- Humana (Albany, NY)
- …(DVACO) is an accountable care organization that participates in the Centers for Medicare and Medicaid Services' Medicare Shared Savings Program (MSSP), plus ... other commercial and Medicare Advantage value based programs. DVACO is a joint...Health System. Humana takes the lead in providing administrative support in various areas including HR. DVACO's MSSP participation… more
- Humana (Albany, NY)
- …a part of our caring community and help us put health first** Humana Care Support strives to assist in meeting members' needs and requirements so they can achieve ... and/or maintain an optimal wellness state. The Care Management Support Professional contributes to administration of care management in coordination with the RNs,… more
- Humana (Albany, NY)
- …Telephonic UM Coordinator / UM Administration Coordinator 2 provides non-clinical support for the policies and procedures ensuring best and most appropriate ... Providers, Hospitals, Skilled Nursing Facilities and other vendors + Support the UM Nurses to process discharge orders and...+ Document all calls and requests. + Search for Medicare and Medicaid Guidelines. + Process all incoming fax/emails… more
- Humana (Albany, NY)
- …internal teaching conferences, and other reference sources. Medical Directors will learn Medicare and Medicare Advantage requirements, and will understand how to ... contracted external physicians, physician groups, facilities, or community groups to support regional market priorities, which may include an understanding of Humana… more
- Bassett Healthcare (Oneonta, NY)
- …direct supervision of an onsite physician, the Wellness Nurse will perform the Medicare Annual Wellness Visit for Medicare Part B beneficiaries. An ... patient needs. The Wellness Nurse acts as a resource for the Medicare patient population, primary care, population health and quality teams. Provides coordination… more
- New York State Civil Service (East Syracuse, NY)
- …from appointment.You are responsible for payment of all required fees.Medicaid and Medicare : In order to be eligible for appointment and to maintain employment, ... on any of the Federal and/or State Medicaid and Medicare exclusion lists (or excluded from any other Federal...service that connects employees with local service providers and support services to address their personal needs. * Life… more
- CenterWell (Albany, NY)
- …conduct data-driven analyses, generate reports, and present actionable insights to support key initiatives-including Medicare and Medicaid programs, trend ... in data analytics, modeling, optimization, and analytical tools to support strategic decision-making and enhance organizational performance. This role applies… more
- New York State Civil Service (Staten Island, NY)
- …multi-disciplinary approach. Our Geneticist will evaluate children and adults with the support of a full-time Genetic Counselor and collaborate on-site and remotely ... on any of the Federal and/or State Medicaid and Medicare exclusion lists (or excluded from any other Federal...service that connects employees with local service providers and support services to address their personal needs.* Life insurance… more
- Elderwood (North Creek, NY)
- …+ Hands-On Experience: Learn on-site in a real skilled nursing environment as Support Aide! + Flexible Schedule: We offer convenient full time, part time and ... Make a Difference: Provide compassionate care to residents and support their daily living activities. CNA Training Track (...has earned a 4-star rating from the Centers for Medicare and Medicaid Services (CMS)-exceeding both the New York… more
- University of Rochester (Albany, NY)
- …to authorizations, coordination of benefits, baby not on policy, Cobra entitlement, Medicare Lifetime Reserve days, and Medicare Advantage issues. This role ... policy. + Determine the primary payer through knowledge of Medicare and other payer regulations for the coordination of...Create - and Make the World Ever Better. In support of our values and those of our society,… more