- Arnot Health (Elmira, NY)
- Job Description As a Population Health Specialist , you'll work directly with clinical and administrative teams to support population health performance, ensure ... regulatory agencies. Your work will support key programs such as PCMH, DSRIP, and Medicare Wellness initiatives. Your Schedule: + Full-Time, 40 hours per week + Day… more
- MVP Health Care (Schenectady, NY)
- …and continuous improvement. To achieve this, we're looking for a **Chart Procurement Specialist ** to join #TeamMVP. This is the opportunity for you if you have ... related experience or equivalent combination of education and complimentary experience preferred . + One year experience in a claims processing, health care/provide… more
- Planned Parenthood of Greater New York (Schenectady, NY)
- POSITION SUMMARY The Patient Access Specialist is an integral member of the Patient Access Optimization Team, responsible for ensuring an exceptional patient ... platforms (ePACES, Availity, etc.) Subject Matter Knowledge * Strong knowledge of Medicare and Medicaid practices in the outpatient setting. * Understanding of… more
- Staffing Solutions Organization (Albany, NY)
- …will have professional experience in public health insurance programs, including Medicaid, Medicare and/or Child Health Plus. Preferred candidates will also have ... a reflection of our clients and the people they serve. **Senior Healthcare Program Specialist (Level 2 or 3) in Albany, NY** **Division of Eligibility & Marketplace… more
- Staffing Solutions Organization (Albany, NY)
- …is a reflection of our clients and the people they serve. **Program Support Specialist ** **Location - Albany, NY** **(50% in Office & 50% Remote)** **Duties:** This ... data + Assist with monitoring the Bureau's Mail Log **Desired Characteristics:** Preferred candidates will have strong analytical skills and the ability to pay… more
- Cardinal Health (Albany, NY)
- …and procedures commonly used in a call center or customer service environment, preferred + Clear knowledge of Medicare , Medicaid & Commercial payer policies ... coverage, preferred + Knowledge of Diagnostic Medical Expense and Medicare Administrative Contractor practices, preferred + Clear understanding of Medical,… 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
- 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 (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...systems. * Experience with professional written and verbal communication. ** Preferred Experience:** Experience in the health care industry To… more
- Northwell Health (Lake Success, NY)
- …code editor report to analyze, research and resolve issues related to Medicare outpatient claims that generate code editor edits. + Maintains current knowledge ... of relevant experience, required. + Prior experience with hospital Inpatient coding, preferred . + Proficient in Excel, preferred . *Additional Salary Detail The… more