- 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 ... 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
- CVS Health (Albany, NY)
- …years of leadership experience + A minimum 3 years of experience in a Healthcare Program Integrity, Medicaid Special Investigation or Medicaid / Medicare / ... lost funds, and to comply with state regulations mandating fraud plans and reporting; Medicaid experience is preferred. Leads a team in the planning and execution of… more
- Staffing Solutions Organization (Albany, NY)
- …teams including internal and external customers, data engineers, analysts, developers, and Medicaid Program stakeholders to ensure the creation of high quality, ... of our clients and the people they serve. **Product Manager - Hybrid - Albany, NY** In this role,...vision and roadmap for data assets, in alignment with Program goals. c. Collaborate with key stakeholders to define… more
- Humana (Albany, NY)
- …a part of our caring community and help us put health first** The Care Manager , Telephonic Nurse 2 employs a variety of strategies, approaches and techniques to ... This position will be part of our Special Needs Program (SNP) team. All of our SNP RN Care...there is limited day to day flexibility in care manager 's schedule. **Duties:** + Telephonically assess Medicare, Medicaid… more
- CVS Health (Albany, NY)
- …we do it all with heart, each and every day. **Job Summary:** The Care Manager -Registered Nurse is a key member of our Special Needs Plan (SNP) care team, ... chronic conditions and navigating the healthcare system. Additionally, the Care Manager develops and implements individualized care plans, monitors member progress,… more
- Northern Rivers Family Services (Albany, NY)
- …Home information systems to input required Health Home documentation + Comply with Medicaid and program billing regulations + Complete all required and ... Child Health Home Care Manager Job Details Job Location Albany-New Karner-PCFC -...outreach activities until enrollment into the Children's Health Home program . You will coordinate and monitor subsequent services to… 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
- Humana (Albany, NY)
- …licensed, highly motivated and self-driven individuals to join our team. Our Senior Manager , Medicare Sales, motivates and drives a team of Medicare Sales Field ... and train a team of sales individuals. The Senior Manager , Medicare Sales, must have a solid understanding of...relocate** + **Active Health & Life Insurance Licenses** + 2 or more years of sales leadership experience +… more
- Humana (Albany, NY)
- …put health first** Humana's Marketing organization is seeking a Marketing Automation Manager who specializes in Adobe Experience Platform (AEP) and Next Best Action ... execution to join the team as a Senior Product Manager working anywhere in the US. As a Specialist...years of marketing operations or lifecycle marketing experience + 2 + years of hands-on configuration experience with Adobe Journey… more
- Molina Healthcare (Albany, NY)
- …with the National Committee for Quality Assurance (NCQA), Centers for Medicare and Medicaid Services (CMS), state Medicaid entity requirements and all other ... in preparation of documents for Centers for Medicare and Medicaid Services (CMS), state Medicaid , National Committee...At least 3 years' experience in health care, including 2 years' experience in a managed care environment facilitating… more
- CVS Health (Albany, NY)
- …and more compassionate. And we do it all with heart, each and every day. ** Program Summary:** Join our Aetna care management team as we lead the way in providing ... (DSNP) members, who are enrolled in both Medicare and Medicaid . As a member of the care team, you...for our members through close collaboration with the Care Manager , Social Worker, and other interdisciplinary team members. This… 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
- Molina Healthcare (Albany, NY)
- …with National Committee for Quality Assurance (NCQA) and Centers for Medicare and Medicaid Services (CMS). * Assists with the recruitment and orientation of new ... line with industry standards and best practices. * Assists with new program implementation and supports for health plan in-source behavioral health services.… more
