- CVS Health (Albany, NY)
- …updates and data audits, production, and inventory management within the Medicaid Provider Data Service business organization. **Required Qualifications** + 3-5 ... provider data and inventory management. + Familiarity working in Medicaid , Medicare and Commercial lines of business. + Strong...for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed… more
- Highmark Health (Albany, NY)
- …Description :** **JOB SUMMARY** This job is responsible for the oversight of the Medicaid contract and is available for prompt response to direct inquiries from the ... The incumbent will collaborate with the organization's government markets and Medicaid leadership committees to coordinate the implementation of new programs and… more
- New York State Civil Service (Albany, NY)
- NY HELP Yes Agency Mental Health, Office of Title Residential Program Manager 2 (NY HELPS), Capital District Psychiatric Center, P25711 Occupational Category ... Capital District Psychiatric Center is currently recruiting a Residential Program Manager 2 to manage and oversee...or entity on any of the Federal and/or State Medicaid and Medicare exclusion lists (or excluded from any… more
- Equinox, Inc (Albany, NY)
- Assistant Program Manager - Adult Residential Services Albany, NY (http://maps.google.com/maps?q=Albany+NY+USA+12206) Job Type Full-time Description Equinox is a ... a mental illness and an addiction that need 24/7 support. Position Summary:The Assistant Program Manager is responsible for the day to day administration of the… more
- New York State Civil Service (Albany, NY)
- NY HELP Yes Agency Health, Department of Title Community Health Program Manager 3 (NY HELPS) - 7072 Occupational Category Administrative or General Management ... City Albany State NY Zip Code 12204 Duties Description The Community Health Program Manager 3 (CHPM3) will provide leadership and programmatic and administrative… more
- Humana (Albany, NY)
- …a part of our caring community and help us put health first** The Manager , Technology Leadership is responsible for all aspects of software or hardware product ... delivery and performance. The Manager , Technology Leadership works within specific guidelines and procedures;...and two contractors; supports one clinical platform for three Medicaid and two Medicare plans; integration between Clinical and… more
- Pearson (Albany, NY)
- …As a key member of the Service Delivery team, the Counseling Services Manager is responsible for the overall strategy, planning, and execution of the counseling ... support students social-emotional, behavioral, and academic development. The Counseling Manager oversees operations across Pearson Virtual Schools in various states,… more
- Equinox, Inc (Albany, NY)
- Case Manager - Adult Residential Services Albany, NY (http://maps.google.com/maps?q=Albany+NY+USA) Job Type Full-time Description Equinox is a non-profit human ... with both mental illness and developmental disabilities that need 24/7 support Apartment Program - Adults who live in one- or two-bedroom apartments and are ready for… more
- Northern Rivers Family Services (Albany, NY)
- …Home information systems to input required Health Home documentation + Comply with Medicaid and program billing regulations + Complete all required and ... Child Health Home Care Manager Job Details Job Location Albany-New Karner-PCFC -...outreach activities until enrollment into the Children's Health Home program . You will coordinate and monitor subsequent services to… more
- St. Catherine's Center for Children (Menands, NY)
- CASE MANAGER , PROJECT HOST Position : Case Manager , Project HOST Type: Full-time; non-exempt Pay Range : $22.06 - $24.69 HOURLY Location: Albany, NY Job Ref. # : ... our website at: www.st-cath.org Position Overview: The Project HOST Case Manager is responsible for assisting unsheltered individuals to seek shelter, connecting… more
- Cardinal Health (Albany, NY)
- …therapies to patients who need them-faster.** **_Responsibilities_** The Senior Case Manager supports patient access to therapy through patient support services in ... accordance with the program business rules and HIPAA regulations. This role involves...and short-range changes in the reimbursement environment including Medicare, Medicaid , Managed Care, and Commercial medical and pharmacy plans… more
- St. Catherine's Center for Children (Albany, NY)
- …adults we serve. Position Overview: Following the Children's Health Homes Care Management program guidelines as set forth by the NYS Department of Health, the Health ... Homes Care Manager provides comprehensive care planning, ongoing care coordination, and...care planning, ongoing care coordination, and community linkage to Medicaid eligible children with complex physical and behavioral health… more
- Unity House (Troy, NY)
- …times of transition from an in-patient setting back into the community. The CTI care manager will be a part of a unique project that partners Unity of House of ... provide a multi-disciplinary team approach to supporting participants. The care manager will provide person-centered care planning, linkages to community resources,… more
- National Health Care Associates (Troy, NY)
- …You'll Do:** We are seeking a detail-oriented and people-focused **Business Office Manager /** **Human Resource Representative** to join our team. This role is ... - USD $28.84 /Hr. **-** **What You'll Bring:** **Qualifications of Business Office Manager include:** + 1+ years of billing and collections experience in long-term… more
- Cardinal Health (Albany, NY)
- …therapies to patients who need them-faster.** **_Responsibilities_** The Case Manager supports patient access to therapy through Reimbursement Support Services ... in accordance with the program business rules and HIPAA regulations. This position is...and appeals, preferred (2+ years) + Knowledge of Medicare, Medicaid and Commercially insured payer common practices and policies,… more
- Cardinal Health (Albany, NY)
- …therapies to patients who need them-faster.** **_Responsibilities_** The Case Manager supports patient access to therapy through Reimbursement Support Services ... in accordance with the program business rules and HIPAA regulations. This position is...prior authorizations, and appeals, preferred + Knowledge of Medicare, Medicaid and Commercially insured payer common practices and policies,… more
- CVS Health (Albany, NY)
- …convenient and affordable. **Position Summary** Aetna is recruiting for a Senior Manager , National Value Based Care (VBC) Development who will support innovative and ... business strategies across multiple lines of business, including Medicare Advantage, Medicaid , ACA, and Commercial. + Develops relationships with providers and… more
- Albany Medical Center (Albany, NY)
- Department/Unit: HBD - Aids Program Work Shift: Day (United States of America) Salary Range: $55,895.80 - $83,843.71 JOB DESCRIPTION POSITION TITLE: Mental Health ... provider with managed care private insurance plans, Medicare, and Medicaid . Experience working with a medically compromised patient population preferred.… more
- Staffing Solutions Organization (Albany, NY)
- …projects, and policy knowledge and implementation. The BASP is seeking a passionate Medicaid Senior Healthcare Program Specialist to support the team in its ... responsible for the oversight of the Health Home (HH) Program . HH providers are monitored based on performance, quality,...and implement initiatives, such as a statewide HH Care Manager training curriculum + Evaluate individual HH performance and… more
- CenterWell (Albany, NY)
- …The LCSW Behavioral Health educator has a deep understanding of all the High-risk program management roles and gains the respect and confidence of their peers as a ... stakeholders on a regular basis. + Work collaboratively with CIT Program Delivery team, Division Directors, Practice Implementation Lead, compliance, legal, coding,… more