- 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 ... of experience managing, administering, or reporting on data. **Desired Characteristics:** Preferred candidates will have strong analytical skills and attention to… 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) - Albany, NY** **Division of Eligibility & Marketplace… 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
- 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 (Yonkers, NY)
- … Experience** * 2+ years compliance related experience. * 1+ years in Medicare . ** Preferred License, Certification, Association** N/A To all current Molina ... administration of contracts with State and/or Federal governments for Medicaid, Medicare , Marketplace, and other government-sponsored programs to provide health care… more
- Cardinal Health (Albany, NY)
- …and appeals, preferred + Cell/Gene therapy and/or Oncology experience, preferred + Knowledge of Medicare , Medicaid and Commercially insured payer ... and efficiency for the program **_Qualifications_** + Previous customer service experience, preferred + High School diploma or equivalent, preferred +… more
- Trinity Health (Syracuse, NY)
- …data and ensure charges/coding are in alignment with in AMA and Medicare coding guidelines. Ensures medical documentation and coding compliance with Federal, State ... or other coding credentials is required. CHC (Healthcare Compliance Certification) preferred . AAPC, AHIMA or CCSP certification/membership preferred . Must… more
- Trinity Health (Syracuse, NY)
- …data and ensure charges/coding are in alignment with in AMA and Medicare coding guidelines. Ensures medical documentation and coding compliance with Federal, State ... or other coding credentials is required. CHC (Healthcare Compliance Certification) preferred . AAPC, AHIMA or CCSP certification/membership preferred .Must possess… more
- Cardinal Health (Albany, NY)
- …scheduled training. **_Qualifications_** + Bachelors degree or equivalent experience in Managed Care preferred + 2-4 years experience in health care preferred + ... Pharmacy Technician experience a plus, not required + Familiarity with Medicare and Medicaid + Proficient in Microsoft Office (Excel VLOOKUPS) + Strong written and… more
- Arnot Health (Elmira, NY)
- …various government and employee requested forms such as medical support notices, Medicare verifications, and DSS requests. 10. Responsible for any necessary entry ... Associates degree required. Bachelors Degree in HR or related field preferred . EXPERIENCE: Minimum three years preferred experience with Benefits/Human… more