• Medicaid Integrity Specialist

    New York State Civil Service (New York, NY)
    NY HELP Yes Agency Medicaid Inspector General, NYS Office of the Title Medicaid Integrity Specialist 1 FA/Trainee 1 FA/Trainee 2 FA (NY HELPS) ... 10007 Duties Description Duties Include:Reporting directly to an audit supervisor, the Medicaid Integrity Specialist 1 (Financial Analysis) prepares and… more
    New York State Civil Service (10/03/25)
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  • Investigative Specialist 1 /Trainee…

    New York State Civil Service (New York, NY)
    …Agency Medicaid Inspector General, NYS Office of the Title Investigative Specialist 1 /Trainee 1 /Trainee 2 Occupational Category Other Professional ... provided to Medicaid participants. The Division of Medicaid Investigations ensures the integrity of the...email to ###@omig.ny.gov with a subject line of Investigative Specialist 1 /NYC, or by fax to ###,… more
    New York State Civil Service (09/25/25)
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  • Eligibility Verification Specialist

    City of New York (New York, NY)
    …of Case Integrity and Eligibility Verification (BCIEV) is recruiting one ( 1 ) Principal Administrative Associate II to function as an Eligibility Verification ... of Revenue Management and Development (ORMD)/The Bureau of Case Integrity & Eligibility Verification's (BCIEV) mission is to identify...Specialist in its Eligibility Verification Division, who will: -… more
    City of New York (08/02/25)
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  • Value-Based Reimbursement Specialist

    Highmark Health (Trenton, NJ)
    …of experience in data analysis, interpretation, and outcomes strategic plan development. + 1 year experience with Medicare STARS, Medicaid HEDIS, risk revenue ... goals including but not limited to Government Markets (STARS, ACA, CHIP, Medicaid DE) and Enterprise Quality, Safety, and Values (Health Outcomes Measures). Provide… more
    Highmark Health (08/20/25)
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  • Supervisor, Education/Audit, Physician Billing

    Hackensack Meridian Health (Edison, NJ)
    …for medical provider documentation while adhering to Centers for Medicare and Medicaid Services (CMS) and Office of Inspector General (OIG) guidelines for Hackensack ... effectively and builds respectful working relationships across the organization. Demonstrates integrity by adhering to high standards of personal and professional… more
    Hackensack Meridian Health (08/21/25)
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