- Humana (Albany, NY)
- **Become a part of our caring community and help us put health first** The State Technology Lead understands departmental and IT organizational strategy and ... understanding the priorities of all delivery for their assigned state , supporting the business goals of the Medicaid...remain organized and aligned with delivery goals. + Guides Medicaid Technology Solutions teams in developing technical… more
- New York State Civil Service (Pearl River, NY)
- …a complete application online at ag.ny.gov/job-postings/attorneysThe Office of the New York State Attorney General's (OAG) Medicaid Fraud Control Unit (MFCU) ... present evidence to grand juries, and conduct evidentiary hearings and trials in state courts.The Medicaid program provides health coverage to millions of New… more
- Humana (Albany, NY)
- …a part of our caring community and help us put health first** Humana Medicaid is seeking a dynamic and strategic Senior Insurance Product Manager to join our ... Medicaid Product Strategy Organization, supporting the continued growth and...to ensure effective benefit delivery. + Translate federal and state regulatory guidance into actionable product and benefit designs.… more
- Highmark Health (Albany, NY)
- …Business Solutions leadership in strategic activities to expand IT capabilities for Medicaid growth in the dental market by: Applying SME knowledge to analytical ... to identify business needs for growing and sustaining the Medicaid business. Apply SME knowledge and oversee multiple teams'...represent findings to stakeholders and own the outcome + Lead medium to large sized strategy work streams with… more
- Humana (Albany, NY)
- …of this evolution is Humana's Insurance Segment, which provides Medicare Advantage, Medicaid , and other health plans to millions. By integrating insurance with care ... role in defining the future of Humana's Medicare and Medicaid businesses, which generate the majority of the company's...experience to join this team. As an Insurance Strategy Lead , you will directly contribute to high-impact strategy projects,… more
- New York State Civil Service (Albany, NY)
- …a complete application online at ag.ny.gov/job-postings/otherThe Office of the New York State Attorney General's (OAG) Medicaid Fraud Control Unit (MFCU) is ... charged with ensuring the financial integrity of New York state 's $96 billion Medicaid program by investigating...five (5) years of progressive experience in a senior-level technology role, with at least three (3) or more… more
- Humana (Albany, NY)
- …and help us put health first** We are seeking a dynamic and strategic Lead Anaplan Architect to own and evolve our enterprise-wide Anaplan platform across both ... and HR business processes, and the ability to architect and lead end-to-end solutions-from business requirements through configuration, integration, security, and… more
- Humana (Albany, NY)
- …the evolving needs of our HR organization. You'll bring a deep understanding of HR technology trends and lead innovation across our systems to deliver a modern, ... is seeking a forward-thinking Associate Director for Human Resources Technology to join our HRIT leadership team. In this...ensure solutions meet end-user needs and strategic goals. + Lead a team of HRIT associates and contractors, driving… more
- Humana (Albany, NY)
- …our caring community and help us put health first** The Anaplan Implementation Lead delivers new technological solutions to meet business needs within a specified ... scope while aligned to enterprise objectives. The Anaplan Implementation Lead works on problems of diverse scope and complexity ranging from moderate to substantial.… more
- Humana (Albany, NY)
- …part of our caring community and help us put health first** At Humana, a Lead Enterprise Architect is a seasoned IT professional who is a good listener, strategic ... business strategy and providing pragmatic ways to deliver through technology . This architect plays a crucial role in shaping...Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will… more
- New York State Civil Service (Binghamton, NY)
- …Street Address Greater Binghamton Health Center 425 Robinson Street City Binghamton State NY Zip Code 13904 Duties Description Greater Binghamton Health Center ... diversity (eg, Affirmative Action (AA)/Equal Employment Opportunity (EEO), information technology , or support services in a* General hospital, * Community… more
- New York State Civil Service (Schenectady, NY)
- …Telecommuting allowed? No County Schenectady Street Address 500 Balltown Rd. City Schenectady State NY Zip Code 12304 Duties Description The Office for People With ... and advocacy to approximately 140,000 Individuals with developmental disabilities in New York State . We are guided in our interactions with the people we serve and… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …+ Maintains accurate and up-to-date knowledge of all Government Programs regulations ( Medicaid , Medicare, Federal Employee Program, New York State Department of ... and accurate manner. Recommends providers for referrals to the New York State Office of Professional Medical Conduct Office of Professional Medical Conduct/NYS… more
- WellLife Network (Old Field, NY)
- …Regulatory Compliance and Quality Assurance + Ensure full compliance with New York State Office of Mental Health (OMH) regulations, Medicaid standards, and all ... programs, including three in a supervisory role. Strong knowledge of New York State OMH regulations, Medicaid requirements, and related laws is essential. The… more
- NTT DATA North America (Albany, NY)
- …The Senior Quality Assurance (QA) Analyst will work with the Continuing Medicaid Eligibility Modernization initiative team to establish and execute QA tasks for ... management, coordinate hardware/software sourcing and ensure compliance with federal and state standards. This person will be responsible for reviewing budget burn… more
- Public Consulting Group (Albany, NY)
- …strategic goals to serve the public better. We provide the full spectrum of technology consulting services to help state and local agencies meet operational and ... sector. To learn more, visit www.publicconsultinggroup.com . Collaborating with our Technology Consulting team, you will help organizations streamline operations and… more
- Humana (Albany, NY)
- …additional license, if required. + No current sanction from Federal or State Governmental organizations, and able to pass credentialing requirements. + Excellent ... of the managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other Medical management organizations, hospitals/… more
- Truecare Homecare Agency (Brooklyn, NY)
- …and agency profitability. + Audits + Coordinate and prepare all documentation for state DOH, Medicaid , Managed Care Organizations, or accreditation body audits. ... home health, nursing home or hospice care. + Strong knowledge of HIPAA, Medicare/ Medicaid regulations, and state licensing requirements + Proven knowledge of… more
- Help at Home (Brooklyn, NY)
- …the New York market. This role ensures compliance with New York State Department of Health (DOH) regulations, Managed Long-Term Care (MLTC) program requirements, ... boroughs. This person must reside in the NYC area._** **_Duties/Responsibilities:_** + Lead execution of clinical business operations for in-home nursing and cluster… more
- Humana (Albany, NY)
- …Position Overview: The Director of Strategy Advancement for Associate Technology Experience (ATX) will provide visionary leadership across product, experience ... design, and insights functions to enhance the end-to-end technology experience for Humana associates. This role will drive strategic planning, execution, and… more