- Molina Healthcare (Yonkers, NY)
- …DESCRIPTION** **Job Summary** Focuses on process improvement, organizational change management, project management and other processes relative to the business. ... Project management includes estimating, scheduling, costing, planning, and issue/risk...Jira and smartsheets is preferred + Knowledge in Medicare, Medicaid and Marketplace is highly preferred. + Able to… more
- Staffing Solutions Organization (Albany, NY)
- …workforce, which is a reflection of our clients and the people they serve. **Product Manager - Hybrid - Albany, NY** In this role, you will be responsible for ... including internal and external customers, data engineers, analysts, developers, and Medicaid Program stakeholders to ensure the creation of high quality, accessible… more
- WelbeHealth (Albany, NY)
- …payment model, including ability to track and analyze revenue streams (eg Medicare, Medicaid , Part D ) along with PACE rates and regulatory constructs **Job ... general or public accounting experience + Minimum of two (2) years of accounting manager and project -lead experience + Proficiency in applying the principals of… more
- Amgen (New York, NY)
- …us and transform the lives of patients while transforming your career. **Field Reimbursement Manager - New York** **What you will do** Let's do this. Let's change ... the world. In this vital role the Field Reimbursement Manager (FRM) will manage defined accounts within a specified...products are covered under the benefit design (Commercial, Medicare, Medicaid ) + Serve as a payer expert for defined… more
- Molina Healthcare (Yonkers, NY)
- …with other Core Ops areas of responsibilities) within Medicare and Medicaid . Role is predicated on building relationships with vendors, stakeholders, functional ... Level Agreements between the parties. **Job Duties** + Develops Medicare and Medicaid vendor strategies aligned with CMS and State regulations, including contract… more
- Pfizer (New York, NY)
- …or have a general working knowledge of Managed Care (Commercial, Part D , Medicare, Medicaid , Healthcare Insurance Exchanges), general concepts of healthcare ... **R** **ole Summary** As a Contract Manager you will be accountable for having a...management and analysis of contract performance. This role is project management oriented in that you will work with… more
- Molina Healthcare (Syracuse, NY)
- …and processing. This role will focus on identifying, reviewing, and validating Medicaid secondary payments to ensure alignment with internal configuration rules and ... adjudication, QNXT system navigation, and strong analytical acumen. Experience in Medicaid managed care is required, and a background in payment integrity-either… more
- Molina Healthcare (Buffalo, NY)
- …Analysis Professional (CBAP), or Certified Coding Specialist (CCS) certification. + Project Management Experience + Familiarity with Medicaid -specific Scorable ... tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and State regulatory requirements are met...years of experience as a Business Analyst or Program Manager in a Managed Care Organization (MCO) or health… more
- Molina Healthcare (NY)
- …intervention initiatives including all lines of business (Medicare, Marketplace, Medicaid ). Executes health plan's member and community quality focused interventions ... Duties** + Acts as a lead specialist to provide project , program, and/or initiative related direction and guidance for...to identify opportunities for improvement + Surfaces to the Manager and Director any gaps in processes that may… more
- City of New York (New York, NY)
- …provided are intensive case management, direct linkages to Cash Assistance, Medicaid , Supplemental Nutrition Assistance Program (SNAP), Long Term Care. Homemaking, ... maintain stable, healthy lives. Under the direction of the HASA Regional Manager , with latitude for independent judgment, initiative and decision-making the Center… more