• Behavioral Health Finance Analyst I/II/Senior

    Ventura County (Ventura, CA)
    …payable processes. Evaluates and reviews accounting policies and systems for compliance with regulations and reporting requirements; and + Performs other related ... and validating business assumptions; + Audits system changes to ensure compliance with established procedures and project requirements; + Plans, schedules and… more
    Ventura County (08/07/25)
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  • Registered Nurse Supervisor 1 Psychiatric (NY…

    New York State Civil Service (Ogdensburg, NY)
    …staffing schedules* Developing daily staffing plans for nursing care* Ensuring compliance with established standards of nursing care in accordance with State, ... on any of the Federal and/or State Medicaid and Medicare exclusion lists (or excluded from any other Federal...appointed, you may be required to become an enrolled Medicare provider; obtain and provide to your employer a… more
    New York State Civil Service (09/25/25)
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  • Healthcare Call Center Representative

    TEKsystems (San Diego, CA)
    …assisting patients with eligibility, coverage questions, copay collection, and Medicare redetermination. Job Responsibilities: + Handle 60-80 inbound calls/day in ... reviews, copay collection, and coverage walkthroughs + Provide support for Medicare Redetermination and Health Plan enrollment + Ensure HIPAA compliance more
    TEKsystems (09/19/25)
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  • Vice President, Risk Adjustment Solutions

    Fallon Health (Worcester, MA)
    …to be the leading provider of government-sponsored health insurance programs-including Medicare , Medicaid, and PACE (Program of All-Inclusive Care for the Elderly)- ... for Fallon Health government and state sponsored products including Medicare Advantage, Commercial/ACA, PACE, and Medicaid. **Responsibilities** **Primary Job… more
    Fallon Health (09/19/25)
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  • Addictions Counselor 1 (MA Stutzman Addiction…

    New York State Civil Service (Buffalo, NY)
    …assessments as part of treatment plan development * Monitors patient compliance with treatment goals.* Completes required client and facility documentation (both ... eligibility for full and unconditional participation in the Medicaid and Medicare programs. Failure to maintain certification and Medicaid/ Medicare eligibility… more
    New York State Civil Service (09/18/25)
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  • Insurance Strategy Lead

    Humana (Albany, NY)
    …the core of this evolution is Humana's Insurance Segment, which provides Medicare Advantage, Medicaid, and other health plans to millions. By integrating insurance ... a pivotal role in defining the future of Humana's Medicare and Medicaid businesses, which generate the majority of...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
    Humana (09/18/25)
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  • Addictions Counselor 2 (Kingsboro ATC)

    New York State Civil Service (Brooklyn, NY)
    …as part of individual treatment plan development; monitors patients' compliance with Treatment Goals.* Completes forms, documents, and records efficiently, ... eligibility for full and unconditional participation in the Medicaid and Medicare programs. Failure to maintain certification and Medicaid/ Medicare eligibility… more
    New York State Civil Service (09/18/25)
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  • Principal, Insurance Strategy

    Humana (Albany, NY)
    …in the country. Role Overview The Insurance Strategy team supports Humana's Medicare and Medicaid business unit. This business unit, Humana's largest, comprises the ... strategy consulting experience to manage and deliver some of Medicare and Medicaid's highest priority projects. As a Principal,...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
    Humana (09/18/25)
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  • Registered Nurse 3 Psychiatric Educator, (NY…

    New York State Civil Service (New Hampton, NY)
    …policies and procedures and ensure staff competencies are current and in compliance with nursing standards Minimum Qualifications Candidates from outside or within ... on any of the Federal and/or State Medicaid and Medicare exclusion lists (or excluded from any other Federal...appointed you may be required to become an enrolled Medicare provider; obtain and provide to your employer a… more
    New York State Civil Service (09/18/25)
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  • MDS Coordinator

    Athena Health Care Systems (Marlborough, MA)
    …in assessing and documenting residents' needs, developing care plans, and ensuring compliance with regulations. Experience & Education: + Must possess, as a minimum, ... policies and procedures and protects residents' individual health information. + Maintains Medicare meeting minutes per Medicare program agreement. + Issues and… more
    Athena Health Care Systems (09/11/25)
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