• Medicaid Managed Care

    Abbott House (Bronx, NY)
    Job Summary: The Medicaid Managed Care Liaison is the primary contact person for the Medicaid Managed Care Plans (MMCP). MMC Liaison must ... + Medicaid Managed Care policies and procedure + The Medicaid Managed Care Liaison is a full-time position. Duties and Responsibilities: 29I… more
    Abbott House (10/03/25)
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  • Lead Analyst, Healthcare Analytics- Managed

    Molina Healthcare (Yonkers, NY)
    …with Medicaid contract analytics is highly preferred. + Experience working on Managed care analytics and healthcare reimbursement models is required. + Must ... Financial and Utilization Metrics of Healthcare. + Must be able to act as a liaison between Finance and Network Contracting as well as other external teams. + Must… more
    Molina Healthcare (09/11/25)
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  • Program Manager (Health Plan Liaison team)

    Molina Healthcare (Yonkers, NY)
    …EXPERIENCE** : * 5-7 years of Program and/or Project management experience. * Managed Care experience. * Experience working in a cross functional highly ... Provide credentialing/recredentialing details for monthly/quarterly/semi-annual turnaround time reports to Medicaid agencies as required + Active collaborator with people… more
    Molina Healthcare (10/11/25)
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  • Registered Nurse

    City of New York (New York, NY)
    Job Description The Home Care Services Program (HCSP) is a Medicaid funded program that provides long term care to medically fragile and vulnerable ... daily living through the Community Alternative Systems Agency (CASA), Managed Long Term Care (MLTC) Program, the... Care (MLTC) Program, the Assisted Living Program, Care at Home Program and Homebound Medicaid .… more
    City of New York (09/27/25)
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  • Casa Director

    City of New York (New York, NY)
    …OR BE PERMANENT IN A COMPARABLE TITLE ELIGIBLE FOR 6.1.9 TITLE CHANGE. The Home Care Services Program (HCSP) is a Medicaid funded program that provides long term ... daily living through the Community Alternative Systems Agency (CASA), Managed Long Term Care (MLTC) Program, the... Care (MLTC) Program, the Assisted Living Program, Care at Home Program and Homebound Medicaid .… more
    City of New York (09/16/25)
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  • Growth & Community Engagement Specialist (Must…

    Molina Healthcare (Queens, NY)
    …worker, Navigator, Assistor, Connecter, Promotora, Marketing, Sales, Growth, New York, MCO, Managed Care , ACA, FQHC, Behavioral Health, CHW, Community Health ... with reliable transportation. **Preferred Experience:** + Solid understanding of Health Care Markets, primarily Medicaid . + Previous healthcare marketing,… more
    Molina Healthcare (10/07/25)
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  • Medical Director

    Molina Healthcare (Yonkers, NY)
    …and evidence-based guidelines. + Experience in Utilization/Quality Program management + HMO/ Managed care experience **PR** **E** **FE** **R** **RED L** ... **JOB DESCRIPTION** **Job Summary** Responsible for serving as the primary liaison between administration and medical staff. Assures the ongoing development and… more
    Molina Healthcare (10/22/25)
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  • Medical Director (AZ)

    Molina Healthcare (Yonkers, NY)
    …guidelines. + Experience in Utilization/Quality Program management + HMO/ Managed care experience **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** ... **JOB DESCRIPTION** **Job Summary** Responsible for serving as the primary liaison between administration and medical staff. Assures the ongoing development and… more
    Molina Healthcare (10/17/25)
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  • Habilitation Specialist 1 - EOA

    New York State Civil Service (New York, NY)
    Care Coordination Organizations, Consumer Advisory Board (CAB) advocates, and the Medicaid Compliance Liaison .* Tracking System Creation: Develop a tickler ... for Title Habilitation Specialist 1 - EOA #2025-246 Occupational Category Health Care , Human/Social Services Salary Grade 14 Bargaining Unit PS&T - Professional,… more
    New York State Civil Service (10/08/25)
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  • Quality Assurance Nurse LTC

    Centene Corporation (Queens, NY)
    …claims processing or utilization and case management in a clinical practice or managed care organization. Experience analyzing various types of data and ... Medicaid Services (CMS regulations). Working in a home care environment or as a staff nurse in an...a staff nurse in an acute, sub-acute or long-term care (LTC) setting or managed long-term … more
    Centene Corporation (10/15/25)
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  • Clinical Operations Leader

