- New York State Civil Service (Orangeburg, NY)
- …continued employment. Loss of certification will result in termination of employment. Medicaid/ Medicare Requirements: In order to be eligible for appointment and to ... individual or entity on any of the Federal and/or State Medicaid and Medicare exclusion lists (or excluded from any other Federal or Federally assisted program).… more
- New York State Civil Service (Bronx, NY)
- …review experience in a health care facility regulated by Centers for Medicare and Medicaid Services Utilization Review Standards, or* Possession of a license ... a generous benefits package including:* NYS medical, dental, & vision insurance * Access to tuition assistance programs* Excellent opportunities for advancement &… 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
- Evolent (Albany, NY)
- …current exclusion or sanction by any state or federal health care program, including Medicare or Medicaid, and is not identified as an "excluded person" by the ... Human Services or the General Service Administration (GSA), or reprimanded or sanctioned by Medicare . + No history of a major disciplinary or legal action by a state… more
- Elevance Health (Latham, NY)
- …actuarial studies related to risk adjustment analytics in both the Medicaid and Medicare Advantage lines of business. **How You Will Make an Impact** Primary duties ... Analyzes and develops SAS and SQL programming to support Medicaid and Medicare Advantage risk adjustment initiatives. + Performs data mining and data-driven analyses… more
- Evolent (Albany, NY)
- …current exclusion or sanction by any state or federal health care program, including Medicare or Medicaid, and is not identified as an "excluded person" by the ... Human Services or the General Service Administration (GSA), or reprimanded or sanctioned by Medicare . + No history of a major disciplinary or legal action by a state… more
- Stony Brook University (Stony Brook, NY)
- …within thirty days. Documents over utilization of resources and services. + All Medicare cases are reviewed for level of care on admission. Reviews with the ... does not meet in-patient criteria for admission. Follows the process for Code 44 on Medicare patients. Follow the process for Code 44 on all other payers. + Active… more
- New York State Civil Service (Orangeburg, NY)
- …eligibility for full and unconditional participation in the Medicaid and Medicare programs. Failure to maintain licensure, certification and Medicaid/ Medicare ... OSC Payroll rules and regulations and negotiated union contracts.Excellent Health Insurance Benefits Including Vision and Dental, NYS Employees Retirement System… more
- Brothers of Mercy (Clarence, NY)
- …and compassionateMDS RNto join our award-winning team. Overview Manages Medicare , Medicaid, and Managed Care revenue processes. Ensures residents receive ... unused vacation time + Comprehensive Benefits:Health, dental, vision, and no-cost life insurance + Referral Bonus Program:$2,000 What You'll Do As theMDS RN… more
- Mount Sinai Health System (New York, NY)
- …medical records. Must have experience working with Epic. ? Knowledge of insurance and governmental programs, regulations, and billing processes (eg, Medicare , ... coding guidelines and compliance regulations set by entities like the Centers for Medicare and Medicaid Services (CMS). + Mitigate the risk of compliance violations,… more
Recent Jobs
-
Public Health Inspector, Bureau of Food Safety and Community Sanitation (Bfscs)
- City of New York (New York, NY)