insurance , eligibility for employer 401k funding after 1 year… more