• Medicaid Eligibility Specialist

    City of New York (New York, NY)
    …EXAM WHEN IT BECOMES AVAILABLE TO BE ELIGIBLE FOR CONTINUED EMPLOYMENT. The Home Care Services Program (HCSP) is a Medicaid funded program that provides long ... Agency (CASA), Managed Long Term Care (MLTC) Program, the Assisted Living Program, Care at Home Program and Homebound Medicaid . The Medicaid Eligibility… more
    City of New York (02/12/25)
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  • Legal Nurse/Medical Analyst: Medicaid Fraud…

    New York State Civil Service (New York, NY)
    …and * Knowledge of state and federal rules and regulations related to health care , particularly the Medicaid program. Additional Comments The salary for this ... No Agency Attorney General, Office of the Title Legal Nurse/Medical Analyst: Medicaid Fraud Control Unit (6368) Occupational Category Legal Salary Grade NS… more
    New York State Civil Service (02/12/25)
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  • Manager Patient Accounting-Patient…

    Mount Sinai Health System (New York, NY)
    **Job Description** ** Manager Patient Accounting-Patient Financial Services (Medicare/ Medicaid ) Corporate-Full-Time Days** The Manager is responsible for ... to ensure optimal result and high employee engagement. The Manager ensures that the department is run according to...We share a common devotion to delivering exceptional patient care . When you join us, you become a part… more
    Mount Sinai Health System (03/06/25)
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  • Design Manager ( Medicaid Proposals)…

    Molina Healthcare (New York, NY)
    **Job Description** **Job Summary** The Design Manager is responsible for the development of graphic art and visual materials for proposal and non-proposal ... branding. Manages the complete proposal lifecycle relative to graphic art from Medicaid RFP release to proposal submission. Ideal candidates will have graphic design… more
    Molina Healthcare (02/14/25)
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  • Accounting Clerk- Patient Financial Services…

    Mount Sinai Health System (New York, NY)
    **Job Description** **Accounting Clerk- Patient Financial Services (Medicare & Medicaid Claims Follow-Up)-Corporate 150 East 42nd Street - Full-Time Days** Under the ... supervision of the Patient Financial Supervisor/ Manager , performs a variety of patient accounting functions, including but not limited to financial verification,… more
    Mount Sinai Health System (01/15/25)
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  • Medicaid Eligibility

    City of New York (New York, NY)
    …The Medical Assistance Program (MAP) administers public health insurance programs, including Medicaid , for the City of New York. Applying individuals and families ... coverage provided to access doctors, medication and other health care services at little or no cost. The Medical...for one (1) Eligibility Specialist II to function as Medicaid Eligibility Specialist, in MAP's CREP unit, who will:… more
    City of New York (02/12/25)
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  • Care Manager , Sayville Project

    Stony Brook University (Bohemia, NY)
    …practice orientation. Develop necessary education and skills to assume the role of the Care Manager in the Medicaid Health Home Initiative. + Participate ... Care Manager , Sayville Project **Required Qualifications...OMH, NYS DOH, Health Home, Suffolk County DMH and Medicaid guidelines and regulations, policies and procedures. Care more
    Stony Brook University (02/06/25)
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  • Section Manager

    City of New York (New York, NY)
    …to be eligible can use coverage provided to access doctors, medication and other health care services at little or no cost. Medicaid Reimbursement Unit under the ... Reimbursement units who processes invoices for payment of insurance premiums for Medicaid transportation, Home Care Reimbursement, Premium Payment and … more
    City of New York (02/12/25)
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  • Care Manager

    Rising Ground (New York, NY)
    …patient's needs are addressed in a comprehensive manner. This is done primarily through a " care manager " who oversees and provides access to all the services an ... to prevent hospitalizations, stay healthy, and maintain stability.. The Care Manager is ultimately responsible for the...obtain and maintain public benefits necessary to gain health care services, including Medicaid and cash assistance… more
    Rising Ground (01/13/25)
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  • Executive Director, Office of Mail Renewal (OMR),…

