- Staffing Solutions Organization (Albany, NY)
- …of our clients and the people they serve. ** Medicaid Program Manager in Albany, NY** **Division of Data Services & Analytics (DDSA)** **Bureau of ... Data Governance (BEDG) is seeking a strategic, action-oriented Data Policy Program Manager to...a sustainable data policy framework that supports Medicaid data governance efforts at scale. **Key… more
- Staffing Solutions Organization (Albany, NY)
- …a diverse workforce, which is a reflection of our clients and the people they serve. ** Medicaid Program Manager 2 in Albany, NY** **Division of Eligibility & ... locations Statewide. The Bureau provides support and assistance in advancing critical program goals, projects and priorities related to eligibility and enrollment in… more
- New York State Civil Service (Albany, NY)
- …team members they supervise. This position reports to the Director of EISG.The Medicaid program provides health coverage to millions of New Yorkers, including ... with ensuring the financial integrity of New York state's $96 billion Medicaid program by investigating healthcare providers, such as pharmaceutical companies,… more
- Staffing Solutions Organization (Albany, NY)
- …including internal and external customers, data engineers, analysts, developers, and Medicaid Program stakeholders to ensure the creation of high quality, ... and own the product elements, vision and roadmap for data assets, in alignment with Program goals....accurate and efficient extraction, transformation and loading (ETL) of Medicaid data . c. Ensure development team creates… more
- Staffing Solutions Organization (Albany, NY)
- …and the people they serve. **Social Care Contract Manager (Senior Healthcare Data Specialist) in Albany, NY** **Division of Program Development & Management ... works to integrate health and human services within the Medicaid program . The bureau is composed of...reports. This aspect of the role requires strong communication, data analytics, and performance management skills. + Engage Regional… more
- Staffing Solutions Organization (Albany, NY)
- …and the people they serve. **Housing Contract Manager (** **Senior Healthcare Data Specialist) in Albany, NY** **Division of Program Development & Management ... works to integrate health and human services within the Medicaid program . The bureau is composed of...years of experience managing or administering or reporting on data . + The applicant must also have solid writing… more
- Cardinal Health (Albany, NY)
- …therapies to patients who need them-faster.** **_Responsibilities_** The Senior Case Manager supports patient access to therapy through patient support services in ... accordance with the program business rules and HIPAA regulations. This role involves...and short-range changes in the reimbursement environment including Medicare, Medicaid , Managed Care, and Commercial medical and pharmacy plans… more
- St. Catherine's Center for Children (Albany, NY)
- CARE MANAGER Location: Albany, NY Program : Community Outreach & Care Coordination Type: Full-time / Non-Exempt Pay Range: $22.06 - $25.18 (hourly) Schedule: ... throughout the region. Position Overview Following the Children's Health Homes Care Management program guidelines as set forth by the NYS Department of Health, the… more
- Molina Healthcare (Albany, NY)
- …value-based program & contract design and implementation for marketplace, Medicaid and/or Medicare + Experience in a complex healthcare delivery environment, ... **JOB DESCRIPTION** **Job Summary** The Regional Manager Value Based Programs plays a critical role in the development and implementation of value-based programs and… more
- Cardinal Health (Albany, NY)
- …conducts investigations to resolve ethics and compliance issues. **Compliance Audit Manager ** Reporting to the Compliance Director, this position supervises and ... annual enterprise risk assessment and audit and monitoring plan. The Manager has supervisory responsibility for all Compliance Audit staff. **Responsibilities** +… more
- CVS Health (Albany, NY)
- …all with heart, each and every day. **Position Summary** As an FP&A Manager , you will direct operations for the financial planning processes, including budgeting, ... Query and/or Power BI, Pivot Tables, AI) or other data platforms (eg, Tableau, SQL, macros). + Strong analytical...healthcare payors** and/or government programs such as Medicare and Medicaid + CPA License + SQL knowledge **Education** Bachelor's… more
- CVS Health (Albany, NY)
- …Database audits + Support audits out of QNXT and PRMS systems to support Medicaid SOC and SOX controls + Coordinate with applicable reporting areas as needed to ... strategic thinking + Able to drive decisions based on data analysis + May be asked to support other...for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed… more
- Cardinal Health (Albany, NY)
- …. Remain knowledgeable about changes in the reimbursement environment (Medicare, Medicaid , Managed Care, Commercial plans). ** Program Expertise & Continuous ... accuracy and efficiency. . Demonstrate deep understanding of the patient support program and contribute to its continuous improvement. . Track key patient metrics,… more
- Staffing Solutions Organization (Albany, NY)
- …projects, and policy implementation. **Primary responsibilities include:** + Assisting Bureau Director, Medicaid Program Manager , and Integrated Care Team in ... chance for professional growth!_** **50%** **Remote 50% Onsite** **Division of Program Development & Management (DPDM)** **Bureau of Adult Special Populations… more
- CenterWell (Albany, NY)
- …Medicare and Medicaid Services (CMS) and other government agencies. The Program Management Lead, Offshore Coding Operations works on problems of diverse scope ... part of our caring community and help us put health first** The Program Management Lead, Offshore Coding Operations conducts quality assurance audits of medical… more
- Humana (Albany, NY)
- …Advantage and SNP populations. In this impactful position, you'll leverage data -driven insights to tackle complex business challenges, drive improvements in member ... health outcomes, and enhance both care manager and member experiences. Collaborating with dynamic teams across...Drive initiatives to analyze complex problems and issues using data and insights from internal and external sources to… more
- Humana (Albany, NY)
- …and operationalize opportunities to improve member health outcomes, member and care manager experience, clinical quality, Stars program performance and savings ... Drive initiatives to analyze complex problems and issues related to care management using data and insight from internal and external sources with a focus on Stars… more
- Albany Medical Center (Albany, NY)
- …communication capabilities. The Director ensures the team is leveraging multiple sources of data across the AMHS to facilitate best outcomes. To facilitate this, the ... stays on top of national and local payer trends. + Planning and Program Development and Oversight + Identifies, facilitates, and builds systems and standardized… more
- Trinity Health (Albany, NY)
- …employee orientation. **Process Focus** : Utilizes multiple system applications for data collection & management. Incorporates basic knowledge of Trinity Health ... Collaborate on performance improvement activities as indicated by outcomes in program efficiency & patient experience. Helps to identify opportunities, develop… more
- Molina Healthcare (Albany, NY)
- …services provided to plan members. * Supports plan utilization management program and accompanying action plan(s), which includes strategies to ensure high-quality ... leadership and quality improvement teams. * Facilitates conformance to Medicare, Medicaid , NCQA and other regulatory requirements. * Reviews quality referred issues,… more