• Medicaid Managed Care

    Abbott House (Bronx, NY)
    Job Summary: The Medicaid Managed Care Liaison is the primary contact person for the Medicaid Managed Care Plans (MMCP). MMC Liaison must ... + Medicaid Managed Care policies and procedure + The Medicaid Managed Care Liaison is a full-time position. Duties and Responsibilities: 29I… more
    Abbott House (03/08/25)
    - Related Jobs
  • Executive Director, Office of Mail Renewal (OMR),…

    City of New York (New York, NY)
    … with other agencies such as the NY State Department of Health (SDOH), NY Medicaid CHOICE/MAXIMUS, Managed Care Organizations (MCOs), the Office of ... the Executive Director, of the Office of Mail Renewal, Managed Care Program (MCP), and Third-Party Health...Organizations (MCOs) and case management providers through which eligible Medicaid clients access behavioral and health care more
    City of New York (05/14/25)
    - Related Jobs
  • Medicaid Unit Supervisor

    City of New York (New York, NY)
    …APPLICANTS MUST BE PERMANENT IN THE PRINCIPLE ADMINISTRATIVE ASSOCIATE CS TITLE The Home Care Services Program (HCSP) is a Medicaid funded program that provides ... daily living through the Community Alternative Systems Agency (CASA), Managed Long Term Care (MLTC) Program, the...and guidelines. - Participate in meetings and act as liaison with MAP staff involved in developing Medicaid more
    City of New York (05/14/25)
    - Related Jobs
  • Casa Director

    City of New York (New York, NY)
    …OR BE PERMANENT IN A COMPARABLE TITLE ELIGIBLE FOR 6.1.9 TITLE CHANGE. The Home Care Services Program (HCSP) is a Medicaid funded program that provides long term ... daily living through the Community Alternative Systems Agency (CASA), Managed Long Term Care (MLTC) Program, the... Care (MLTC) Program, the Assisted Living Program, Care at Home Program and Homebound Medicaid .… more
    City of New York (05/14/25)
    - Related Jobs
  • Audit Reviewer

    City of New York (New York, NY)
    Job Description The Home Care Services Program (HCSP) is a Medicaid funded program that provides long term care to medically fragile and vulnerable ... daily living through the Community Alternative Systems Agency (CASA), Managed Long Term Care (MLTC) Program, the... Care (MLTC) Program, the Assisted Living Program, Care at Home Program and Homebound Medicaid .… more
    City of New York (05/14/25)
    - Related Jobs
  • Unit Clerk

    City of New York (New York, NY)
    …medication and other health care services at little or no cost. MAP Managed Care Client Services (MCCS) - Restricted Recipient Program (RRP) Unit imposes ... within MAP to ensure appropriate delivery of services to clients enrolled in managed care . - Type correspondences, reports and other written materials. -… more
    City of New York (05/14/25)
    - Related Jobs
  • Medical Director (Medicare)

    Molina Healthcare (New York, NY)
    …and evidence-based guidelines. + Experience in Utilization/Quality Program management + HMO/ Managed care experience **PR** **E** **FE** **R** **RED L** ... **JOB DESCRIPTION** **Job Summary** Responsible for serving as the primary liaison between administration and medical staff. Assures the ongoing development and… more
    Molina Healthcare (05/02/25)
    - Related Jobs
  • Healthcare Payment & Financing Innovation Manager,…

    City of New York (New York, NY)
    …commercial payors at the federal and state levels, and the evolution of managed care . The regulation and financing of community-based organizations (CBO's) at ... transparency, All-Payer Claims Databases, and other employer-led strategies promote high-value care . Medicaid policy and strategy. Budget management experience… more
    City of New York (05/14/25)
    - Related Jobs
  • Specialist, Pharmacy Ops

    Molina Healthcare (Yonkers, NY)
    …in a managed care of PBM environment + 2+ years of Managed Medicaid or Health Exchanges. + 2+ years of operational Marketplace experience **Preferred ... attention to detail, analysis and excellent communication. **KNOWLEDGE/SKILLS/ABILITIES** + Support Medicaid , and Marketplace lines of business with an emphasis on… more
    Molina Healthcare (05/16/25)
    - Related Jobs
  • Director of Policy & Legal/ Healthcare…

    City of New York (New York, NY)
    …of public and commercial payors at the federal and state levels, and the evolution of managed care - Value-based care and Alternative Payment Models. - Price ... the most impacted NYC communities. CHECW addresses inequity across community and health care systems in partnership with community, faith-based, and health care more
    City of New York (05/14/25)
    - Related Jobs