- Molina Healthcare (Albany, NY)
- …+ Resolves complex provider issues that may cross departmental lines and involve Senior Leadership. + Serves as a subject matter expert for other departments. + ... various managed healthcare provider compensation methodologies, primarily across Medicaid and Medicare lines of business, including but not limited to; fee-for… more
- Humana (Albany, NY)
- …in both traditional machine learning and emerging generative AI technologies. As a Senior Engineer, you will play a key role in developing and deploying innovative ... efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. … more
- Weill Cornell Medical College (New York, NY)
- Title: Senior Medical Secretary Location: Upper East Side Org Unit: Human Capital Administration Work Days: Monday-Friday Weekly Hours: 35.00 Exemption Status: ... coding. + Working knowledge of third party payor reimbursement - Medicare , Medicaid, Managed Care and commercial insurance. **Licenses and Certifications** **Working… more
- Robert Half Finance & Accounting (Syracuse, NY)
- …benefits and 4 weeks of vacation! We are looking for a highly skilled Senior Accountant specializing in financial reporting. This role is ideal for an individual ... provide insights to department leaders. * Manage regulatory filings, including Medicare cost reports and state-specific financial disclosures, with precision. *… more
- Mount Sinai Health System (New York, NY)
- …implementation and contract compliance related to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as ... Ancillary Contracts across the Mount Sinai Health System. MSHP seeks a Senior Contract Compliance (Hospital Billing) Analyst who will primarily be responsible for… more
- Staffing Solutions Organization (Albany, NY)
- …workforce, which is a reflection of our clients and the people they serve. ** Senior Healthcare Program Specialist (Level 2 or 3) - Albany, NY** **Division of ... have professional experience in public health insurance programs, including Medicaid, Medicare and/or Child Health Plus. Preferred candidates will also have… more
- Weill Cornell Medical College (New York, NY)
- Title: Senior Patient Coordinator Location: Upper East Side Org Unit: East Side 215 Support Work Days: Weekly Hours: 35.00 Exemption Status: Non-Exempt Salary Range: ... coding. + Working knowledge of third party payor reimbursement - Medicare , Medicaid, Managed Care and commercial insurance. **Licenses and Certifications** **Working… more
- Trinity Health (Latham, NY)
- …of trends in healthcare, combining an insurance role (we are the Medicare /Medicaid insurer for our participants) with a comprehensive healthcare provider role ... to promote and maintain the health of participants enrolled in Eddy Senior Care through teaching, counseling, and appropriate preventive services. The Registered… more
- Northwell Health (Melville, NY)
- …and enters data into computer system, which may include patients on Medicare /Medicaid; + Verifies patient insurance coverage and other related data. Obtains patient ... insurance authorization required for services; Documents authorization approvals and denials in computer systems; may financially screen patients, evaluating and assessing all self-pay patients pre-registered or inpatient/outpatient, to establish method of… more
- Pfizer (New York, NY)
- …process and a strong working knowledge of Managed Care (Commercial, Medicare Part D, Medicaid, Healthcare Insurance Exchanges) Specialty Contracting channels ... (Specialty Pharmacy, Hemophilia Treatment Centers, Specialty Distributors), Institutional systems (GPO, LTC, hospital), concepts of healthcare law and regulations, and how Government Pricing may be impacted by Commercial contracting, in order to develop… more
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