• Habilitation Specialist 1

    New York State Civil Service (Staten Island, NY)
    …Yes Agency People With Developmental Disabilities, Office for Title Habilitation Specialist 1 Occupational Category Health Care, Human/Social Services Salary Grade ... in the Life Plan process, along with the Individual, family/advocate, Care Manager and other service providers. * Assesses individual's skill levels and identifies… more
    New York State Civil Service (11/26/25)
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  • CHW/Patient Connection Specialist

    Anthony Jordan Health Corp (Rochester, NY)
    CHW/PATIENT CONNECTION SPECIALIST ROCHESTER, NY (http://maps.google.com/maps?q=82+Holland+St+ROCHESTER+NY+USA+14605) * PPC Apply Job Type Full-time Description The ... aCHW/Patient Connection Specialistwho, under the guidance of the PPC Program Manager , is primarily responsible for maintaining continuity and retention in care… more
    Anthony Jordan Health Corp (11/13/25)
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  • Specialist , Quality Interventions/QI…

    Molina Healthcare (Yonkers, NY)
    …surveys and federal/state QI compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Specialist , Quality Interventions/ QI Compliance contributes to one or ... activities and results to identify opportunities for improvement. + Surfaces to Manager and Director any gaps in processes that may require remediation. +… more
    Molina Healthcare (11/07/25)
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  • Financial Reimbursement Specialist -…

    WMCHealth (Valhalla, NY)
    Financial Reimbursement Specialist - On Site Company: NorthEast Provider Solutions Inc. City/State: Valhalla, NY Category: Finance/Info Systems Department: Revenue ... with annual operating and capital budget, and aid the Manager of Financial Planning and the Director of Budget...external agencies. + Gathers data in preparation of Annual Medicare & Medicaid Cost Reports. + Aid in the… more
    WMCHealth (09/12/25)
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  • Data Entry Specialist

    Mount Sinai Health System (Elmhurst, NY)
    **Job Description** Under the supervision of the Administrative Manager of the Mount Sinai Elmhurst Faculty Practice Group, assist with the enrollment of physicians ... Works on data entry projects and other projects as directed by Administrative Manager . Assists with all customer care and customer service issues when needed.… more
    Mount Sinai Health System (11/22/25)
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  • Medical Billing Specialist

    ConvaTec (Massapequa, NY)
    …**Key Responsibilities:** + Responsible for claim review and submission to Medicare , Medicaid, commercial and private insurance payers. Verifies accuracy and ... Performs other billing duties as requested by the Billing Supervisor, Billing Manager , or Director of Billing. **Qualifications/Education:** + Must have a high… more
    ConvaTec (10/26/25)
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  • Program Manager , Healthcare Services

    Molina Healthcare (Albany, NY)
    …(LPN), Advanced Practice Social Worker (APSW), Certified Health Education Specialist (CHES), Licensed Professional Counselor (LPC), Licensed Professional Clinical ... online portals and databases. Preferred Qualifications * Certified Case Manager (CCM), Certified Professional in Healthcare Management (CPHM), Certified Professional… more
    Molina Healthcare (11/27/25)
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  • Clm Resltion Rep III, Hosp/Prv

    University of Rochester (Rochester, NY)
    …to federal and state regulations bringing concerns to the attention of billing Manager and Supervisor. The Claim Resolution Rep III will represent the department and ... assigned tasks, following standard procedures as directed by the Supervisor or Manager . **Machines and Equipment Used** : Standard office equipment, including but… more
    University of Rochester (11/06/25)
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  • RN UM Clinical Appeals Nurse Remote

    Molina Healthcare (Buffalo, NY)
    …**Preferred Qualifications** * Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified Professional ... Procedure Coding (HCPC). * Experience demonstrating knowledge of Centers for Medicare and Medicaid Services (CMS) guidelines, MCG, InterQual or other medically… more
    Molina Healthcare (11/14/25)
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  • LVN Delegation Oversight Nurse Remote

    Molina Healthcare (Albany, NY)
    …**Preferred Qualifications** + Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified Professional ... compliance with the National Committee for Quality Assurance (NCQA), Centers for Medicare and Medicaid Services (CMS), state Medicaid entity requirements and all… more
    Molina Healthcare (11/13/25)
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