• Affordable Care Act Coordinator

    YesCare Corp (Goshen, NY)
    …+ Strong knowledge of Coordination of Benefit (COB) provisions in commercial, Medicaid , or Medicare environments. + Proficient understanding of ICD-9, HCPCS, ... pay is $25.00 to $27.00/HR based on experience** **Key Responsibilities** + ** Medicaid Eligibility & Coverage Coordination:** + Submit inmate applications to … more
    YesCare Corp (11/25/25)
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  • Growth & Community Engagement Specialist (Must…

    Molina Healthcare (Queens, NY)
    …Employer (EOE) M/F/D/V. Key Words: health care, insurance, health insurance, Medicaid , Medicare , health coach, community health advisor, family advocate, ... achieving established goals improving Molina's enrollment growth objectives encompassing Medicaid programs. Works collaboratively with key departments across the… more
    Molina Healthcare (10/07/25)
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  • PCO Medical Director- UM - Full Time

    CenterWell (Albany, NY)
    …**Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other ... teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and Medicare Advantage requirements and will understand how to… more
    CenterWell (11/06/25)
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  • Physical Therapist

    The Arc Erie County NY (Williamsville, NY)
    …of the agency, the Office for People With Developmental Disabilities OPWDD, Medicaid , Medicare , insurance companies, municipalities, Department of Health, school ... the Professions, the Office for People With Developmental Disabilities (OPWDD), Medicaid , Medicare , insurance companies, municipalities, Department of Health,… more
    The Arc Erie County NY (09/07/25)
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  • Sr. Director of Finance

    Outreach Development Corporation (Richmond Hill, NY)
    …billed in compliance with healthcare regulations, and payer requirements (eg, Medicare , Medicaid , Managed Care Organizations, and Commercial/Private insurers). + ... Implement and maintain billing procedures and best practices to optimize revenue collection. + Managing the collection process, including follow-up on outstanding claims and patient balances, and resolution of billing/denial issues. + Analyzing billing and… more
    Outreach Development Corporation (11/28/25)
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  • Billing Specialist

    Excelsior Orthopaedics Group (Amherst, NY)
    …(eg Medent, Epic, or similar) is required. + Comprehensive knowledge of commercial, Medicare , Medicaid , and workers' comp billing procedures preferred. + Strong ... analytical skills to interpret EOBs, address denials, and resolve account discrepancies preferred. + Demonstrated attention to detail, time management, and organizational abilities. + Effective interpersonal and communication skills for interactions with… more
    Excelsior Orthopaedics Group (11/28/25)
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  • UM Behavioral Health Nurse

    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. ... ​ **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic… more
    Humana (11/27/25)
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  • Lead Data Scientist

    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. ... ​ **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic… more
    Humana (11/27/25)
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  • Sr Manager Clinical UM Operations

    Healthfirst (NY)
    …managing in a virtual environment** **Understanding of health plans such as Medicare , Medicaid and//or Managed Long-Term Care Plan (MLTCP)** **Experience working ... as a case manager for a long-term care programs such as PACE, MAP or MLTC** **Strong understanding of value-based care principles and their application to MLTC populations** **Experience accessing and maintaining patient health information (PHI) electronically… more
    Healthfirst (11/27/25)
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  • Associate, Brand Sponsorship & Experiential

    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. ... ​ **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic… more
    Humana (11/27/25)
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