- Mount Sinai Health System (New York, NY)
- **Job Description** **Manager Patient Accounting-Patient Financial Services ( Medicare / Medicaid ) Corporate-Full-Time Days** The Manager is responsible for ... overseeing staff, operations and resources within a department or division to ensure optimal result and high employee engagement. The Manager ensures that the department is run according to institutional policies and any applicable regulatory requirements.… more
- Mount Sinai Health System (New York, NY)
- **Job Description** Supervisor IV-Patient Financial Services ( Medicare and Medicaid Claims Follow-Up) Corporate- Full-Time Days Responsible for the supervision ... and coordination of administrative and general office activities, consistent with departmental objectives, administrative policies and practices. Provides direct supervision for administrative and office support staff such as secretarial/administrative… more
- Molina Healthcare (Albany, NY)
- …We are seeking a highly skilled and forward-thinking Big Data Engineer to join our healthcare data team. This role encompasses the end-to-end design, development, and ... management of large-scale data systems tailored for healthcare analytics. The ideal candidate will be responsible for architecting and maintaining robust, scalable, and secure data pipelines that support critical decision-making across the organization. This… more
- Humana (Albany, NY)
- …and other sources of expertise. The Behavioral Health Medical Directors will learn Medicare , Medicare Advantage and Medicaid requirements, and will ... experience in an inpatient environment and/or related to care of a Medicare or Medicaid type population + Current and ongoing Board Certification in an approved… more
- Humana (Albany, NY)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ... all delivery for their assigned state, supporting the business goals of the Medicaid IT program. + Identifies and implements best practice changes within their… more
- Humana (Albany, NY)
- …radiology, and genetics.** + Knowledge of the managed care industry including Medicare Advantage and Managed Medicaid . + Utilization management experience in ... a medical management review organization, such as Medicare Advantage, managed Medicaid , or Commercial health insurance. + Experience with national guidelines… more
- Molina Healthcare (Rochester, NY)
- …(SAIs) to ensure performance and quality levels exist in line with Centers for Medicare & Medicaid Services (CMS) and State regulatory requirements. + Monitor ... **Job Description** **Job Summary** Leads and directs Molina Medicare segment leaders who are responsible for the...who are responsible for the development and administration of Medicare segment specific programs and services, in alignment with… more
- Humana (Albany, NY)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ... for Humana's Michigan HIDE Plan with a focus on Medicaid and state partnership, oversees the budget, financial reporting,...+ Provides market specific financial leadership in the State Medicaid Market, developing a deep understanding of Humana's … more
- Molina Healthcare (Yonkers, NY)
- …computer-savvy and have a high level of customer service. Previous experience in Medicare , Medicaid , and/or Managed Care is very helpful. Top notch communication ... Molina Healthcare is hiring for its outbound Medicare Member Engagement team. Candidates who are Bilingual...8am to 430pm Pacific Standard Time, Monday through Friday. Medicare Member Engagement Specialists will make outbound welcome calls… more
- Humana (Albany, NY)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ... caring community and help us put health first** The Medicaid Pricing Actuary provides actuarial support across a broad...a broad range of actuarial and business needs for Medicaid product lines. The Actuary works on problems of… more