- Centene Corporation (New York, NY)
- …requests and determine medical necessity of service preferred. + Knowledge of Medicare and Medicaid regulations preferred. + Knowledge of utilization management ... processes preferred. **License/Certification:** + LPN - Licensed Practical Nurse - State Licensure required + For Health Net of California: RN license required + For Superior Health Plan: RN license required Pay Range: $26.50 - $47.59 per hour Centene offers a… more
- New York State Civil Service (New Windsor, NY)
- …eligible and maintain eligibility for full and unconditional participation in the Medicare and Medicaid programs. Continued employment will depend on maintaining ... eligibility.* If you are employed by state government you may be able to receive loan forgiveness under the Public Service Loan Forgiveness Program (PSLF). The PSLF Program forgives the remaining balance on Direct Loans after 120 qualifying monthly payments… more
- Nuvance Health (Rhinebeck, NY)
- …* Surgical Review Corporation (SRC) - Robotic Center of Excellence * Center for Medicare and Medicaid Services (CMS) - 5 Star Rating At Northern Dutchess ... Hospital, we pride ourselves on a culture of collaboration and teamwork, where every voice is valued and contributes to our shared success. When you step through our doors, you will feel a warm and welcoming atmosphere that makes our hospital a truly special… more
- New York State Civil Service (Staten Island, NY)
- …eligible and maintain eligibility for full and unconditional participation in the Medicare and Medicaid programs. Continued employment will depend on maintaining ... eligibility.* If you are employed by state government you may be able to receive loan forgiveness under the Public Service Loan Forgiveness Program (PSLF). The PSLF Program forgives the remaining balance on Direct Loans after 120 qualifying monthly payments… more
- Nuvance Health (Rhinebeck, NY)
- …* Surgical Review Corporation (SRC) - Robotic Center of Excellence * Center for Medicare and Medicaid Services (CMS) - 5 Star Rating At Northern Dutchess ... Hospital, we pride ourselves on a culture of collaboration and teamwork, where every voice is valued and contributes to our shared success. When you step through our doors, you will feel a warm and welcoming atmosphere that makes our hospital a truly special… more
- New York State Civil Service (Richmond, NY)
- …eligible and maintain eligibility for full and unconditional participation in the Medicare and Medicaid programs. Continued employment will depend on maintaining ... eligibility.* If you are employed by state government you may be able to receive loan forgiveness under the Public Service Loan Forgiveness Program (PSLF). The PSLF Program forgives the remaining balance on Direct Loans after 120 qualifying monthly payments… more
- Molina Healthcare (Syracuse, NY)
- …skills, healthcare experience, and a deep understanding of Centers for Medicare and Medicaid Services (CMS) programs and regulations. ... **KNOWLEDGE/SKILLS/ABILITIES** + Articulate requirements into concise and clear directions for project members (Business Owners, Developers, Testers, etc.) to understand and execute + Facilitate collaboration across departments to ensure alignment and… more
- Baylor Scott & White Health (Albany, NY)
- …and reporting to stakeholders across all lines of business (Commercial, DTE, Medicare , and Medicaid ). Candidate will oversee extracting and analyzing medical ... and pharmacy claims data, translating output into business recommendations. This individual will design, develop, and support the creation of core analytics products, standardized across the organization. The Medical Trend Analytics Manager 1 will orchestrate… more
- New York State Civil Service (Tupper Lake, NY)
- …eligible and maintain eligibility for full and unconditional participation in the Medicare and Medicaid programs. Continued employment will depend on maintaining ... eligibility. * If you are employed by state government you may be able to receive loan forgiveness under the Public Service Loan Forgiveness Program (PSLF). The PSLF Program forgives the remaining balance on Direct Loans after 120 qualifying monthly payments… more
- New York State Civil Service (NY)
- …eligible and maintain eligibility for full and unconditional participation in the Medicare and Medicaid programs. Continued employment will depend on maintaining ... eligibility.* If you are employed by state government you may be able to receive loan forgiveness under the Public Service Loan Forgiveness Program (PSLF). The PSLF Program forgives the remaining balance on Direct Loans after 120 qualifying monthly payments… more