- New York State Civil Service (Tupper Lake, NY)
- …equivalent training and experience such as that required for a Trades Specialist (Carpenter), Trades Specialist (Electrician), Service & Repair Mechanic ... (Electronics), Trades Generalist, Grounds Construction Supervisor, Trades Specialist (Locksmith), Trades Specialist (Machinist), Trades Specialist (Mason &… more
- University of Rochester (Brockport, NY)
- …considerations._ **Responsibilities:** Using independent judgment and initiative, the physician support specialist performs duties related to general cardiology. ... entry of data into eRecord and Cadence databases as necessary. + Support for Nurse Practitioners and Cardiologists responsible for delivery of patient care.… more
- Molina Healthcare (Yonkers, NY)
- **Job Description** **Job Summary** Provides lead level support as a highly capable business analyst who serves as a key strategic partner in driving health plan ... Ownership** + Assists and executes tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and State regulatory requirements are met for Pre-pay… more
- St. John's Embrace Living (Rochester, NY)
- Position Summary: The Senior Resident Billing Specialist position reports directly to the Director of Revenue Cycle Management and will assist in the resident ... care information, billing, and revenue collections + New York State Medicaid and Medicare rules and regulations + Basic methods and procedures of financial and… more
- SUNY Upstate Medical University (Syracuse, NY)
- …professionals and medical facilities + Communicate with collaborating physician or specialist regarding patient care Provides exemplary patient care Timely and ... accurate patient follow up + Efficient utilization of support team members + Effective utilization of EMR system...consistent with practice). Must have NPI number and be Medicare Enrolled with Medicare Identification Number (or… more
- Centene Corporation (Queens, NY)
- …Teams and / or activities / clinical documentation submitted by the Intake Specialist . The Clinical Quality Assurance RN will review for to confirm accuracy and ... (CDOH), Local Department of Social Services and Center for Medicare & Medicaid Services (CMS). The Clinical Quality Assurance...create, analyze, report and maintain metrics and processes in support of department and all relevant NYS programs and… more
- Molina Healthcare (Albany, NY)
- …thought partner to health plan leadership and provide well-reasoned recommendations that support short- and long-term business goals. + Partner with Network to ... + Partner with finance and compliance to develop business cases and support reporting that ties operational outcomes to financial targets. **Applied Analytical … more
- New York State Civil Service (Brooklyn, NY)
- …chemical dependency;Or 3. current credentials as a Certified Therapeutic Recreation Specialist (CTRS) issued by the National Council For Therapeutic Recreation ... eligibility for full and unconditional participation in the Medicaid and Medicare programs. Failure to maintain Medicaid/ Medicare eligibility will result… more
- CVS Health (Albany, NY)
- …day. Aetna's Revenue Integrity team is hiring Senior Coding Data Quality Auditors to support our growing risk adjustment efforts. This role plays a critical part in ... ICD codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) for the purpose of...and internal policies and procedures. + Proven ability to support coding judgment and decisions using industry standard evidence… more
- Evolent (Albany, NY)
- …Join our Utilization Management team as a Field Medical Director, Cardiovascular Specialist and use your expertise in interventional cardiology to help ensure the ... management, and clinical staff to address complex cases and support decision-making. + Act as a key resource for...by any state or federal health care program, including Medicare or Medicaid, and is not identified as an… more