- Staffing Solutions Organization (Albany, NY)
- …of our clients and the people they serve. ** Medicaid Program Manager in Albany, NY** **Division of Data Services & Analytics (DDSA)** **Bureau of ... Data Governance (BEDG) is seeking a strategic, action-oriented Data Policy Program Manager to...a sustainable data policy framework that supports Medicaid data governance efforts at scale. **Key… more
- Staffing Solutions Organization (Albany, NY)
- …a diverse workforce, which is a reflection of our clients and the people they serve. ** Medicaid Program Manager 2 in Albany, NY** **Division of Eligibility & ... locations Statewide. The Bureau provides support and assistance in advancing critical program goals, projects and priorities related to eligibility and enrollment in… more
- New York State Civil Service (Albany, NY)
- …complex, long-term healthcare fraud and patient abuse and neglect investigations. The Medicaid program provides health coverage to millions of New Yorkers, ... with ensuring the financial integrity of New York state's $96 billion Medicaid program by investigating healthcare providers, such as pharmaceutical companies,… more
- New York State Civil Service (Albany, NY)
- …team members they supervise. This position reports to the Director of EISG.The Medicaid program provides health coverage to millions of New Yorkers, including ... with ensuring the financial integrity of New York state's $96 billion Medicaid program by investigating healthcare providers, such as pharmaceutical companies,… more
- Albany Medical Center (Albany, NY)
- …education programs to the medical community in the region. The Program Manager will be responsible for collecting key data points for the mandatory ... - $134,309.04 We have an exciting opportunity for a Program Manager to join our multidisciplinary Team...all Center staff. + Consistently and systematically collect key data points on the goals and objectives established by… more
- Staffing Solutions Organization (Albany, NY)
- …including internal and external customers, data engineers, analysts, developers, and Medicaid Program stakeholders to ensure the creation of high quality, ... and own the product elements, vision and roadmap for data assets, in alignment with Program goals....accurate and efficient extraction, transformation and loading (ETL) of Medicaid data . c. Ensure development team creates… more
- NTT DATA North America (Albany, NY)
- **Req ID:** 343096 NTT DATA strives to hire exceptional, innovative and passionate individuals who want to grow with us. If you want to be part of an inclusive, ... apply now. We are currently seeking a Senior Project Manager to join our team in Albany, New York...Director to manage activities in support of the Continuing Medicaid Eligibility Modernization effort. **Job Responsibilities Include:** + Managing,… more
- Albany Medical Center (Albany, NY)
- …client-centered case management services to patients in the PrEP (Pre-Exposure Prophylaxis) program . The Case Manager will conduct screenings and intakes to ... and assess progress towards their care plan goals.* Determine patient eligibility for Medicaid , PrEP-AP, Gilead Advancing Access program and/or any other … more
- Saratoga Hospital (Saratoga Springs, NY)
- Clinical Regulatory Readiness Manager Location: Saratoga Hospital, 211 Church Street, Saratoga Springs, NY 12866 Employment Type: Full Time Shift/Schedule: Day Shift ... and accreditation requirements, including but not limited to the Centers for Medicare and Medicaid (CMS) and the Joint Commission (JC), DNV, OSHA, CMS and DOH. In… more
- Humana (Albany, NY)
- …put health first** Humana's Marketing organization is seeking a Marketing Automation Manager who specializes in Adobe Experience Platform (AEP) and Next Best Action ... execution to join the team as a Senior Product Manager working anywhere in the US. As a Specialist...Optimizer based on NBA strategy + Collaborate with the data analytics team to build, refine, and validate audience… more
- Staffing Solutions Organization (Albany, NY)
- …projects, and policy implementation. **Primary responsibilities include:** + Assisting Bureau Director, Medicaid Program Manager , and Integrated Care Team in ... chance for professional growth!_** **50%** **Remote 50% Onsite** **Division of Program Development & Management (DPDM)** **Bureau of Adult Special Populations… more
- Elevance Health (Latham, NY)
- …Medicare Advantage risk adjustment initiatives. + Performs data mining and data -driven analyses to evaluate historical program performance and to inform ... studies related to risk adjustment analytics in both the Medicaid and Medicare Advantage lines of business. **How You...the team is meeting reporting needs and facilitates seamless data transfer. + Develops ad hoc risk adjustment reports… more
- General Dynamics Information Technology (Menands, NY)
- …Senior joining our team to support New York State (NYS) Department of Heath Medicaid Management Information System (MMIS) program . This position is based at the ... Senior supporting the New York State Department of Heath Medicaid Management Information System. GDIT is your place to...participate in project and team meetings + Adhere to program testing standards associated with the creation and publication… more
- Molina Healthcare (Albany, NY)
- …staff, medical affairs staff, and providers. * Reviews and analyzes Pharmacy Benefit Manager (PBM) reports to track general trends in drug utilization and identify ... utilization management activities. * Works with healthcare services team (eg, data managers, care managers, etc.) on member-centered interdisciplinary teams. * May… more
- Molina Healthcare (Albany, NY)
- …Contributes to projects aimed at improving STAR ratings, Healthcare Effectiveness Data Information Set (HEDIS), Consumer Assessment of Healthcare Providers and ... a member-centered interdisciplinary care team (ICT). * Works with the Pharmacy Benefit Manager (PBM) to manage formulary changes and update marketing on any changes… more
- CenterWell (Albany, NY)
- …involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. The Senior RX Clinical ... Previous experience with pharmacy benefits management + Previous Commercial, Medicare and/or Medicaid experience + 3 or more years clinical experience in managed… more
- Trinity Health (Albany, NY)
- …visitors, vendors, various regulatory and professional agencies. **SUPERVISED BY:** Manager of Risk Management **SUPERVISES:** none **CAREER PATH:** Management ... **OPERATIONS/COMPLIANCE:** Is responsible for data management, investigation & reporting. Supports the education components of the facility's risk management … more
- Trinity Health (Albany, NY)
- …employee orientation. **Process Focus** : Utilizes multiple system applications for data collection & management. Incorporates basic knowledge of Trinity Health ... Collaborate on performance improvement activities as indicated by outcomes in program efficiency & patient experience. Helps to identify opportunities, develop… more