- 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 ... Integration (DEMI)** **Bureau of Third-Party Health Insurance, Medicare Savings Program and Recoveries** **Telecommuting Option:** This position is eligible for… more
- Cognizant (Albany, NY)
- **Schedule:** Monday to Friday - Eastern Time **Location:** Remote **About the role** As a Registered Nurse you will make an impact by performing advanced level work ... based on the review of clinical documentation in accordance with Medicare , Medicaid, and third-party guidelines. . Effectively document and log claims/appeals… more
- Molina Healthcare (Yonkers, NY)
- Molina Healthcare is in search of an experienced Sr Digital Marketing Specialist . The Sr. Specialist , Digital Marketing will be responsible for analyzing and ... communicator, and a desire to improve processes **Preferred:** + Medicaid or Medicare Health Plan experience + Strong analytical skills **PHYSICAL DEMANDS:** Working… more
- Molina Healthcare (Syracuse, NY)
- …administration of contracts with State and/or Federal governments for Medicaid, Medicare , Marketplace, and other government-sponsored programs to provide health care ... services to low income, uninsured, and other populations. **KNOWLEDGE/SKILLS/ABILITIES** + Responsible for coordinating, conducting and/or responding to research requests pertaining to government healthcare programs; preparing and submitting regulatory reports… more
- Staffing Solutions Organization (Albany, NY)
- …Populations** **Training will be 100% In-Office and will move to a 50% Remote Schedule.** **Duties:** The Senior Healthcare Program Specialist (level 2 or ... 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
- Centene Corporation (Bronx, NY)
- …Hindi, Bengali or Urdu** **Position Purpose:** The Community Relations Specialist is responsible for leading activities to achieve membership/enrollment goals ... If required by the Business Unit/Department **For Fidelis Care and Medicare only:** Bachelor's degree in Marketing, Business Administration or equivalent experience… 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 ... validating diagnoses that were sent to CMS (Center for Medicare & Medicaid Services). + Works to collect medical...records off those systems. + Works with IT on remote access to provider offices. + Scans, downloads, merges… more
- Staffing Solutions Organization (Albany, NY)
- …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 ... of System Quality Assurance and System Requirements (SQA)** **50% Onsite & 50% Remote ** **Summary:** This person will work within the DEMI Bureau of System Quality… 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:** ... 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
- 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...hours of Monday-Friday, 7:00 AM to 8:00 PM CST. ** REMOTE DETAILS:** You will work remotely, full-time. It will… more