- Centene Corporation (New York, NY)
- …billing errors and prepare for resubmission + Prepare weekly and monthly financial reports + Prepare submission for BATCH eMedNY eligibility verifications + Follow ... up with LDSS (Location Department Social Services) (58 counties and NYSOH) to ensure (Third Party Health Insurance) TPHI members are disenrolled timely. + Follow up with eMedNY and LDSS (58 counties and NYSOH) to ensure payment accuracy. + Follow up with LDSS… more
- New York State Civil Service (New York, NY)
- …the financial integrity of New York state's $94 billion Medicaid program by investigating healthcare providers, such as pharmaceutical companies, doctors, ... HELP No Agency Attorney General, Office of the Title Legal Nurse/Medical Analyst: Medicaid Fraud Control Unit (6388) Occupational Category Legal Salary Grade NS… more
- Bristol Myers Squibb (Princeton, NJ)
- …. **Summary:** In this position, you will play a key role within the Medicaid Rebate Operations team, which manages the intake, processing, and payment of multiple ... labeler codes for Medicaid and other state programs. The primarily responsibility is...SOX guidelines + Working with contracted third-party dispute resolution coordinator or directly with States or their third-party administrators… more
- Mount Sinai Health System (New York, NY)
- …Manager and the Specialty Pharmacy Clinical Liaison, the Specialty Pharmacy Access Coordinator Lead supervises Financial Access Coordinator staff and ... key department systems, support of medical staff, assistance in obtaining financial support for patients, and timely communication with medical providers, including… more
- Atlantic Health System (Morristown, NJ)
- Description: The ABH Coordinator for Collaborative Care and BH Integration will provide direct clinical and operational supervision to the Collaborative Care ... team pertaining to workflow and program process changes. Validates and monitors data integrity for program KPIs and metrics. Age Specific Competencies: Child, Adult.… more
- City of New York (New York, NY)
- …(HRA) which expedites access to essential benefits such as medical, social, financial , and vocational programs to more than 32,000 individuals living with HIV, ... housing, and assistance with applying for public benefits and services including Medicaid , food stamps, and cash assistance. HASA also provides vocational services… more
- Atlantic Health System (Morristown, NJ)
- …as Well-being, Corporate Health + Expand Resident Self-Care Coaching program and provide data as mutually agreed upon with Residency Director + With ABH Executive ... - its highest - twelve consecutive times, and the Centers for Medicare and Medicaid Services awarded us again with its highest five-start rating in 2020. Morristown… more
- City of New York (New York, NY)
- … Medicaid and electronic health record stewards and Vital Data coordinator administrating authorizations, commissioning, and decommissioning access, managing ... administration of New York State Department of Health (NYSDOH) Medicaid and hospital discharge data and NYS-Statewide...per a 2024 assessment. o additional health, fitness, and financial benefits may be available based on the position's… more
- City of New York (New York, NY)
- …audits; maintenance of the ACS bank accounts; centralized oversight of ACS Child Welfare financial eligibility; and data maintenance for financial systems of ... for youth in the community. The ACS Division of Financial Services (DFS) is responsible for supporting, planning, implementing,...case managers and to centralize all NYS Legacy systems data entry previous performed by staff across multiple ACS… more
- Atlantic Health System (Morristown, NJ)
- …of care. Work as a member of Interdisciplinary Team (IDT) and RN Care Coordinator to ensure the assigned patient's individual needs are identified and addressed in a ... & Guidance Program. 3. Maintains statistical information and analysis of data , develops outcome and measures for program evaluation, program development and… more