- New York State Civil Service (New York, NY)
- …HELP Yes Agency Medicaid Inspector General, NYS Office of the Title Medicaid Integrity Specialist 1/Trainee 1/Trainee 2 NY HELPS Occupational Category Other ... leads the nation in developing a robust culture of Medicaid program integrity and healthcare compliance . Formed...with other federal and state agencies that have regulatory oversight or law enforcement powers. Each year, the agency… more
- Cayuga Centers (Miami, FL)
- Compliance Specialist + + Job Tracking ID: 512690-888721 + Job Location: Miami, FL + Job Level: Mid Career (2+ years) + Level of Education: 2 year degree + + Job ... state and federal oversight agencies such as DCF, AHCA, ACF, COA, Medicaid and/or other relevant municipal, state and federal regulatory agencies a plus. +… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Compliance Audit Specialist II Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los Angeles, CA, US, 90017 ... achieve that purpose. Job Summary The Customer Solution Center (CSC) Audit Readiness Specialist II is responsible for the execution, oversight , and monitoring of… more
- State of Georgia (GA)
- Compliance Specialist 2: Zone 11 Georgia...million people. DCH serves as the lead agency for Medicaid , oversees the State Health Benefit Plan (SHBP) and ... secure. DCH is currently seeking qualified applicants for the position for Compliance Specialist 2 position with Healthcare Facility Regulation Division. This… more
- Staffing Solutions Organization (Albany, NY)
- …and ad-hoc managed care oversight activities. + Monitor and evaluate Medicaid Managed Care Organizations' compliance with behavioral health standards. + ... focused on recovery. This position is integral to OMH's Medicaid managed care oversight activities and is...Develop and maintain Medicaid Managed Care Organization behavioral health compliance … more
- St. Catherine's Center for Children (Albany, NY)
- …bodies. This includes, but is not limited to: CPR/First Aid/AED, HIPAA, Medicaid Compliance , Infectious Disease Prevention, Mandated Reporter (both Reporting ... Staff Development Specialist , Residential Type: Full-time (40 hour) position Pay...not limited to the following: TCI, CPR/First Aid, HIPAA, Medicaid Compliance , Harassment Prevention, Infectious Disease Prevention,… more
- New York State Civil Service (Thiells, NY)
- …improving care, medical representation on teams,participation in facility wide committees and compliance with all oversight entities (ie OPWDD, NY State ... Yes Agency People With Developmental Disabilities, Office for Title Medical Specialist 2 Occupational Category Health Care, Human/Social Services Salary Grade 38… more
- New York State Civil Service (Albany, NY)
- NY HELP Yes Agency Health, Department of Title Medical Assistance Specialist 1 (NY HELPS) - 79636, 11142 Occupational Category Other Professional Careers Salary ... (DOH) employee with permanent or contingent-permanent status as a Medical Assistance Specialist 1, G-18.Transfer: Current NYS employee with one year or more of… more
- Staffing Solutions Organization (Albany, NY)
- …The incumbent of this position will assist the Bureau of Managed Care Oversight and its stakeholders (eg, Medicaid managed care plans, local government, ... Senior Healthcare Program Specialist Albany, NY, USA Req #1000 Monday, November...in transitioning the children's behavioral health services system into Medicaid Managed Care. Special emphasis will be placed on… more
- State of Minnesota (St. Paul, MN)
- **Working Title: County Reentry Liaison** **Job Class: Grants Specialist Senior** **Agency: Human Services Dept** + **Job ID** : 81513 + **Location** : St. Paul + ... requires coordination with various internal and external partners, adherence to Medicaid and Children's Health Insurance Program (CHIP) requirements, and thorough… more
- Evolent Health (Columbus, OH)
- …to providing better health outcomes._ **Collaboration Opportunities:** A Correspondence Policy Specialist on the Shared Services Correspondence team will be working ... maintenance of corporate clinical correspondence. Together, the team ensures compliance with legislative and accreditation requirements, adheres to procedures,… more
- Staffing Solutions Organization (New York, NY)
- …projects, and policy knowledge and implementation. The BASP is seeking a passionate Medicaid Senior Healthcare Program Specialist to support the team in its ... Senior Healthcare Program Specialist , New York City New York, NY, USA...record minutes + Supports HH Designation activities to ensure compliance through quality monitoring, oversight and technical… more
- CenterLight Health System (Flushing, NY)
- …operations related to provider communication, pended claim review, reporting, auditing, and oversight activities to ensure compliance with all applicable State, ... Federal, and contractual guidelines. JOB RESPONSIBILITIES: + The Claims Specialist will be responsible for reviewing claims processed by the outside vendor,… more
- New York State Civil Service (Corinth, NY)
- …Yes Agency People With Developmental Disabilities, Office for Title Habilitation Specialist 1 (NY HELPS) Occupational Category Health Care, Human/Social Services ... State NY Zip Code 12822 Minimum Qualifications MINIMUM QUALIFICATIONS:In title Habilitation Specialist 1, Grade 14;OREligible for 70.1 transfer by way of current… more
- LA Care Health Plan (Los Angeles, CA)
- …strong independent judgment. This position will provide resolution of complaints in compliance with Centers for Medicare and Medicaid Services (CMS), California ... Customer Solution Center Appeals and Grievances Specialist II Job Category: Customer Service Department: CSC...appeals, as well as participating in internal and external oversight activities. The position is responsible for maintaining the… more
- Carle (Urbana, IL)
- … oversight agencies and accreditation agencies including Joint Commission, Medicaid , Medicaid Rehabilitation Option, Illinois Department of Public Health, ... Community Support Specialist - Assertive Community Treatment + Department: Assertive...group activities. + Meets clinical productivity standards. + Meets compliance standards for all documentation and clinical charts. TrilliumPlace… more
- New York State Civil Service (Albany, NY)
- …Additional Comments Reporting to the Bureau Director of Security, Privacy and Compliance , the Information Technology Specialist will be responsible for ... NY HELP Yes Agency Health, Department of Title Information Technology Specialist 1 (NY HELPS) - 3917 Occupational Category IT Engineering, Sciences Salary Grade 14… more
- Staffing Solutions Organization (Albany, NY)
- Senior Healthcare Program Specialist Albany, NY, USA Req #1046 Thursday, October 24, 2024 Staffing Solutions Organization LLC (SSO), an affiliate of Public ... and the people they serve. **S** **enior Healthcare Program Specialist - Albany NY** **SOap - 1220 OHIP EXEC**...will support the Waiver Management Unit (WMU) with providing oversight to the 1115 waiver. **Basic Responsibilities:** + This… more
- CenterLight Health System (Flushing, NY)
- …departmental standard operating procedures and policies and procedures. Ensure to maintain compliance with Medicare, Medicaid , and PACE marketing regulations. + ... JOB PURPOSE: The Community Outreach Specialist will conduct sales and networking to drive...submission deadlines. + Experience in working independently without significant oversight and or direction from a supervisor. Other: +… more
- Communities Connected for Kids (Port Saint Lucie, FL)
- …nonprofit organizations. Preferred: Previous experience in child welfare, Medicaid , and FSFN. Apply for this job (https://careers-cck.icims.com/jobs/40167/finance- ... **Description** As a Finance Specialist at Communities Connected for Kids, you will...Port Saint Lucie, FL, this position is responsible for oversight of accounting, reporting, analysis, and vouchering of client… more