- Staffing Solutions Organization (Albany, NY)
- …which is a reflection of our clients and the people they serve. ** Medicaid Program Advisor 1 in Albany, NY** **Division of Program Development and Management ... (DPDM) Item 1225** ** Medicaid Long Term Care Policy (BMLTCP)** **50% Remote 50%...activities and provide analysis of quantitative, qualitative and financial data . This contracted position exists within the BMLTP, under… more
- Staffing Solutions Organization (Albany, NY)
- …use Salient Interactive Miner, MAPP Health Home Tracking System (HHTS), PSYCKES, and the Medicaid Data Warehouse (MDW) to complete data requests internally + ... of program operations and/or policy development such as cost reporting and access to member level data ...Learns to use Salient Interactive Miner, PSYCKES, and the Medicaid Data Warehouse (MDW) to complete … more
- Staffing Solutions Organization (Albany, NY)
- …workforce, which is a reflection of our clients and the people they serve. ** Medicaid Program Advisor (Level 2 or 3) in Albany, NY** **Division of Eligibility & ... **50% Onsite 50% Remote** **Duties:** + Apply knowledge and experience of Medicaid regulations, program policy, current system design and integration with other… more
- Staffing Solutions Organization (Albany, NY)
- …workforce, which is a reflection of our clients and the people they serve. ** Medicaid Program Advisor (Level 2 or 3) in Albany, NY** **Division of Eligibility & ... Marketplace Integration (DEMI) Executive Team** **50% Onsite / 50% Remote** **Summary:** The Medicaid Program Advisor will be part of an executive team of SSO/PCG… more
- Staffing Solutions Organization (Albany, NY)
- …which is a reflection of our clients and the people they serve. ** Medicaid Program Manager 2 in Albany, NY** **Division of Eligibility & Marketplace Integration ... current support for the development and introduction of a new, modern Medicaid eligibility and enrollment system to support certain populations who currently have… more
- Staffing Solutions Organization (Albany, NY)
- …Division. **Basic Qualifications:** + 2 years of managing OR administering OR reporting on data **Desired Characteristics:** + Associate degree (Bachelor's ... of our clients and the people they serve. **Healthcare Data Specialist 1 in Albany, NY** **Division of Health...Contract Oversight in a broad range of planning, implementation, reporting and evaluation activities within the Division of Health… more
- NORC (Washington, DC)
- …of health care payment and delivery interventions on outcomes and cost using data files derived from Medicare, Medicaid , and commercial payer administrative ... input and direction to staff on research design, methodology, data analysis, and interpretation for Medicare and Medicaid...motivate, inspire, and build high-performing teams. + Experience in reporting on research to a wide range of both… more
- Commonwealth Care Alliance (Boston, MA)
- …strategic objectives. The Manager leads performance evaluation and improvement efforts, including reporting and data analysis, to ensure delegated entities meet ... full management responsibility for all performance measure components, including end-to-end data collection, evaluation, and timely dissemination of reports to both… more
- Commonwealth Care Alliance (Boston, MA)
- …management, (c) coordination of onboarding and training of related CBO staff, (d) data review, reporting and analysis, and (e)assistance to these external ... in meetings/calls with ASAPs and LTSC Agencies - Performance reporting / data management support o Link with CCA's...that CCA implements. - Working knowledge of Medicare and Medicaid (MassHealth) - Familiarity with and full support of… more
- Commonwealth Care Alliance (Boston, MA)
- …inquiries and facilitating collaborative discussions on improvement opportunities. **Performance Reporting & Data Management** + Partner with Quality ... on CCA's Population Health goals; including Medicare Star measures, Medicaid -Medicare Plan withhold measures, quality performance metrics incorporated into other… more
- Commonwealth Care Alliance (Boston, MA)
- …and outcomes, and leads performance evaluation and improvement efforts. Through reporting , data analysis, and partnership management, the LTSS Program ... and data accuracy, including roster reconciliation, payment processes, and reporting . + Manage special projects related to program development, process redesign,… more
- Alameda Health System (Oakland, CA)
- …education on data quality and downstream impacts on billing, quality reporting , and accreditation. **7. Data Analytics, Reporting & Standardization** ... Imaging Administration + Full Time - Day + Business Professional & IT + $51.83 - $86.39 + Req...Standardize QA definitions and documentation practices across sites, support data submissions for public reporting and accreditation… more
- Commonwealth Care Alliance (Boston, MA)
- …strong, collaborative relationships with provider partners serving dual-eligible (Medicare- Medicaid ) members. This role ensures providers are well-informed, engaged, ... facing staff apprised of messaging and timelines. + Present reporting and trends to the committee + Develop and...standards, and provider-friendly + Work with provider network and data management to influence how provider contact information is… more
- Commonwealth Care Alliance (Boston, MA)
- …in a matrixed environment. - Proficiency in Microsoft Office Suite; experience with data reporting tools preferred. - Ability to function independently and ... relationships with behavioral health providers and driving performance improvement through data insights, education, and partnership. This individual will serve as… more
- Commonwealth Care Alliance (Boston, MA)
- …- Proficiency in Microsoft Office Suite (Excel, PowerPoint, Word) and comfort with data dashboards or reporting tools. - Ability to lead and facilitate ... and regulatory benchmarks. - Ensure provider network compliance with CMS, state Medicaid agency, and NCQA standards. - Lead initiatives to streamline provider… more
- Stanford Health Care (Palo Alto, CA)
- …and reporting purposes. + Appeal Letter Drafting: Independently compose professional and comprehensive appeal letters to payors after a detailed review of ... on an employee's demonstrated and applied knowledge, skills and abilities and professional behaviors. Clinical Government Audit Analyst and Appeal Specialist II is… more
- Abt Global Inc. (Rockville, MD)
- …to shape and capture opportunities that leverage Abt's strengths in data analytics, AI/ML, cloud-based platforms, digital transformation, research and evaluation. ... CCSQ, CMCS, and the Innovation Center. Your deep understanding of CMS programs, data platforms, and modernization priorities will enable you to identify and win… more
- Alameda Health System (Alameda, CA)
- …with requirements of The Joint Commission (TJC), Centers for Medicare and Medicaid Services (CMS) Center for Disease Control (CDC), Occupational Safety and Health ... Demonstrates proper body mechanics in all functions. + COLLECTS AND REPORTS DATA TO NATIONAL HEALTHCARE SAFETY NETWORK (NHSN): Maintains a current digital… more
- Stanford Health Care (Palo Alto, CA)
- …advanced coder position responsible for reviewing clinical documentation to extract data and assign appropriate International Classification of Diseases 10th Edition ... Coding Initiative (NCCI) and payer specific edits related to hospital and professional coding. The Single Path Coder processes codes for surgical encounters and… more
- National Health Care Associates (Valley Stream, NY)
- …will be responsible for overseeing various accounting functions, managing financial reporting , and implementing effective internal controls. Your work will play a ... compliance with regulatory requirements and internal policies, including Medicare and Medicaid billing regulations + Assist in special projects and initiatives as… more
