- Elevance Health (East Syracuse, NY)
- … and Medicaid Services to transform federal health programs. The **Audit and Reimbursement Senior** will support our Medicare Administrative Contract (MAC) with ... Reimbursement Senior will support contractual workload involving complex Medicare cost reports and Medicare Part A reimbursement . This position provides a… more
- Adecco US, Inc. (New York, NY)
- …a high-visibility, fast-paced role that demands a strong understanding of medical reimbursement , Medicare and commercial payers, and buy-and-bill or specialty ... **Job Title:** Field Reimbursement Manager (FRM) - Remote with Territory Travel... (Buy & Bill, Specialty Pharmacy) + Knowledge of Medicare & commercial insurance + Strong communication, customer service,… more
- Community Wellness Partners (Oswego, NY)
- …healthcare accounting, particularly within the skilled nursing sector, including Medicare /Medicaid reimbursement , cost reporting, and regulatory compliance. Key ... a skilled nursing or long-term care environment. + Strong knowledge of Medicare /Medicaid reimbursement principles and healthcare cost reporting. + Proficient in… more
- New York State Civil Service (Jamaica, NY)
- …flow projections, capital outlay and fixed assets schedules, and Medicaid & Medicare reimbursement activities for the facility.* Develops, implements, reviews, ... Qualifications: This challenging opportunity requires competence in: i) preparing Medicare and Medicaid cost reports for healthcare facilities; ii) utilizing… more
- New York State Civil Service (Batavia, NY)
- …flow projections, capital outlay and fixed assets schedules, and Medicaid & Medicare reimbursement activities for the facility.* Develops, implements, reviews, ... Qualifications: This challenging opportunity requires competence in: I) preparing Medicare and Medicaid cost reports for healthcare facilities; II) utilizing… more
- Centene Corporation (Queens, NY)
- …Initiatives (VBP) will lead and support the expansion and optimization of Medicare -focused VBP arrangements across New York. This role is critical in managing ... end-to-end provider engagement, contract modeling, and performance oversight for Medicare Advantage and Dual Eligible Special Needs Plans (D-SNPs). The Manager will… more
- SUNY Upstate Medical University (Syracuse, NY)
- …Nurse (RN), or Certified Nurse Specialist (CNS), to coordinate and conduct Medicare Annual Wellness Visits (AWVs) across seven Primary Care clinics. This role ... Primary Care clinic Medical Directors and Nurse Leadership. Duties/Responsibilities: Identify Medicare patients overdue for their Medicare Annual Wellness Visit… more
- Centene Corporation (Bronx, NY)
- …access to health insurance, by providing education and assistance to Medicare individuals. Distribute health education materials and arrange for health screenings. ... prospective enrollees and determine eligibility for participation in the Advantage Medicare product + Understand and apply all policies and procedures pertaining… more
- Stony Brook University (Commack, NY)
- …support Joint Operating Committee (JOC) meetings, contract settlement discussions, and reimbursement escalations. + Ensure compliance with Medicare and Medicaid ... affecting the organization. + Monitor and dispute Managed Care payer reimbursement policies or practices that breach contract terms, track resolution outcomes.… more
- Staffing Solutions Organization (Albany, NY)
- …& Marketplace Integration (DEMI)** **Bureau of Third-Party Health Insurance, Medicare Savings Program and Recoveries** **Telecommuting Option:** This position is ... systems. + Take the appropriate actions regarding Medicaid enrollment and premium reimbursement . + Demonstrate systems processes for new employees and review their… more