- Cognizant (Albany, NY)
- …quality, productivity, screening, and approvals and any other critical metrics per contract with clients. This leader will manage teams that connect uninsured ... among patients, hospitals, and government agencies to ensure eligibility for Medicaid , social security, county indigent, or other types of healthcare funding.… more
- Albany Medical Center (Albany, NY)
- …leading economic assessments and overseeing contract implementation aligned with contract terms. The Director is skilled at drafting, analyzing, and ... negotiating complex payer contracts. The Director develops contract proposals and leads in...medical services including, but not limited, to Medicare and Medicaid . + Proven skills and knowledge relating to the… more
- City of New York (New York, NY)
- …Assurance (OQA), Office of Accountability Strategies (OAS), Compliance and Contract Monitoring (CCM), Investigation, Revenue and Enforcement Administration (IREA), ... for (1) Administrative Staff Analyst NM III to function as an Executive Director , Data Analytics & Verification who will: - Oversee the management, administration,… 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 ... serves HIV positive clients. Under the direction of the Director of Housing, with latitude for independent judgment and...services to HASA clients in compliance with its HRA contract . The HIV/AIDS Services Administration (HASA) is recruiting one… more
- St John's Community Services (Ithaca, NY)
- Director of Waiver Services- Ithaca, NY Job Details Job Location Ithaca Sober Living Home - Ithaca, NY Salary Range $75000.00 - $85000.00 Salary Description To be ... Traumatic Brain Injury (TBI) and Nursing Home Transition and Diversion (NHTD) Medicaid waiver program, and the Home Enabling Supports (OPWDD) waiver program. Your… more
- City of New York (New York, NY)
- …Miscellaneous Contracts & Medical Payments, Employment Program Payments, the operations of Contract Agency Monthly Financial Report (CAMFR) Unit and the Control Bank ... Disbursement System. Under the direction of the Bureau's Executive Director and with wide latitude for independent judgment and...of Human Service Payments who will: - Lead the Contract Agency Monthly Financial Report (CAMFR) Unit, overseeing the… more
- New York State Civil Service (Rochester, NY)
- NY HELP No Agency Addiction Services and Supports, Office of Title Director Addiction Treatment Center 1, M-3 (Norris ATC) Occupational Category Health Care, ... John L. Norris is a 44-bed inpatient Addiction Treatment Center (ATC). The Director is responsible for providing clinical, operational, and fiscal leadership of the… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …is right for you, we encourage you to apply! Job Description: The Medical Director participates in the broad array of activities of the Medical Services area ... inquiries. + Makes accurate and consistent interpretation of integral medical policy, contract benefits and State and Federal Mandates and maintains current and… more
- GMHC (New York, NY)
- Director , Residence Management WFH Flexible * New York, NY (http://maps.google.com/maps?q=New+York+NY+USA+10018) * Supportive Housing Job Type Full-time Description ... TheDirector, Residence Managementis responsible for assisting the Senior Director , Residence Management, in overseeing the day-to-day operations and management of… more
- Molina Healthcare (New York, NY)
- …& Operations, oversees development and implementation of provider network and contract strategies, identifying those specialties and geographic locations upon which ... development. * Develops and maintains a system to track contract negotiation activity on an ongoing basis throughout the...* Monitors and reports network adequacy for Medicare and Medicaid services. * Develops strategies to improve EDI/MASS rates.… more
- City of New York (New York, NY)
- …and SSI or SSD application and appeal. Under the general supervision of the Director of Contract Management with latitude for individual initiative and judgement ... housing, and assistance with applying for public benefits and services including Medicaid , food stamps and cash assistance. HASA also provides vocational services… more
- Catholic Health Services (Melville, NY)
- …Maintains current knowledge of federal, state, and payor regulatory and contract requirements, and ensures facility and system Physician Advisors maintain this ... clinical documentation requirements. Working knowledge of Centers for Medicare and Medicaid Services rules and regulations, and interest in building this knowledge… more
- NTT DATA North America (Albany, NY)
- …United States (US). The Senior Security Consultant will report to the Project Director for the Division of Operations and Systems and have responsibility and ... oversight of security, privacy, and compliance for the Medicaid Transformation program. The mission of the program is to implement eligibility determinations for the… more
- City of New York (New York, NY)
- …in need with essential benefits such as Cash, Food and Rental Assistance as well as Medicaid . The Office of the Medical Director aims to improve the health and ... and implement relevant programs. The Office of the Medical Director is seeking to hire one (1) City Medical...services at shelters; participate in drafting and review of contract standards and scope of services; assess vendor staffing… more
- Stony Brook University (Bohemia, NY)
- …agency/SBU, NYS OMH, NYS DOH, Health Home, Suffolk County DMH and Medicaid guidelines and regulations, policies and procedures. Care Management services requires ... assume the role of the Care Manager in the Medicaid Health Home Initiative. + Participate in outreach activities...Perform other duties and responsibilities assigned by the agency Director and in specific those necessary for the successful… more
- Mount Sinai Health System (New York, NY)
- …Analyst will work to further the CBO's goals of enhancing contract compliance by researching, analyzing, documenting, and reporting underpayment trends, payer ... in a hospital/healthcare environment is required. Advanced knowledge of Epic, Contract Manager, and Microsoft Excel Working knowledge of other Microsoft applications… more
- City of New York (New York, NY)
- Job Description APPLICANTS MUST BE PERMANENT IN THE ADMINISTATIVE DIRECTOR OF SOCIAL SERVICE CIVIL SERVICE TITLE OR BE PERMANENT IN A COMPARABLE TITLE ELIGIBLE FOR ... Services Program (HCSP), and the Medical Assistance Program (otherwise known as Medicaid ). Under executive management of the Chief Special Services Officer, with… more
- Greece Central School District (North Greece, NY)
- …promote equity, inclusion, and diversity. Salary: $60,000 Minimum GUSS Contract Bargaining Unit ( click here (https://www.greececsd.org/Page/531) for contracts): ... by a physician, physician's assistant, or nurse practitioner that are Medicaid compliant; Delivering evidence based treatment and interventions to students district… more
- Grifols Shared Services North America, Inc (Albany, NY)
- …and commercial insights and monthly business planning discussions with Regional Sales Director *Better use of existing tools like Excel, Word *Use of Technology ... in the customer forecast process - understand national strategy, align with contract strategy, and represent needs of the customer. *Remain cognizant of managed… more
- New York State Civil Service (Wassaic, NY)
- …that medical/nursing instructions are carried out. * Work closely with the Director of Nursing (DON) to provide administrative supervision on performance issues.* ... with health care providers, DDSO medical staff, day program providers, clinics, contract agencies, and DDSO administrative personnel. * Works closely with QI, RN… more