- Staffing Solutions Organization (Albany, NY)
- …is a reflection of our clients and the people they serve. **Healthcare Data Specialist (Levels 1 & 2) - Albany, NY** **Division of Eligibility & Marketplace ... Professional experience in public health insurance programs, including New York's Medicaid, Medicare and/or Child Health Plus and supervisory experience is a plus.… more
- Staffing Solutions Organization (Albany, NY)
- …of our clients and the people they serve. **Principal Healthcare Data Specialist 1 - Albany, NY** **Division of Eligibility & Marketplace Integration (DEMI)** ... experience in public health insurance programs, including New York's Medicaid, Medicare and/or Child Health Plus. Candidates will also have excellent verbal… more
- Staffing Solutions Organization (Albany, NY)
- …a reflection of our clients and the people they serve. **Senior Healthcare Program Specialist (Level 2 or 3) - Albany, NY** **Division of Eligibility & Marketplace ... have professional experience in public health insurance programs, including Medicaid, Medicare and/or Child Health Plus. Preferred candidates will also have… more
- Access: Supports For Living (Middletown, NY)
- Billing Specialist - Finance (On-Site) Location: Middletown, NY, United StatesDate Posted: Aug 18, 2025 Share: share to e-mail Apply Now Save JobSaved Description ... + Minimum 3 years' commensurate experience required. + Prior experience with medicar/ Medicare managed care billing + Behavioral Health Insurance billing knowledge +… more
- 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 Medical, Supplemental, and pharmacy… more
- Highmark Health (Buffalo, NY)
- …outcomes as a result of workflow transformation, superior coding accuracy, and Medicare STARS gap closure to providers based upon each individual gain/risk share ... for superior coding accuracy, cost and utilization reports, medical loss ratio reports, Medicare STARS gaps and other risk revenue opportunities. + Function as the… more
- Molina Healthcare (Albany, NY)
- …to determine if providers have sanctions/exclusions. * Reviews and processes daily alerts for Medicare Opt-Out reports to determine if any provider has opted out of ... Medicare . * Reviews and processes daily NPDB Continuous Query reports and takes appropriate action when new reports are found. **JOB QUALIFICATIONS** **Required… more
- Highmark Health (Albany, NY)
- …share and risk share models and will be implemented for the Organization's Medicare Advantage, Medicaid, ACA, and commercial populations with the goal of maximizing ... interpretation, and outcomes strategic plan development. + 1 year experience with Medicare STARS, Medicaid HEDIS, risk revenue value streams, and population health… more
- Molina Healthcare (Yonkers, NY)
- …administration of contracts with State and/or Federal governments for Medicaid, Medicare , Marketplace, and other government-sponsored programs to provide health care ... Experience** * 2+ years compliance related experience. * 1+ years in Medicare . **Preferred License, Certification, Association** N/A To all current Molina employees:… more
- City of New York (New York, NY)
- …-Retiree health benefits enrollment/change applications -Inquiries regarding payments under the Medicare Part B Reimbursement Program, which also includes the Income ... Related Monthly Adjustment Amount (IRMAA) reimbursement -Health coverage for the domestic partners of both active employees and retirees -The resolution of health plan enrollment issues for retirees and their dependents as well as retiree health benefits… more