- Sedgwick (Albany, NY)
- …filings and decisions on appropriate treatments recommended by utilization review . + Maintains professional client relationships. **ADDITIONAL FUNCTIONS and ... deductions, disability duration, medical management practices and Social Security and Medicare application procedure as applicable to line of business + Excellent… more
- Access: Supports For Living (Poughkeepsie, NY)
- …and progress. + Ensures all behavioral health services meet or exceed Medicaid, Medicare and other federal, state and local standards. Ensures that the clinic meets ... + Represents the clinic in committees of the organization, including incident review , corporate compliance and other clinical committees as needed by agency… more
- Centene Corporation (Latham, NY)
- …+ Perform financial impact analysis for new contracts and support negotiations + Review monthly performance and financial results of the business unit and provide ... the healthcare or insurance industry required **Preferred Experience:** Medicaid, Medicare & Marketplace **Licenses/Certifications:** CPA preferred Pay Range: $231,900.00… more
- Heritage Ministries (Greenhurst, NY)
- …the organization's commitment to its employees, residents, and larger community. + Review monthly facility operating and budgetary statements + Ensure the proper ... the residents housed therein. These include but are not limited to Medicare , Medicaid, Veterans Administration benefits, private insurances, etc. + Practice sound… more
- Evolent (Albany, NY)
- …quality.** + **Computer proficiency** and ability to navigate electronic medical review platforms. + No current exclusions, sanctions, or disciplinary actions by ... **state or federal healthcare programs ( Medicare , Medicaid, OIG, or GSA).** Join us at **Evolent Health** and be part of a team that is transforming healthcare… more
- Project Renewal, Inc. (Brooklyn, NY)
- …the Position include but are not limited to the following activities: + Review client intake forms regularly for accuracy and complete additional paperwork needed ... services. + Advises clients of entitlement possibilities and refers them for Medicaid/ Medicare , Public Assistance, & Food Stamps as needed. + Ensures that all… more
- YAI (Manhattan, NY)
- …including, but not limited to State regulatory agencies (OPWDD, Centers for Medicare and Medicaid Services (CMS), Office of Medicaid Inspector General (OMIG), ... of information. + Participates in various agencywide committees, such as Incident Review , Human Rights, Informed Consent, and Policy Committees; may act as… more
- Albany Medical Center (Albany, NY)
- …program, including but not limited to intake and assessment tools, policy/procedure/development/ review , and database management. + Collaborate with a variety of ... and/or ongoing consultation as needed. + Counsel and refer families regarding SSD, Medicare , Medicaid, Managed Long Term Care Programs, TBI programs, etc. + Liaison… more
- City of New York (New York, NY)
- …of topics, including legal ethics, conflicts, privileges, federal grants, Medicare compliance, and outside employment. Division attorneys also conduct internal ... District Attorneys before the attorney grievance committees. In addition, they review and provide guidance on sanctions and representation matters, including… more