- Abbott House (Bronx, NY)
- Job Summary: The Medicaid Managed Care Liaison is the primary contact person for the Medicaid Managed Care Plans (MMCP). MMC Liaison must ... + Medicaid Managed Care policies and procedure + The Medicaid Managed Care Liaison is a full-time position. Duties and Responsibilities: 29I… more
- City of New York (New York, NY)
- … with other agencies such as the NY State Department of Health (SDOH), NY Medicaid CHOICE/MAXIMUS, Managed Care Organizations (MCOs), the Office of ... the Executive Director, of the Office of Mail Renewal, Managed Care Program (MCP), and Third-Party Health...Organizations (MCOs) and case management providers through which eligible Medicaid clients access behavioral and health care … more
- City of New York (New York, NY)
- …APPLICANTS MUST BE PERMANENT IN THE PRINCIPLE ADMINISTRATIVE ASSOCIATE CS TITLE The Home Care Services Program (HCSP) is a Medicaid funded program that provides ... daily living through the Community Alternative Systems Agency (CASA), Managed Long Term Care (MLTC) Program, the...and guidelines. - Participate in meetings and act as liaison with MAP staff involved in developing Medicaid… more
- City of New York (New York, NY)
- …THE OPEN COMPETITIVE ADMINISTRATIVE DIRECTOR OF SOCIAL SERVICES EXAM (# 1121). The Home Care Services Program (HCSP) is a Medicaid funded program that provides ... daily living through the Community Alternative Systems Agency (CASA), Managed Long Term Care (MLTC) Program, the... Care (MLTC) Program, the Assisted Living Program, Care at Home Program and Homebound Medicaid .… more
- City of New York (New York, NY)
- Job Description The Home Care Services Program (HCSP) is a Medicaid funded program that provides long term care to medically fragile and vulnerable ... daily living through the Community Alternative Systems Agency (CASA), Managed Long Term Care (MLTC) Program, the... Care (MLTC) Program, the Assisted Living Program, Care at Home Program and Homebound Medicaid .… more
- City of New York (New York, NY)
- …medication and other health care services at little or no cost. MAP Managed Care Client Services (MCCS) - Restricted Recipient Program (RRP) Unit imposes ... within MAP to ensure appropriate delivery of services to clients enrolled in managed care . - Type correspondences, reports and other written materials. -… more
- City of New York (New York, NY)
- …commercial payors at the federal and state levels, and the evolution of managed care . The regulation and financing of community-based organizations (CBO's) at ... transparency, All-Payer Claims Databases, and other employer-led strategies promote high-value care . Medicaid policy and strategy. Budget management experience… more
- Molina Healthcare (Yonkers, NY)
- …in a managed care of PBM environment + 2+ years of Managed Medicaid or Health Exchanges. + 2+ years of operational Marketplace experience **Preferred ... attention to detail, analysis and excellent communication. **KNOWLEDGE/SKILLS/ABILITIES** + Support Medicaid , and Marketplace lines of business with an emphasis on… more
- IQVIA (Newark, NJ)
- …accounts and clients. RESPONSIBILITIES . Execute the effective launch of new drugs in Managed Care accounts, PBMs, Medicaid PBMs, and State Government ... . Communicate frequently to internal staff, including Client or Project Lead liaison and when necessary the Client's Management. . Participate in National and… more
- New York State Civil Service (Queens Village, NY)
- …Health Information Management Administrator 3 - Downstate Occupational Category Health Care , Human/Social Services Salary Grade 22 Bargaining Unit PS&T - ... with duties to include: * Function as BFDDSO's HIPAA Liaison , including responsibilities of reporting HIPAA breaches, being the...* Oversight of TABS billing, including ensuring Room & Care billing is billed and that TABS discrepancy reports… more
- Molina Healthcare (Yonkers, NY)
- …Education** BA Degree or related experience **Required Experience** * 4-7 years Medicare, Medicaid , managed care or other health/insurance related sales ... each GA to determine CAP if needed or relationship ended * Work as liaison between Molina and/or National Medicare Broker/FMO, Exchange GA, sales agents and other… more
- New York State Civil Service (New York, NY)
- …Field Office 4 -Development Unit - EOA #2025-129 Occupational Category Health Care , Human/Social Services Salary Grade 17 Bargaining Unit PS&T - Professional, ... 6 State Operated Development Disabilities Service Operation Offices, and 7 Care Coordination Service Organizations. Region Field Office oversight encompasses 13… more
- Mount Sinai Health System (New York, NY)
- …+ Experience working in healthcare provider analytics related to revenue modeling, managed care contracting, population management, case management, clinical or ... higher preferred, in analytics development expertise, preferably in health care , or for a health provider, health plan or...Soarian, etc. + Knowledge of the New York State Medicaid and CMS Medicare regulations and related reporting requirements,… more
- Mount Sinai Health System (New York, NY)
- …pharmacy group. 11.Obtains prior authorizations from intermediaries and payers, including managed care companies, insurance companies or others as appropriate. ... including Medicare , Medicaid and TriCare. Preferred: 3 years of health care related billing and benefits investigation 1 year of retail pharmacy experience 1… more
- New York State Civil Service (Brooklyn, NY)
- …and various clinical staff as necessary.*Advocate for individuals' health care needs.*Maintains ongoing communication with med liaison /designee.*Provides support ... Office for Title Registered Nurse 2 (Community) Occupational Category Health Care , Human/Social Services Salary Grade 20 Bargaining Unit PS&T - Professional,… more
- Molina Healthcare (New York, NY)
- …Strong communication and presentation skills Knowledge of CMS regulations in a managed care environment Must be proficient in Excel **Required License, ... marketing plans in collaboration with AVP, Marketplace Distribution. * Work as liaison between Molina state health plans and other internal departments (ie… more