    Help at Home (Brooklyn, NY)
    …ensures compliance with New York State Department of Health (DOH) regulations, Managed Long-Term Care (MLTC) program requirements, and Federal guidelines. The ... Home is the leading national provider of in-home personal care services, where our mission is to enable individuals...+ Ensure compliance with DOH regulations, MLTC guidelines, and Medicaid contractual obligations. + Oversee all aspects of client… more
    Help at Home (09/03/25)
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  • Habilitation Specialist 1

    New York State Civil Service (Queens Village, NY)
    Liaison Supervisor or TTL, the incumbent will function as the Family Care Home Liaison and independently perform the following duties:* Has primary ... Disabilities, Office for Title Habilitation Specialist 1 Occupational Category Health Care , Human/Social Services Salary Grade 14 Bargaining Unit PS&T -… more
    New York State Civil Service (10/18/25)
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  • Registered Nurse Supervisor 1

    New York State Civil Service (Brooklyn, NY)
    …need (at direction of DON) to ensure coordination and delivery of nursing care . Coordinates DDSO-wide Hospital Liaison Function:* Supervises RNs who ensure ... Office for Title Registered Nurse Supervisor 1 Occupational Category Health Care , Human/Social Services Salary Grade 22 Bargaining Unit PS&T - Professional,… more
    New York State Civil Service (10/16/25)
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  • Contract Management Specialist 1

    New York State Civil Service (Brooklyn, NY)
    …including procurement processing, budget monitoring, cash unit support, and facility liaison duties. The incumbent will supervise purchasing staff, ensure compliance ... and assist with printing and distributing checksFacility Maintenance* Serve as back-up liaison to the Business Officer 3 for facility maintenance; coordinate and… more
    New York State Civil Service (10/16/25)
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  • Charge Integrity Coordinator

    Nuvance Health (Danbury, CT)
    …and an assessment of utilization changes for operational leadership. 10.Acts as a liaison with Charge Integrity, Managed Care , Access Services, Patient ... including billing, collections, charge capture, coding compliance, managed care contractual terms, Medicare and Medicaid reimbursements, thirdparty… more
    Nuvance Health (09/19/25)
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  • Administrator of Admissions, Outreach & Intake

    Calvary Hospital (Bronx, NY)
    …by Calvary Hospital. Works cooperatively with other departments, provider referrers and managed care organizations to facilitate the admission of patients to ... the various programs provided by Calvary Hospital. Interfaces with managed care organizations to facilitate reimbursement for services provided by the Hospital.… more
    Calvary Hospital (08/20/25)
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  • Data Science Analyst I - Genetics

    Mount Sinai Health System (New York, NY)
    …+ Experience working in healthcare provider analytics related to revenue modeling, managed care contracting, population management, case management, clinical or ... is preferred in analytics development expertise, preferably in health care , or for a health provider, health plan or...Soarian, etc. + Knowledge of the New York State Medicaid and CMS Medicare regulations and related reporting requirements,… more
    Mount Sinai Health System (10/18/25)
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  • Specialty Pharmacy Financial Access Coordinator,…

    Mount Sinai Health System (New York, NY)
    …pharmacy group. 11.Obtains prior authorizations from intermediaries and payers, including managed care companies, insurance companies or others as appropriate. ... including Medicare , Medicaid and TriCare. Preferred: 3 years of health care related billing and benefits investigation 1 year of retail pharmacy experience 1… more
    Mount Sinai Health System (08/08/25)
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  • Program Operations Specialist 1

    New York State Civil Service (Thiells, NY)
    …6 State Operated Development Disabilities Service Operation Offices, and 7 Care Coordination Service Organizations. Region Field Office oversight encompasses 13 ... OPWDD to provide necessary services to individuals with disabilities. As a Unit Liaison , the incumbent will perform administrative duties related to the operation of… more
    New York State Civil Service (10/18/25)
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  • Registered Nurse 1

    New York State Civil Service (Queens Village, NY)
    …health care needs. * Maintains ongoing communication with med liaison /designee. * Provides support to residential staff in maintaining health services for ... Disabilities, Office for Title Registered Nurse 1 Occupational Category Health Care , Human/Social Services Salary Grade 18 Bargaining Unit PS&T - Professional,… more
    New York State Civil Service (10/10/25)
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