    City of New York (New York, NY)
    Care Organizations (MCOs) and case management providers through which eligible Medicaid clients access behavioral and health care services. MCP is comprised ... Assistance Program (MAP), is recruiting for one (1) Administrative Manager NM-III, to function as the Executive Director, of...as the NY State Department of Health (SDOH), NY Medicaid CHOICE/MAXIMUS, Managed Care Organizations (MCOs), the… more
    City of New York (02/12/25)
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  • Case Manager , Ltss LMSW or LCSW Remote in

    Molina Healthcare (New York, NY)
    …Senior Whole Health business. Senior Whole Health by Molina is a Managed Long-Term Care (MLTC), and Medicaid Advantage (MAP) plan. These plans streamline the ... experience working with population who receive waiver services. + Managed Long-Term Care (MLTC) experience. + Medicaid knowledge/experience + Experience working… more
    Molina Healthcare (03/06/25)
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  • Residential Program Manager 3 (NY Helps),…

    New York State Civil Service (Queens Village, NY)
    NY HELP Yes Agency Mental Health, Office of Title Residential Program Manager 3 (NY HELPS), Bronx Psychiatric Occupational Category Health Care , Human/Social ... Managers have administrative and supervisory responsibility for the health, care , and safety of individuals diagnosed with mental illness...- Statewide (NY HELPS) program as a Residential Program Manager 2 if they have:* Bachelor's degree, and* 3… more
    New York State Civil Service (03/08/25)
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  • Healthcare Payment & Financing Innovation…

    City of New York (New York, NY)
    …transparency, All-Payer Claims Databases, and other employer-led strategies promote high-value care . Medicaid policy and strategy. Budget management experience ... and healthcare systems in partnership with community, faith-based, and health care organizations. CHECW's work focuses on social determinants of health, including… more
    City of New York (02/12/25)
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  • Section Manager

    City of New York (New York, NY)
    …The Medical Assistance Program (MAP) administers public health insurance programs, including Medicaid , for the City of New York. Applying individuals and families ... coverage provided to access doctors, medication and other health care services at little or no cost. The Medical...Principal Administrative Associate III to function as a Section Manager who will, under the general direction of the… more
    City of New York (02/12/25)
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  • Section Manager

    City of New York (New York, NY)
    …Prenatal Care Assistance Program (PCAP) section involved in the Medicaid eligibility processing and determination of applications for pregnant women. Ensure that ... The Medical Assistance Program (MAP) administers public health insurance programs, including Medicaid , for the City of New York. Applying individuals and families… more
    City of New York (02/12/25)
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  • Albany Government Health Actuary Manager

    Deloitte (New York, NY)
    …experience + Bachelor's Degree Required + 3 years' + experience with Medicaid managed care capitation rate development and/or fee-for-service rate development ... Work you'll do As a Deloitte Consulting Health Actuary Manager in Deloitte's GPS Human Capital Actuarial and Insurance...be a part of the transformation of the health care sector. Deloitte's health actuaries are participating in the… more
    Deloitte (02/02/25)
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  • Clinical Evaluation Manager

    VNS Health (Manhattan, NY)
    …and cost-effective health care services. Manages providers, members, team, or care manager generated requests for medical services and renders clinical ... experts, physicians, member representatives, and discharge planners in utilization tracking, care coordination, and monitoring to ensure care is appropriate,… more
    VNS Health (03/11/25)
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  • Clinical Evaluation Manager

    VNS Health (Manhattan, NY)
    …and cost-effective health care services. Manages providers, members, team, or care manager generated requests for medical services and renders clinical ... experts, physicians, member representatives, and discharge planners in utilization tracking, care coordination, and monitoring to ensure care is appropriate,… more
    VNS Health (03/11/25)
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  • Clinical Evaluation Manager -mostly remote…

    VNS Health (Manhattan, NY)
    …and cost-effective health care services. Manages providers, members, team, or care manager generated requests for medical services and renders clinical ... experts, physicians, member representatives, and discharge planners in utilization tracking, care coordination, and monitoring to ensure care is appropriate,… more
    VNS Health (03/07/25)
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  • Remote Program Manager , HCS - RN…

    Molina Healthcare (New York, NY)
    **JOB DESCRIPTION** Program Manager for Healthcare Services available for either RN or a Behavioral Health Specialist who has a license in good standing in their ... state of residence. The person hired to fill this position will support our Medicaid markets across the Central and Eastern time zones. While the position is fully… more
    Molina Healthcare (03/04/25)
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