- Mathematica (Albany, NY)
- …areas related to monitoring and improving the following Medicaid programs: Medicaid payment and financing policies (fee-for-service base and supplemental ... teams, drawing on your knowledge and past experience with Medicaid programs * Help conduct research and...or other relevant disciplines * A deep understanding of Medicaid payment and financing *… more
- Public Consulting Group (Albany, NY)
- …. **Job-Specific Responsibilities** + Provide strong leadership on all Medicare/ Medicaid cost settlement and supplemental payment projects, effectively ... + Support the completion of SOC reports on our Medicaid supplemental payment work and services. +...years of relevant work experience with government and/or nonprofit finance office, accounting firm, consulting firm, Medicaid … more
- New York State Civil Service (Albany, NY)
- NY HELP Yes Agency Health, Department of Title Medicaid Eligibility Examiner 2 (NY HELPS) - 15228, 15243, 15445, 79193, 79228, 79696 Occupational Category Other ... which financial eligibility criteria must be met; performing utilization review, including pre- payment or post- payment review of requested health care services,… more
- New York State Civil Service (Albany, NY)
- …degree AND one year of professional experience in conducting public policy research and analysis in finance .Senior Health Care Management System Analyst: ... degree AND two years of professional experience in conducting public policy research and analysis in finance .Preferred Qualifications: Critical thinking skills,… more
- New York State Civil Service (Albany, NY)
- …laws, rules, and regulations; establishing mechanisms for the reimbursement and financing of health care services, including rate-setting, development of capitation ... prior approval or authorization activities, adjudication of claims for payment and/or provider credentialing; AND/OR conducting independent examinations of health… more
- Humana (Albany, NY)
- …The team has a strong dotted-line partnership with the Medicare and Medicaid organization, Humana's largest, which comprises over 80% of the company's total ... will lead small teams to deconstruct issues and challenges, perform targeted research and analysis, and craft sound, logical solutions and recommendations. You will… more