• Physician Assistant, HOURLY (Kingsboro ATC)

    New York State Civil Service (Brooklyn, NY)
    …procedures. * Assist with patient discharge planning, prepare discharge summaries, and review records for completeness.* As an integral part of a multi-disciplinary ... eligibility for full and unconditional participation in the Medicaid and Medicare programs. Failure to maintain licensure, certification and/or Medicaid/ Medicare more
    New York State Civil Service (05/31/25)
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  • Vice President, Compliance Business Partner…

    Option Care Health (Albany, NY)
    …expert in health care compliance including, but not limited to FWA, Medicare & Medicaid billing requirements, and interactions with healthcare professionals. Lead or ... of appropriate policy into the development of programs, including oversight and/or review and approval of programs and processes with our business teams and… more
    Option Care Health (05/30/25)
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  • Business Associate-Emergency Department - Mount…

    Mount Sinai Health System (New York, NY)
    …registered; Completes the central log assuring all fields are complete 5. Completes Medicare Payor Questionnaire for all Medicare patients 6. Collects visit fees ... portion of the chart 16. Gives attending physician walk out charts for review twice daily **About Us** **Strength through Unity and Inclusion** The Mount Sinai… more
    Mount Sinai Health System (05/29/25)
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  • Nursing Supervisor

    Option Care Health (New Rochelle, NY)
    …is maintained by providing direct patient care 20-40% of the time. In a Medicare Certified Home Health agency, this position may also serve as the alternate ... Director of Nursing of the Home Health Agency for Medicare certified home health agencies in the absence of...using find and replace, undo, spell check, track changes, review pane and/or print functions). + Basic level skill… more
    Option Care Health (05/28/25)
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  • Licensed Clinical Social Worker (2 Positions)…

    New York State Civil Service (NY)
    …community partners as a subject matter expert for Unit responsibilities.o Ensure thorough review and monitoring of unit work flow that OPWDD guidance adherence and ... on any of the Federal and/or State Medicaid and Medicare exclusion lists (or excluded from any other Federal...maintain eligibility for full and unconditional participation in the Medicare and Medicaid programs. Continued employment will depend on… more
    New York State Civil Service (05/28/25)
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  • Senior Manager, Care Management LTC

    Healthfirst (NY)
    …CMS and New York State regulations, job aides and HF policies. This includes review of performance audit reports in order to maintain superior and accurate care data ... programs such as MAP or MLTC + Knowledge of Medicare Regulations related to Long Term Care + Experience...care plan + Understanding of health plans such as Medicare , Medicaid and/or Managed Long-Term Care Plan (MLTCP) +… more
    Healthfirst (05/24/25)
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  • Field Reimbursement Manager - West Region

    Otsuka America Pharmaceutical Inc. (Albany, NY)
    …territory plans through partnerships with internal and external stakeholders + Review and educate offices on payer policies, including prior authorization ... in rare disease + Strong knowledge of Centers for Medicare & Medicaid Services (CMS) policies and processes, especially... & Medicaid Services (CMS) policies and processes, especially Medicare Part D + Experience in "Buy and Bill"… more
    Otsuka America Pharmaceutical Inc. (05/23/25)
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  • Director Addiction Treatment Center 1, M-3 (Norris…

    New York State Civil Service (Rochester, NY)
    …to 836 regulations such as incident reports and investigations and incident review .* Achieve OASAS service level goals for overall occupancy, patient days, and ... eligibility for full and unconditional participation in the Medicaid and Medicare programs. Failure to maintain licensure, certification and Medicaid/ Medicare more
    New York State Civil Service (05/21/25)
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  • Case Manager- Patient Access

    Cardinal Health (Albany, NY)
    …about long and short-range changes in the reimbursement environment including Medicare , Medicaid, Managed Care, and Commercial medical and pharmacy plans while ... High School diploma or equivalent preferred + Knowledge of Medicare (A, B, C, D), Medicaid & Commercial payers...other status protected by federal, state or local law._ _To read and review this privacy notice click_ here… more
    Cardinal Health (05/17/25)
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  • Reimbursement Specialist

    Cardinal Health (Albany, NY)
    …a call center or customer service environment, preferred + Clear knowledge of Medicare , Medicaid & Commercial payer policies and guidelines for coverage, preferred + ... Knowledge of Diagnostic Medical Expense and Medicare Administrative Contractor practices, preferred + Clear understanding of...other status protected by federal, state or local law._ _To read and review this privacy notice click_ here… more
    Cardinal Health (05/17/25)
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