- Excellus BlueCross BlueShield (Dewitt, NY)
- …departmental, corporate, NYS Department of Health (DOH), Centers for Medicaid & Medicare Services (CMS), Federal Employee Program (FEP) and National Committee for ... members meeting program criteria; assessing for opportunities to educate, support , coach, coordinate care and review treatment options, through collaboration… more
- Humana (Albany, NY)
- …stored procedures + Designing and implementing scalable data models to support business intelligence and analytics requirements + Utilizing Power Platforms (Power ... Mentoring junior team members and provide technical guidance and support as needed **Use your skills to make an...as SSRS or SSIS + Knowledge of Medicaid or Medicare services + Advanced data analytics skills and reporting… more
- SUNY Upstate Medical University (Syracuse, NY)
- …provide care through our clinics and offices across the greater Syracuse area. In support of our ongoing growth, the Family Birth Center at the Upstate Community ... Nursery for newborns requiring additional short-term medical care and support . APPs provide 24-hour availability of neonatal resuscitation. Additional… more
- Molina Healthcare (Albany, NY)
- …ongoing development and implementation of policies and procedures that guide and support the provisions of medical staff services. Maintains a working knowledge of ... medical director, and quality improvement staff. + Facilitates conformance to Medicare , Medicaid, NCQA and other regulatory requirements. + Reviews quality referred… more
- SUNY Upstate Medical University (Syracuse, NY)
- …Advanced Practice is leading many new programs and initiatives that require leadership support . This position is critical to support the clinical needs of ... various clinical service lines, support onboarding & facilitate orientation, complete performance programs &...clinical practice. + Have a NPI number and be Medicare enrolled with a Medicare Identification Number… more
- MVP Health Care (Rochester, NY)
- …2 years claims processing experience preferred. + Strong knowledge of Medicaid, Medicare , and Commercial claims processing. + Familiarity with ICD-10, CPT, HCPCS, ... overseeing the end-to-end adjudication and processing of claims across Medicaid, Medicare , Commercial, Cigna, and Data Entry operations. + Provides strategic… more
- SUNY Upstate Medical University (Syracuse, NY)
- …PCP and various outside agencies and obtains referrals into additional programs to support the patient's recovery. Must excel in providing patient centered care to ... support the patient's recovery. Is a member of the...the clinical practice also required. NPI number and be Medicare enrolled with a Medicare Identification Number… more
- Centene Corporation (Queens, NY)
- …Marketplace) shared services leaders. + Prioritization and Governance of Initiatives: Support the business products (Medicaid, Medicare , and Marketplace) shared ... business partner for the product leaders, lead the medical economics team, and support the business on all the Quality and Affordability Initiatives. + Prioritize… more
- SUNY Upstate Medical University (Syracuse, NY)
- …Nurse Practitioner to join our new Behavioral and Mental Health Initiative providing support to our Pediatric and Adolescent Psych After Hours program at SUNY ... and often at-risk patient population. Key Responsibilities: + Provide support for patient registration and scheduling. + Providing expert...clinical practice. + Have a NPI number and be Medicare enrolled with a Medicare Identification Number… more
- New York State Civil Service (Bronx, NY)
- …eligibility for full and unconditional participation in the Medicaid and Medicare programs which must be maintained for continued employment. Failure to ... eligibility for full and unconditional participation in the Medicaid and Medicare programs. Failure to maintain licensure, certification and Medicaid/ Medicare … more