- Humana (Albany, NY)
- …and ROI of NBA activations **Evangelize & Influence** + Influence and educate senior stakeholders across lines of business to advocate for NBA adoption and ... efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. … more
- Mount Sinai Health System (New York, NY)
- …risk adjustment for all populations served, especially our patients covered under a Medicare arrangement (MSSP or MA). The MD will report to Vice President, Clinical ... care + Based on experience and demonstrated skill set, could consider Senior Medical Director level and associated compensation Compensation range from 230K-260K… more
- Intermountain Health (Albany, NY)
- …This role involves managing a team of contract professionals (officers and senior officers) to ensure efficient and compliant contract processing. This role will ... financial analyses on trials, provide budgeting guidance and approvals based on Medicare coverage analysis results. Create financial compliance tools for care sites,… 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 ... department clinical and administrative supervision. + Provides supervision of agency Senior Therapists' clinical and administrative oversight efforts. + Leads and… more
- FlexStaff (Chappaqua, NY)
- …NY. Qualifications: * Proven experience in physician medical billing, specifically with Medicare Part B and in-network Managed Care. * Familiarity with medical ... Monitor denied claims for trends and issues, reporting findings to the Senior Team Lead. * Daily Correspondence: Review and address daily correspondence effectively.… more
- Humana (Albany, NY)
- …Platform (AEP) and Next Best Action (NBA) execution to join the team as a Senior Product Manager working anywhere in the US. As a Specialist in NBA Execution, you'll ... efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. … more
- Humana (Albany, NY)
- …Qualifications + 10+ years in software engineering, with 5+ years in senior leadership roles (Director/AVP level). + Proven track record building/scaling marketing ... are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. **Equal… more
- City of New York (New York, NY)
- …five years of legal experience after law school will be considered for a Senior Counsel position in the division. The Ethics & Compliance Division has counseling and ... of topics, including legal ethics, conflicts, privileges, federal grants, Medicare compliance, and outside employment. Division attorneys also conduct internal… more
- Calvary Hospital (Bronx, NY)
- …Intake and Outreach Services and maintains an open dialogue with the senior leadership of the hospital and referring partners. Role/Function Continuously monitors ... interface with the Finance Office regarding pertinent insurance information, eg Medicare , Medicaid, Blue Cross, and Commercial Insurance. Performs other related… more
- Sodus Rehab & Nursing Center (Gowanda, NY)
- …care plans + Ensure compliance with state and federal regulations related to senior care facilities + Develop and implement policies and procedures to enhance ... nursing home facilities + Strong knowledge of long-term care regulations, Medicare /Medicaid, and healthcare management. + A commitment to providing high-quality care… more