- Highmark Health (Albany, NY)
- …including the growing number of laws and regulations governing managed care organizations. The Manager , Medicaid Compliance & Operations acts as a trusted ... contracts. The position actively manages the day-to-day operations of the Medicaid Compliance Program, and contributes to the operational workflow for … more
- Humana (Albany, NY)
- …development; and + Creating and executing comprehensive test plans + Ongoing Medicaid pricer maintenance, quality assurance, and compliance + Determining root ... a part of our caring community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence… more
- Project Renewal, Inc. (New York, NY)
- Title: Senior Manager , Compliance Program: Legal, Varick Headquarters Salary Range: $90,000 - $100,000 per year Overall Responsibilities: The Senior Manager , ... in healthcare and related human services. The Senior Manager , Compliance reports to the Director of...state, and local healthcare regulations (eg, HIPAA, Stark Law, Medicaid /Medicare, Part 2). + Ensure the organization's compliance… more
- YAI (Manhattan, NY)
- …but not limited to State regulatory agencies (OPWDD, Centers for Medicare and Medicaid Services (CMS), Office of Medicaid Inspector General (OMIG), Department of ... annual OPWDD DQI and OFPC surveys. + Supports regional leadership with identifying compliance risks, completing an annual risk assessment, and developing an annual … more
- Guthrie (Cortland, NY)
- …Provides leadership to the organization relative to the Clinical Regulatory Compliance program which assures the implementation and oversight of clinical ... requirements developed by the Center for Medicare and Medicaid (CMS), the Department of Health (DOH), and The...Commission (TJC). The primary purpose of the Clinical Regulatory Compliance Program is to ensure that the policies and… more
- Stony Brook University (Bohemia, NY)
- …orientation. Develop necessary education and skills to assume the role of the Care Manager in the Medicaid Health Home Initiative. + Participate in outreach ... Care Manager , Sayville Project **Required Qualifications (as evidenced by...OMH, NYS DOH, Health Home, Suffolk County DMH and Medicaid guidelines and regulations, policies and procedures. Care Management… more
- CenterLight Health System (Allerton, NY)
- …departmental standard operation procedures and policies and procedures. Ensure to maintain compliance with Medicare, Medicaid , and PACE marketing regulations. + ... JOB PURPOSE: The Account Manager will conduct sales and networking to drive...operation procedures and policies and procedures. Ensure to maintain compliance with Medicare, Medicaid , and PACE marketing… more
- Staffing Solutions Organization (Albany, NY)
- …Program needs and Policy changes to ensure reporting requirements, performance goals and Medicaid compliance . e. Lead the collaboration required to develop and ... of our clients and the people they serve. **Product Manager - Hybrid - Albany, NY** In this role,...internal and external customers, data engineers, analysts, developers, and Medicaid Program stakeholders to ensure the creation of high… more
- Humana (Albany, NY)
- …health outcomes for our dual members - members that qualify for both Medicare and Medicaid . The Lead Product Manager sits in the center of strategy, design, ... first** We are looking for a dynamic Lead Product Manager to develop clinical solutions for our members and...a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at… more
- GMHC (New York, NY)
- Housing Case Manager WFH Flexible * New York, NY (http://maps.google.com/maps?q=New+York+NY+USA+10018) * Supportive Housing Job Type Full-time Description TheHousing ... our clients. Through a client-centered and empathetic approach, the Housing Case Manager will conduct home visits, coordinate social service referrals, assist with… more
- Springbrook (Oneonta, NY)
- …Conduct clinical and administrative reviews of Habilitation Plans, monthly notes, and Medicaid billing to ensure compliance . + Complete all required ... join our team at Springbrook. The Community Homes Residential Manager is a creative, flexible, organized, and compassionate leader,...documentation reviews to ensure compliance with policies, procedures, laws, etc. + Ensure … more
- Molina Healthcare (Yonkers, NY)
- …contractual requirements related to government programs including, but not limited to, Medicaid , duals (MMP) and Marketplace. * Serves as primary internal contact ... interpretations. * Monitors daily Government Contracts activities to ensure contractual compliance with state and federal requirements for all lines of business… more
- Helio Health Inc. (Syracuse, NY)
- …organization's network to oversee and manage patient access functions, ensuring compliance with organizational policies and procedures. + Provide leadership and ... pre-authorization, and identification of patient financial responsibilities. + Ensure compliance with regulatory requirements and maintain up-to-date knowledge of… more
- The New Jewish Home (Mamaroneck, NY)
- …Home ,Sarah Neuman campus in Westchester,is currently seeking a Full Time RAUM Manager to join their team! Job Summary Responsible for accurate and thorough ... to): + Ensures appropriate scheduling and completion of the MDS required for compliance with OBRA regulations and as required by the insurance, in accordance with… more
- Equinox, Inc (Albany, NY)
- Case Manager - Adult Residential Services Albany, NY (http://maps.google.com/maps?q=Albany+NY+USA) Job Type Full-time Description Equinox is a non-profit human ... and an addiction that need 24/7 support. Position Summary: The Residential Case Manager is responsible for providing service plan development and case management to… more
- Trinity Health (Albany, NY)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** ** Manager Performance Excellence and Accreditation - FT Days at St Peters Hospital** **POSITION ... **Provides leadership and expertise in the areas of accreditation and regulatory compliance , quality and patient safety standards as it relates to associates, staff,… more
- GMHC (New York, NY)
- Intake Case Manager WFH Flexible * New York, NY (http://maps.google.com/maps?q=New+York+NY+USA+10018) * Supportive Housing Job Type Full-time Description TheIntake ... caseload of up to 25 clients, the Intake Case Manager serves as a consistent advocate and point of...handoffs and ensure follow-through on referrals or service linkages. Compliance , Reporting & Documentation: + Maintain accurate and up-to-date… more
- Saratoga Hospital (Saratoga Springs, NY)
- …a standardized organizational dyad structure with the Policy and Regulatory Readiness Manager to ensure regulatory compliance . The Clinical Regulatory Readiness ... but not limited to the Centers for Medicare and Medicaid (CMS) and the Joint Commission (JC), DNV, OSHA,...audits of NYS Medical Staff Licensure and DEA registration compliance . The clinical Regulatory Readiness Manager will… more
- Lutheran (West Seneca, NY)
- GA Family Services - Health Home Care Manager Reports To: Health & Family Services - Program Manager Job Type: Full-time, 40-hours per week. Although hours are ... may be required. Requisition ID: 1331 Apply Purpose: The Health Home Care manager has the overall responsibility and accountability for coordinating all aspects of… more
- City of New York (New York, NY)
- …housing, and assistance with applying for public benefits and services including Medicaid , food stamps, and cash assistance. HASA also provides vocational services ... housing, and assistance with applying for public benefits and services including Medicaid , food stamps and cash assistance. Under executive direction of the… more