- Lakeview Health Services (Geneva, NY)
- …development that will lead to an engaged, motivated, and high performing team with a devotion and commitment to client service. Job Summary: With general ... achieving their goals and advancing their lives? Join our Team ! EMPLOYMENT OPPORTUNITY ($2,500 SIGN ON BONUS) Title :...caseload of up to 20 individuals who meet HH+ eligibility for high need services + Ensure documentation is… more
- Mohawk Valley Health System (Utica, NY)
- …effective and efficient utilization of resources. The Physician Advisor guides the team to improve clinical and financial outcomes with documentation and clinical ... the assigned/estimated GMLOS + Partner with the care management team with the management of LOS, complex care needs...medical staff. + Assist case managers with Medicare and Medicaid appeals and Administrative Law Judge (ALJ) testimonies. Act… more
- Centene Corporation (Queens, NY)
- …department including negotiations and administering organization policies and procedures. + Lead and inspire a high-performing team , fostering a collaborative ... development, succession planning, and performance excellence to build a strong, adaptable team for the future. + Experience with provider performance in cost of… more
- Living Resources (Albany, NY)
- …with disabilities and special needs the support they need to thrive and lead active, full lives. For many Living Resources employees, their work becomes an ... behalf of the participant. + Fiscal accounting and reporting. + Ensure Medicaid and corporate compliance. + General administrative supports. + Verify staff… more
- Centene Corporation (Queens, NY)
- …the health of our communities one person at a time. As an Executive on our team , you could be the one who changes everything for our 28 million members. **Position ... orders. + Deep understanding of managed care models (HMO, PPO, Medicaid , Medicare Advantage, Duals, SNPs). + Familiarity with healthcare laws, reimbursement… more
- Lundbeck (Queens, NY)
- …in the primary care and neurology settings. As an Account Manager, you lead the promotion of our psychiatry portfolio, executing sales and marketing strategies with ... anticipate and effectively address payer access issues (IDNs, Medicare, Medicaid , Commercial) using Lundbeck resources. **Pharmaceutical Environment/Compliance** - Apply… more
- Healthfirst (NY)
- …on memberships, data integrity and address discrepancies related to member eligibility and enrollment. + Manage premium billing cycles, invoice generation, and ... compliance with State and CMS guidelines and to ensure member satisfaction + Lead cross functional risk assessment root cause analysis activities to identify, assess… more