- Centene Corporation (Queens, NY)
- …to operational areas. + Oversee day-to-day operations including claims processing, provider network management, member services , utilization management, and ... ensure health plans are meeting all product goals. + Provide day to day oversight of assigned business unit...+ Deep understanding of managed care models (HMO, PPO, Medicaid , Medicare Advantage, Duals, SNPs). + Familiarity with healthcare… more
- AbbVie (San Juan, PR)
- …areas - immunology, oncology, neuroscience, and eye care - and products and services in our Allergan Aesthetics portfolio. For more information about AbbVie, please ... strategies that may include responsibility for entire Puerto Rico Private, Medicaid and Medicare product portfolio. Establish all products on customer formularies,… more
- Apex Health Solutions (Houston, TX)
- …that support the company's growth and compliance objectives. Key Responsibilities Lead and manage all accounting functions, including general ledger, accounts ... auditors, and regulatory agencies during audits, filings, and rate submissions. Provide financial insights and recommendations to executive leadership to support… more
- Elevance Health (Richmond, VA)
- …face-to-face onboarding and skill development._ Responsible for supporting the Medicaid Medical Management team by managing and overseeing non-clinical medical ... management specialists to ensure utilization regulatory compliance and member service delivery. **Primary duties may include, but are not limited to** **:** +… more
- Commonwealth Care Alliance (Boston, MA)
- …subject matter expertise on a wide range of relevant state policy issues and provide insightful analysis on those issues with internal business partners. + Lead ... and political developments relevant to those priorities and to provide feedback on proposed legislation, regulations, and similar guidance....A minimum of three (3) years of experience with Medicaid & Medicare managed care and other public health… more
- HCA Healthcare (Nashville, TN)
- …integrity, collections, payment compliance, credentialing, health information management, customer service , payroll and physician billing. We also provide ... include: + Comprehensive medical coverage that covers many common services at no cost or for a low copay....3% to 9% of pay (based on years of service ) + Employee Stock Purchase Plan with 10% off… more
- City of New York (New York, NY)
- …need with essential benefits such as Cash, Food and Rental Assistance as well as Medicaid . The DSS Medical and Health Services Office aims to improve the health ... Job Description The Department of Social Services (DSS) is comprised of the administrative units...partners, to prevent homelessness, when possible, address street homelessness, provide safe temporary shelter, and connect New Yorkers experiencing… more
- New York State Civil Service (Albany, NY)
- …support to state agencies on a 24x7x365 basis; some positions may be required to provide this critical service at any time.The mission of IES is to enhance ... of health and human services to NYS residents in areas such as: Medicaid , SNAP, Public Assistance, HEAP, and Child Care.Reporting to the IES Resource Management … more
- New York State Civil Service (NY)
- …Street Address TBD City TBD State NY Zip Code 00000 Duties Description * Provide psychological services under the supervision of a licensed psychologist; * ... and lead individual, family and group counseling sessions; * Provide administrative supervision to lower-level psychology staff; * Prepare reports and maintain… more
- Care Initiatives (Waterloo, IA)
- …+ Ensure compliance with HIPAA and handle confidential information with discretion. + Provide outstanding customer service to residents, families, and staff. + ... Your leadership and operational expertise will help ensure the highest level of service and financial accuracy behind the scenes. Why Join Care Initiatives? +… more