- New York State Civil Service (Albany, NY)
- …No Agency Attorney General, Office of the Title Legal Nurse/Medical Analyst: Medicaid Fraud Control Unit (6393) Occupational Category Legal Salary Grade NS ... State NY Zip Code 12224 Duties Description Criminal Justice Division Medicaid Fraud Control Unit - AlbanyMedical AnalystReference No. MFCU_ALB_ MA_6393Salary is… 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 ... mental illness and an addiction that need 24/7 support. Position Summary: The Residential Case Manager is responsible for providing service plan development and … more
- Trinity Health (Schenectady, NY)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** RN Care Manager - Full Time - Eddy SeniorCare (Rotterdam) Eddy SeniorCare has a rewarding ... opportunity for a full time RN Care Manager to manage a caseload of patients and help...help them remain as independent as possible for as long as possible in the community, working with a… more
- Cardinal Health (Albany, NY)
- …expertise in payer landscapes and insurance processes. Remain knowledgeable about long and short-range changes in the reimbursement environment including Medicare, ... Medicaid , Managed Care, and Commercial medical and pharmacy plans...myFlexPay + Flexible spending accounts (FSAs) + Short- and long -term disability coverage + Work-Life resources + Paid parental… more
- Molina Healthcare (Albany, NY)
- …behavioral health settings. Preferred License, Certification, Association Active, unrestricted Certified Case Manager (CCM) To all current Molina employees: If ... of care across the continuum, including behavioral health and long term care, for members with high need potential....knowledge on Medicare /Dual Special Needs Populations DSNP, and Medicaid Advantage Plus -FIDE /HIDE DSNP are highly preferred.… more
- Equinox, Inc (Albany, NY)
- …supervisory, fiscal, regulatory and evaluative) + In the absence of the Program Manager , reviews Treatment Plans, Quarterly Case Reviews and Functional Skills ... Assistant Program Manager - Adult Residential Services Albany, NY (http://maps.google.com/maps?q=Albany+NY+USA+12206) Job Type Full-time Description Equinox is a… more
- Albany Medical Center (Albany, NY)
- …ongoing consultation as needed. + Counsel and refer families regarding SSD, Medicare, Medicaid , Managed Long Term Care Programs, TBI programs, etc. + Liaison ... $134,309.04 We have an exciting opportunity for a Program Manager to join our multidisciplinary Team at the Albany...Related to Center Operations: + Recruit, hire and supervise case managers in CEAD. Provide leadership and expertise to… more
- Sanofi Group (Albany, NY)
- **Job Title:** Field Reimbursement Manager Tzield- Northeast Region **Location:** Remote **About the Job** The individual in this role will need to demonstrate a ... requires dedicated and knowledgeable customer facing support. Field Reimbursement Manager /Director for TZIELD. This is a regionally aligned, field-based position… more
- Molina Healthcare (Albany, NY)
- …experience. **Preferred License, Certification, Association** Any of the following: Certified Case Manager (CCM), Certified Professional in Healthcare Management ... an integrated delivery of care across the continuum, including behavioral health and long -term care, for members with high need potential. HCS staff work to ensure… more
- Otsuka America Pharmaceutical Inc. (Albany, NY)
- …and execution + Ensure compliance adherence through in-field visits, call and case monitoring, aligning operations with legal requirements + Develop and implement ... and risk management Preferred Skills + Comprehensive knowledge of Medicare, Medicaid , and commercial insurance reimbursement regulations + Experience with specialty… more
- CVS Health (Albany, NY)
- …Dual Eligible Special Needs Plan (DSNP) members, who are enrolled in Medicare and Medicaid and present with a wide range of complex health and social challenges. ... in the care planning process in collaboration with the Care Manager , to include the following actions: assessment, goal setting, establishing interventions… more
- Albany Medical Center (Albany, NY)
- …Specialist or Substance Abuse Specialist. + Works collaboratively with the medical provider, case manager , psychiatrist (if warranted), and other team members in ... provider with managed care private insurance plans, Medicare, and Medicaid . Experience working with a medically compromised patient population preferred.… more
- Albany Medical Center (Albany, NY)
- …and hospital clinical leadership, legal, compliance, billing, finance, IT, case and utilization management, quality, credentialing, and other related departments. ... value-based enterprise financial acumen + Demonstrated leader of people and manager of resources. + Demonstrated success in orchestrating, leading, and overseeing… more
- CenterWell (Albany, NY)
- …in health and human services field + Prior experience with Medicare & Medicaid recipients + Previous experience with electronic case note documentation and ... volunteer time off, paid parental and caregiver leave), short-term and long -term disability, life insurance and many other opportunities. **About us** About… more
- CenterWell (Albany, NY)
- …CenterWell ACO and Medicare payment model programs via the Center for Medicare and Medicaid Services (CMS), such as ACO REACH, MSSP, and future models. Under general ... Intelligence Lead and support ad hoc reporting. * Develop basic modeling and business case analysis; work closely with Finance and Data teams * Coordinate with ACO… more