- 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 (Yonkers, NY)
- …Analysis Professional (CBAP), or Certified Coding Specialist (CCS) certification. + Project Management Experience + Familiarity with Medicaid -specific Scorable ... Assists and executes tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and State regulatory requirements are met for Pre-pay Edits,… more
- New York University (New York, NY)
- …their promotion by working with the website, infrastructure, and Learning Management Systems manager as needed. Contract Management: + Lead and provide oversight ... resources and offerings to NYS behavioral health providers navigating the changing Medicaid landscape. This position, under the direction of the Director of… more
- Humana (Albany, NY)
- …campus and datacenters. The primary responsibility of the Network Operations Manager will be to provide the highest quality network infrastructure environment ... to service level agreements, and ensuring all support and maintenance contracts and services are up-to-date and providing appropriate coverage. + Obsolescence… more
- New York State Civil Service (Albany, NY)
- …The Research Scientist 4 will serve as the principal investigator and project manager responsible for overseeing development and implementation of programmatic ... to ensure alignment in activities with the NYS Prevention Agenda, Medicaid programs, and other asthma-related initiatives across the Department. They will… more