- The Wesley Community (Saratoga Springs, NY)
- …St, Saratoga Springs, NY 12866, USA | Hourly | 20-25 per hour | Full Time Day Medicaid Application Specialist for Skilled Nursing Facility Full Time | Days | ... career that truly makes a difference, we invite you to apply for the Medicaid Application Specialist position at Wesley Health Care Center. We look forward… more
- New York State Civil Service (Albany, NY)
- …Yes Agency Medicaid Inspector General, NYS Office of the Title Medicaid Integrity Specialist 1/ Trainee Occupational Category Other Professional Careers ... for the Bureau of Collections Management (BCM). This Bureau attempts to recover Medicaid overpayments in coordination with other OMIG divisions and the Department of… more
- Albany Medical Center (Albany, NY)
- …general Q-Pulse maintenance, if needed. 19. Provide back-up data reporting for CDT's Application Specialist , when needed, utilizing guidelines developed by the ... Organ Procurement Organizations (AOPO), the Center for Medicare and Medicaid Services (CMS), and the Organ Procurement and Transplant...Application Specialist . 20. Additional Quality tasks, as assigned. Thank you… more
- New York State Civil Service (Schenectady, NY)
- …Yes Agency People With Developmental Disabilities, Office for Title Training Specialist 1 Mental Hygiene Occupational Category Education, Teaching Salary Grade 18 ... Minimum Qualifications MINIMUM QUALIFICATIONS:Open Competitive:For appointment to the Training Specialist Trainee 1 Mental Hygiene, NS (equivalent to SG-14):A… more
- CVS Health (Albany, NY)
- …day. **Position Summary** In this position, the senior Claim Benefit Specialist (OPS) reviews, researches and adjudicates complex, sensitive, and/or specialized ... State driven encounter processing guidelines. May be required to learn multiple Medicaid plans. Medical claims processing experience is a basic requirement. * Works… more
- Staffing Solutions Organization (Albany, NY)
- …a reflection of our clients and the people they serve. **Artificial Intelligence Specialist - Albany, NY** **DDSA - 1167** **Summary** The AI Solutions Architect is ... drive actionable insights and improve healthcare analytics, with a focus on Medicaid -related data. This role requires expertise in AI/ML architecture, AI governance,… more
- MVP Health Care (Rensselaer County, NY)
- Bilingual Enrollment Specialist Albany County, NY, USA * Columbia County, NY, USA * Headquarters Office, 625 State Street, Schenectady, New York, United States of ... To achieve this, we're looking for a **Bilingual Enrollment Specialist ** to join #TeamMVP. This is the opportunity for...seamlessly enrolling them in a variety of plans including Medicaid , Child Health Plus, Essential Plan, Qualified Health Plans… more
- Molina Healthcare (Albany, NY)
- **JOB DESCRIPTION** **Job Summary** Responsible for reviewing Medicaid , Medicare, and Marketplace claims for overpayments; researching claim payment guidelines, ... or auto debit in claim systems and in recovery application meeting expected production and quality expectations. + Follows...of 1 year experience in healthcare insurance environment with Medicaid , or Managed Care + Strong verbal and written… more
- Cardinal Health (Albany, NY)
- …center or customer service environment, preferred + Clear knowledge of Medicare, Medicaid & Commercial payer policies and guidelines for coverage, preferred + ... Work-Life resources + Paid parental leave + Healthy lifestyle programs ** Application window anticipated to close:** 05/21/2025 *if interested in opportunity, please… more
- New York State Civil Service (Schenectady, NY)
- …Data Entry Machine Operator, Data Entry Machine Operator (Spanish Language), Keyboard Specialist 1, Keyboard Specialist 1 (Spanish Language), Keyboard ... Specialist 2, Keyboard Specialist 2 (Spanish Language), Law Department Document Specialist...or entity on any of the Federal and/or State Medicaid and Medicare exclusion lists (or excluded from any… more
- Living Resources (Albany, NY)
- …Benefit Specialist to ensure all required documents for the Medicaid recertification are acquired and appropriately filed electronically. + Work with Benefits, ... fulfillment and develop both personally and professionally. The Resident Benefits Specialist will have responsibility for processing forms and documents for… more
- Albany Medical Center (Albany, NY)
- …of America) Salary Range: $55,895.80 - $83,843.71 Looking for an Inpatient Coding Specialist . Must have a coding credential through AHIMA or AAPC. Responsible for ... Out of NYS eligible. The Hospital Medical Coder is responsible for the application of the appropriate diagnostic ICD-10-CM and procedural codes ICD-10-PCS, to the… more
- Evolent (Albany, NY)
- …Join our Utilization Management team as a Field Medical Director, Cardiovascular Specialist and use your expertise in interventional cardiology to help ensure the ... for Initial Clinical Reviewers, offering guidance and expertise to ensure the application of best practices. + Provides clinical rationale for standard and expedited… more