- Humana (Albany, NY)
- …Based Services , Medicaid and Medicare integration, D-SNPs, and Self-Directed Services . The Capture Lead , Medicaid Clinical & Population Health ... clients and populations served in target growth markets. The Lead , Medicaid Clinical & Population Health Strategy,...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
- Humana (Albany, NY)
- …caring community and help us put health first** Humana Healthy Horizons is seeking a Lead , Medicaid Provider Services Implementation, for new market ... implementation, operations, contract compliance, and federal contract application submissions. The Lead , Medicaid Provider Services Implementation role… more
- Staffing Solutions Organization (Albany, NY)
- Program Lead ( Medicaid Program Advisor) Albany, NY, USA Req #991 Wednesday, October 2, 2024 Staffing Solutions Organization LLC (SSO), an affiliate of Public ... delighting clients with world-class managed staffing and talent consulting services . SSO is committed to a diverse workforce, which...reflection of our clients and the people they serve. ** Medicaid Program Advisor - Albany NY** **OPCHSM - 1341**… more
- Public Consulting Group (Albany, NY)
- …more, visit www.publicconsultinggroup.com . _Key responsibilities include:_ _Project Management_ + Lead the planning, execution, and monitoring of Medicaid ... + Identify new and emerging opportunities in growth industries related to Medicaid . _Leadership_ + Provide leadership, guidance, and mentorship to junior… more
- Public Consulting Group (Albany, NY)
- …is critical, as well as experience working with the Centers for Medicare and Medicaid Services (CMS) and the new streamlined modular certification (SMC) and ... achieve strategic goals to serve the public better. We provide the full spectrum of technology consulting services...Medicaid Consultant to join our team and help lead our growth efforts. Deep Medicaid experience… more
- Humana (Albany, NY)
- …community and help us put health first** Humana Healthy Horizons is seeking a Senior Medicaid Provider Education Professional to drive best in class provider ... internal processes and markets (as needed) to support the Medicaid Provider Education team through collaboration across...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
- Humana (Albany, NY)
- …Optimization** : + Lead initiatives to streamline processes related to Medicaid services , reducing administrative burden, and enhancing service delivery. ... health first** The Medicaid Long-Term Supports and Services (LTSS) Process Improvement Lead analyzes and...a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and… more
- Humana (Albany, NY)
- …health first? The DoD SkillBridge or Military Spouse Financial Planning & Analysis Lead Intern will utilize Humana's Medicaid training and mentorships and engage ... military experience and education to perform within the finance Medicaid segment. Financial Planning & Analysis Lead ...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
- Mathematica (Albany, NY)
- …related to monitoring and improving the following Medicaid programs: Medicaid payment and financing policies (fee-for- service base and supplemental payments, ... managed care capitation rates, and state approaches to provider payment).** * Responsibilities: * * Participate actively and...will eventually work with our largest client, Centers for Medicaid & Medicare Services (CMS). Most staff… more
- Staffing Solutions Organization (Albany, NY)
- …chronic conditions. The preferred candidate also has an understanding and knowledge of Medicaid and Medicaid services . **Basic Qualifications** 1. Become ... providers, and the review and evaluation of service authorizations for Fee-for- Service members, and work collaboratively with Medicaid Managed Care Plans. 1.… 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 ... , requested level of care, or requested site of service should be authorized, with all work occurring within...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
- Staffing Solutions Organization (Albany, NY)
- …+ Perform analysis and strategic planning to identify expenditure trends within the NYS Medicaid long term care services . + Prepare reports, policy briefs, and ... Medicaid Program Advisor Albany, NY, USA Req #951...delighting clients with world-class managed staffing and talent consulting services . SSO is committed to a diverse workforce, which… more
- Staffing Solutions Organization (Albany, NY)
- Medicaid Program Advisor Albany, NY, USA Req #943 Thursday, October 3, 2024 Staffing Solutions Organization LLC (SSO), an affiliate of Public Consulting Group LLC ... is focused on delighting clients with world-class managed staffing and talent consulting services . SSO is committed to a diverse workforce, which is a reflection of… more
- Humana (Albany, NY)
- …a part of our caring community and help us put health first** The Lead Product Manager - Provider Directory helps identify, validate, and implement improvements ... a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… 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 ... will own the transformation of how we work in Provider Process and Network Operations (PPNO). As an Associate...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
- Humana (Albany, NY)
- …and service offerings. Assesses the compatibility and integration of products/ services proposed as standards in order to ensure an integrated architecture across ... provider PaaS and SaaS offerings (eg Azure Kubernetes Service , Application Service Environment, etc.) Data Center...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
- Humana (Albany, NY)
- …strategies, architecture, systems solutions and roadmaps for various enterprise and cloud provider environments. The Lead Architect provides strategic advice and ... a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
- Public Consulting Group (Albany, NY)
- …of intersection and overlap between our Special Education/Case Management and school-based Medicaid services work within a state; regularly engage with ... and operations improvement firm that partners with health, education, and human services agencies to improve lives. Founded in 1986, PCG employs approximately 2,000… more
- Humana (Albany, NY)
- …and help us put health first** CenterWell's Value-Based Organization is an integrated homecare service provider focused on meeting the needs of Health Plans by ... deals with health plans and other risk-bearing groups to provide home health, DME, and home infusion services...a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and… more
- Humana (Albany, NY)
- …processes, such as claims processing, policy administration, and customer service operations. + **Technical Leadership:** Provide expert guidance ... a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more