- MVP Health Care (Schenectady, NY)
- …difference for our customers in every interaction **Your key responsibilities:** + The Associate , Medicaid Member Service Representative is responsible ... To achieve this, we're looking for an ** Associate , Bilingual Medicaid - Member Service Representative** to join #TeamMVP. This is the opportunity… more
- Humana (Albany, NY)
- … Associate Director, Product Marketing to lead the go-to-market, positioning, and member -focused campaigns for our Medicaid lines of business. You will craft ... customer service ) to ensure consistent product narratives and support member education. + Monitor competitive landscape and market trends across managed care… more
- Humana (Albany, NY)
- …organizations, and internal stakeholders, to drive process enhancements that improve member outcomes and operational accuracy. The Medicaid Reconciliation ... are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. … more
- Humana (Albany, NY)
- …Pricer Business and System Support team responsible for administering complex Medicaid provider reimbursement methodologies. The associate will support existing ... are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. … more
- Humana (Albany, NY)
- …**Required Qualifications** + Minimum of 4 years of experience in dental provider Medicaid recruitment, provider service and retention. + Knowledge of ... are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. … more
- Humana (Albany, NY)
- …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. ... caring community and help us put health first** The Medicaid Test Lead will be a strategic and technical...Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet… more
- Humana (Albany, NY)
- …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal ... background, experience, and judgement to make determinations whether requested services , requested level of care, and/or requested site of..., requested level of care, and/or requested site of service should be authorized. All work occurs with a… more
- Humana (Albany, NY)
- …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. ... caring community and help us put health first** Own and manage Medicaid claims analytics dataset using Databricks. Ensure data accuracy, completeness, and readiness… more
- Humana (Albany, NY)
- **Become a part of our caring community and help us put health first** The Associate Actuary will be a key member of the Enterprise Growth Finance team. The ... are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. … more
- Humana (Albany, NY)
- …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. ... of our caring community and help us put health first** The Associate Director, Technology Solution Implementation delivers new technological solutions to meet… more
- Humana (Albany, NY)
- …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. ... (Learning Needs Analysis to Design and Development and Delivery) to support associate skilling. + As needed, designs, plans, and delivers/facilitates training around… more
- Humana (Albany, NY)
- …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. ... part of our caring community and help us put health first** The Associate Director of Cloud Infrastructure Operations is responsible for leading Humana's enterprise… more
- Humana (Albany, NY)
- …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. ... of our caring community and help us put health first As a Senior Associate , Integrated Health Analytics, you'll play a strategic role in analyzing and interpreting… more
- Humana (Albany, NY)
- …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. ... **Become a part of our caring community and help us put health first** The Associate Director of IT Disaster Recovery will lead DR operations and governance for all… more
- Humana (Albany, NY)
- …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. ... for ensuring accurate submission and reconciliation of encounter data to Medicaid and Medicare through effective business processes. Ensures claims submissions meet… more
- Humana (Albany, NY)
- …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal ... background, experience, and judgement to make determinations whether requested services , requested level of care, and/or requested site of..., requested level of care, and/or requested site of service should be authorized. All work occurs within a… more
- Northern Rivers Family Services (Albany, NY)
- …to be in-person with the member . + Level II - Provides care management services to low, medium, and high acuity members. Care Manager will provide a minimum of ... Health Home program. You will coordinate and monitor subsequent services to meet the needs of your members. You...of which is to be in person with the member . + Engage children, youth, and families with outreach… more
- Humana (Albany, NY)
- …decisions + Experience in Medicare/ Medicaid , CMS (Centers for Medicare & Medicaid Services ) or other Federally regulated healthcare programs + Experience ... from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information Internal- If you have...a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and… more
- Humana (Albany, NY)
- …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. ... and meet learning needs. + Facilitates Humana Healthy Horizons (HHH) new associate onboarding topics as well as professional development topics to existing… more
- Humana (Albany, NY)
- …Medicare/ Medicaid experience + Bilingual English/Spanish **Additional Information** + Associate will be expected to participate in weekend rotation a minimum ... are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. … more