- 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
- CDPHP (Latham, NY)
- …and mail. The Medicaid Special Programs Case Manager typically works in the telephonic managed care setting but may be called on to work from a variety of ... clinical experience is required. + Previous experience working with Medicaid Long Term Care Programs preferred. +...patients with social needs preferred. + Experience in home care , medical office setting, or managed health… more
- Elderwood (Waverly, NY)
- …the HMO Managed Care Insurance Companies + Knowledge of Medicare and Medicaid Managed Care Policies and Utilization Review. Managed Care ... Salary $ 20 / $ 22 Overview Managed Care Coordinator Overview Mon-Fri 8am-4pm... liaison between the SNF and the HMO Managed Care Insurance Companies. This includes all… more
- New York State Civil Service (Albany, NY)
- …People With Developmental Disabilities, Office for Title Employment First Agency Liaison Occupational Category Administrative or General Management Salary Grade NS ... primary initiatives that provide a framework for these efforts. The E1st State Agency Liaison 's primary role will be to innovate and work with state agency partners… more
- Catholic Health Services (Rockville Centre, NY)
- …managed care organizations. + Negotiate and manage payer contracts (Medicare, Medicaid , managed care , bundled payments). + Use operational and ... Overview The VP of Post-Acute Care - Skilled Nursing Facilities is a senior executive...Deliver annual operating margins. + Optimize Medicare PDP and Medicaid case-mix index (CMI). + Reduce bad debt and… more
- Healthfirst (NY)
- …healthcare coverage for Medicaid .** + **Contact Senior Health Partners or Complete Care members two months prior to Medicaid expiration date.** + **Conduct ... Care Management Teams, Sales Teams and Nurses for Medicaid and Medicare savings Programs eligibility.** + **Keep up...insurance, home care environment, acute, sub-acute, long-term care setting, or managed -long term care… more
- Stony Brook University (Stony Brook, NY)
- …all potential medical interventions. + Demonstrates an understanding of managed care trends, payer regulations and Medicare/ Medicaid criteria for services. ... medical supplies and equipment. + Serves as an office liaison to outside nurses for patients on home telemonitoring....Experience in Care Management + Experience in Managed Care /Insurance Industry/MD Office. + Certified in… more
- 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
- Cardinal Health (Albany, NY)
- …Medicare, Medicaid , and various commercial markets. The Advisor of Managed Care -National Accounts is responsible for regional retail (chain) pharmacy ... accounts from a managed care contracting perspective. The primary purpose...Administrative Organization's (PSAO) efforts. This position will be a liaison for regional chain pharmacy PSAO members, supporting general… more
- Mount Sinai Health System (New York, NY)
- …as needed + Ensures that patients have appropriate authorizations from various managed care insurers + Works as a liaison between MSHS and other community ... **Job Description** The Care Coordinator is responsible for coordinating care...Medicaid data to educate patients and form a care plan with specific health outcomes. The position is… more