• Manager, Risk Score Accuracy

    Healthfirst (NY)
    …variances to budget. + Manage all analytical audit requests as they relate to Medicare RADV and OIG and prepare financial impacts estimations. + Respond to requests ... for analysis and provide analytic support to the Product managers and actuarial department. +...community. + Keep abreast of New York Medicaid and Medicare reforms and their impact on the health plan… more
    Healthfirst (08/08/25)
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  • Case Manager- Case Management

    Arnot Health (Elmira, NY)
    …of admission and stay in accordance with Interqual. ** 2. Prepares Medicare /Non Medicare hospital notices of noncoverage (HINN) when patient's level ... but not required. CARDIOPULMONARY RESUSCITATION (CPR) REQUIREMENTS: Basic Life Support (BLS) preferred. PHYSICAL DEMANDS: Light physical effort. Routine office… more
    Arnot Health (08/08/25)
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  • Payment Poster II

    University of Rochester (Albany, NY)
    …**ESSENTIAL FUNCTIONS** + Balances and posts electronic file payments from Medicare , Medicaid, Blue Cross, and MVP. Balances check payments, identifies ... in error. + Acts as liaison between PAO and Medicare /Medicaid/Blue Cross/MVP agencies concerning duplicate, insufficient, missing or erroneous...Create - and Make the World Ever Better. In support of our values and those of our society,… more
    University of Rochester (08/07/25)
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  • Program Aide

    New York State Civil Service (Albany, NY)
    …Albany State NY Zip Code 12229 Duties Description The Program Aide will support the Assistant Commissioner of the Division of Statewide Services and collaborate with ... other administrative support staff to support the nine bureaus...maintain eligibility for full and unconditional participation in the Medicare and Medicaid programs. Continued employment will depend on… more
    New York State Civil Service (08/29/25)
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  • Administrative Specialist 1

    New York State Civil Service (NY)
    …00000 Duties Description The Administrative Specialist 1 provides administrative and organizational support to the Director of Advocacy and the broader Office of ... Advocacy, which includes the Advocacy and Peer Support Unit. The Administrative Specialist 1 also serves as...maintain eligibility for full and unconditional participation in the Medicare and Medicaid programs. Continued employment will depend on… more
    New York State Civil Service (08/21/25)
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  • Senior Financial Analyst, Revenue Cycle Management

    Stony Brook University (Stony Brook, NY)
    …requirements across the health system. This position provides charging advice, support and education to Hospital departments, affiliates and other stakeholders. ... Technology and service departments to develop testing and monitoring strategies to support the implementation of new charge capture systems and methodologies. Will… more
    Stony Brook University (08/12/25)
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  • Community Living Case Manager (QIDP)/Intake…

    Living Resources (Albany, NY)
    …is a non-profit human services agency. Our core purpose is to support and empower individuals with disabilities or other life-challenging conditions to live ... of others. Living Resources provides individuals with disabilities and special needs the support they need to thrive and lead active, full lives. For many Living… more
    Living Resources (08/02/25)
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  • Associate Director, Adversary Simulation

    Humana (Albany, NY)
    …that promotes technical excellence, customer success, and continuous learning + ** Support ** **hiring** new team members with appropriate technical and cultural fit ... and KPIs** for measuring program effectiveness and team performance. + ** Support incident response** activities with an adversarial perspective and technical… more
    Humana (08/29/25)
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  • Senior Administrative Analyst

    New York State Civil Service (NY)
    …focusing on supporting regional quality and compliance monitoring and support activities for priority initiatives. The Senior Administrative Analyst will ... also support monitoring and compliance efforts with the Division of...maintain eligibility for full and unconditional participation in the Medicare and Medicaid programs. Continued employment will depend on… more
    New York State Civil Service (08/28/25)
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  • Lead Cloud Network Engineer

    Humana (Albany, NY)
    …diverse scope and complexity ranging from moderate to substantial. The Lead Network Support Engineer will be responsible for providing operational support for ... Manager will be to provide the highest quality network infrastructure environment support by ensuring the network operations team is monitoring the performance and… more
    Humana (08/20/25)
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