- Highmark Health (Albany, NY)
- …including the growing number of laws and regulations governing managed care organizations. The Manager , Medicaid Compliance & Operations acts as a trusted ... contracts. The position actively manages the day-to-day operations of the Medicaid Compliance Program, and contributes to the operational workflow for … more
- Humana (Albany, NY)
- …development; and + Creating and executing comprehensive test plans + Ongoing Medicaid pricer maintenance, quality assurance, and compliance + Determining root ... a part of our caring community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence… more
- Staffing Solutions Organization (Albany, NY)
- …Program needs and Policy changes to ensure reporting requirements, performance goals and Medicaid compliance . e. Lead the collaboration required to develop and ... of our clients and the people they serve. **Product Manager - Hybrid - Albany, NY** In this role,...internal and external customers, data engineers, analysts, developers, and Medicaid Program stakeholders to ensure the creation of high… more
- Humana (Albany, NY)
- …health outcomes for our dual members - members that qualify for both Medicare and Medicaid . The Lead Product Manager sits in the center of strategy, design, ... first** We are looking for a dynamic Lead Product Manager to develop clinical solutions for our members and...a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at… more
- Molina Healthcare (Albany, NY)
- …contractual requirements related to government programs including, but not limited to, Medicaid , duals (MMP) and Marketplace. * Serves as primary internal contact ... interpretations. * Monitors daily Government Contracts activities to ensure contractual compliance with state and federal requirements for all lines of business… 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 ... and an addiction that need 24/7 support. Position Summary: The Residential Case Manager is responsible for providing service plan development and case management to… more
- Trinity Health (Albany, NY)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** ** Manager Performance Excellence and Accreditation - FT Days at St Peters Hospital** **POSITION ... **Provides leadership and expertise in the areas of accreditation and regulatory compliance , quality and patient safety standards as it relates to associates, staff,… more
- Living Resources (Albany, NY)
- Community Living Case Manager (QIDP)/Intake Coordinator Albany, NY (http://maps.google.com/maps?q=Albany+NY+USA+12203) Job Type Full-time Description Living ... as needed, and maintain familiarity with both internal and external requirements for compliance . + Participate in agency and program training as it relates to tasks… more
- Highmark Health (Latham, NY)
- …software packages such as Microsoft PowerPoint, Excel, Word. + Knowledge of required compliance with Centers of Medicaid and Medicare services (CMS) laws and ... regulations, policies and guidelines regarding Medicare Advantage and Medicaid plans; HIPAA privacy and security regulations. **EDUCATION** **Required** + Bachelor's… more
- Humana (Albany, NY)
- …we expand our cloud capabilities, we are looking for a Principal Product Manager to lead our multi-CSP strategy, drive cross-domain collaboration, and optimize our ... customer onboarding experience. As a Principal Cloud Platform Product Manager , you will own the vision, strategy, and execution for our multi-cloud platform-focusing… more
- Equinox, Inc (Albany, NY)
- …including: selection, training and supervision of staff; selection of residents; compliance with OMH certification requirements and Medicaid documentation ... 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 non-profit… more
- New York State Civil Service (Albany, NY)
- NY HELP Yes Agency Health, Department of Title Community Health Program Manager 2 (NY HELPS) - 95003 Occupational Category Administrative or General Management ... City Albany State NY Zip Code 12237 Duties Description The Community Health Program Manager 2 (CHPM2) serves as Assistant Director of the Bureau of Tobacco Control… more
- Datavant (Albany, NY)
- …to realize our bold vision for healthcare. **Role Overview** As a Product Manager , Risk Adjustment Analytics Products, you will contribute to the strategy and ... and support value-based client delivery across Medicare Advantage, ACA, and Medicaid programs. The ideal candidate combines deep healthcare analytics expertise with… more
- Molina Healthcare (Albany, NY)
- …Molina Healthcare's overall mission, core values, and strategic plan and in compliance with all relevant federal, state and local regulations. Negotiates agreements ... Tighter knit proximity ongoing after contract. * In conjunction with Director/ Manager , Provider Contracts, negotiates Complex Provider contracts including but not… more
- Molina Healthcare (Albany, NY)
- …needs, support to other business units + Strong business knowledge related to Medicaid and Medicare lines of business + Reviews enrollment issue trends and provides ... + Ensures compliant with regulatory and company guidelines, including HIPAA compliance + This position primarily focuses on project/program management related to… more
- Staffing Solutions Organization (Albany, NY)
- …Organizational Operations Administrator (HOOA) will assist the Team Lead and Unit Manager with the day-to-day activities associated with the Intake Unit, including ... but not limited to the receipt and intake of Medicaid enrollee and provider complaints and inquiries. This position will respond to and track all written, verbal,… more
- Whitney Young Health Center (Albany, NY)
- …policies, procedures, controls and reporting systems. Ensures legal and regulatory compliance for all accounting and financial reporting functions. Manages financial ... corporate, and other tax returns and related reports, and ensure ongoing compliance with applicable tax codes, rules and regulations. + Establishes best practices… more
- Humana (Albany, NY)
- …plans. Key Accountabilities We are seeking a highly skilled Lead Digital Program Manager to oversee the development and execution of a new eCommerce business. This ... independently, ensuring alignment with strategic objectives. The Lead Digital Program Manager will play a key role in establishing the structure, frameworks,… more
- Albany Medical Center (Albany, NY)
- …but not limited to physician and hospital clinical leadership, legal, compliance , billing, finance, IT, case and utilization management, quality, credentialing, and ... payer accountability. + Develops payer scorecard initiatives to measure payer compliance with contract terms and overall efficiency of payer operations; leads… more
- Trinity Health (Albany, NY)
- …and administrative skills. Broad-based knowledge of hospital related regulatory compliance requirements. Presentation skills, team player, ability to influence ... visitors, vendors, various regulatory and professional agencies. **SUPERVISED BY:** Manager of Risk Management **SUPERVISES:** none **CAREER PATH:** Management… more