• Sr. Healthcare Program Specialist - Remote…

    Staffing Solutions Organization (Albany, NY)
    …can live longer, healthier lives. **Specific responsibilities include:** + Assisting Bureau Director, Medicaid Program Manager , and Integrated Care Team Lead ... our clients and the people they serve. **Senior Healthcare Program Specialist - Albany, NY or surrounding areas** **(100%...integrated care initiatives. The BASP is seeking a passionate Medicaid Healthcare Specialist to support the team in its… more
    Staffing Solutions Organization (01/14/25)
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  • Office Manager : Medicaid Fraud…

    New York State Civil Service (Albany, NY)
    NY HELP No Agency Attorney General, Office of the Title Office Manager : Medicaid Fraud Control Unit, Albany (6357) Occupational Category No Preference Salary ... ag.ny.gov/job-postings/otherThe Office of the New York State Attorney General's Medicaid Fraud Control Unit (MFCU) is seeking an Office... Fraud Control Unit (MFCU) is seeking an Office Manager for its Albany office. The mission of MFCU… more
    New York State Civil Service (01/16/25)
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  • Manager , FP&A, Medicare/ Medicaid

    CVS Health (Albany, NY)
    …make health care more personal, convenient and affordable. **Position Summary** As the Manager , FP&A, you will report directly to Director of Finance and will ... will advise on latest updates from the state regarding rates, adjustments, determinations, program changes, and will report on the financial impact as well as… more
    CVS Health (01/17/25)
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  • Director of Program Integrity…

    Robert Half Legal (Albany, NY)
    …in a compliance role, preferably within the healthcare sector * Demonstrated expertise in Medicaid regulation, Medicaid program and Medicaid application ... our team. This role will primarily focus on healthcare Medicaid HIPAA compliance. The Director of Program ...and skills obtained from being a Certified Regulatory Compliance Manager (CRCM) to enhance compliance processes. * Leverage expertise… more
    Robert Half Legal (12/13/24)
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  • Medicaid Program Advisor

    Staffing Solutions Organization (Albany, NY)
    …diverse workforce, which is a reflection of our clients and the people they serve. ** Medicaid Program Advisor - Albany, NY** **DDSA - 1304** **Summary** The ** ... Program Manager ** will work within the Division of Data Services & Analytics (DDSA) Data Categorization unit. The individual will be responsible for the oversight… more
    Staffing Solutions Organization (01/09/25)
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  • Special Investigation Unit Program

    CVS Health (Albany, NY)
    …affordable. **Position Summary** Serves as the single point of contact for State Medicaid , Medicare programs for all program integrity related issues. This ... (graduate level education may substitute) + Experience in a Healthcare Program Integrity, Medicaid Special Investigation or Medicaid / Medicare / Commercial… more
    CVS Health (01/10/25)
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  • IT Program Manager (Remote Eligible)

    Mathematica (Albany, NY)
    …We are seeking a highly motivated person to join our team as an *IT Program Manager * in the Delivery Management practice in Health Solutions Insights. As an ... IT Program Manager , you will lead teams and...IT Program Manager , you will lead teams and deliver solutions that...will eventually work with our largest client, Centers for Medicaid & Medicare Services (CMS). Most staff working on… more
    Mathematica (01/05/25)
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  • Senior Healthcare Program Specialist

    Staffing Solutions Organization (Albany, NY)
    …edge, technology driven enterprise tasked with supporting the data needs of the NYS Medicaid program , whose mission is to transform the way that Medicaid ... - Albany, NY** **DDSA - 1079** **Summary** The **Project Manager ** will work within the Division of Data Services...tasked with supporting the data needs of the NYS Medicaid program , whose mission is to transform… more
    Staffing Solutions Organization (01/09/25)
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  • Field Reimbursement Manager (Oncology)…

    J&J Family of Companies (Albany, NY)
    Field Reimbursement Manager (Oncology) - Upstate New York Region - Johnson & Johnson HCS, Inc. At Johnson & Johnson Innovative Medicine (JJIM), what matters most is ... Customer Solutions (PECS) team is recruiting for a Local Account Field Reimbursement Manager for the Michigan territory which is a field-based position. The Local… more
    J&J Family of Companies (01/22/25)
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  • Case Manager - Adult Residential Services

    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
    Equinox, Inc (01/17/25)
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  • Technical Project Manager - Informatics…

    Staffing Solutions Organization (Albany, NY)
    …New York State, as well as supporting analytics and linking needs of the NYS Medicaid program . These systems include the states All Payer Database, SPARCS, Data ... a reflection of our clients and the people they serve. **Technical Project Manager - Informatics & Technology in Albany, NY** **Item 1267** **Summary:** The… more
    Staffing Solutions Organization (01/09/25)
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  • Care Manager - Health Homes

    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
    St. Catherine's Center for Children (01/16/25)
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  • Sr Coordinator, Individualized Care (Case…

    Cardinal Health (Albany, NY)
    …or senior peers on complex and unusual problems **_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
    Cardinal Health (12/25/24)
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  • Senior IT Portfolio Manager

    Humana (Albany, NY)
    …external data analysis. **Responsibilities:** + Deeply understands all project and program management disciplines and their key activities, processes, and artifacts. ... or a related field + 10+years of experience in Program /Project and Portfolio management + 8+years of experience in...a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at… more
    Humana (01/16/25)
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  • Senior Individualized Coordinator (Case…

    Cardinal Health (Albany, NY)
    …benefits management experience preferred with specific knowledge of Medicare, Medicaid and commercially insured payer common practices and policies, preferred ... and internal customers, create and complete applications for enrollment within program timeframes, review forms and supporting documentation thoroughly for any… more
    Cardinal Health (12/18/24)
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  • Case Manager RN - Field Brooklyn

    CVS Health (Albany, NY)
    …candidates may be eligible for up to a $7,500 sign on bonus upon hire.** ** Program Overview** Help us elevate our patient care to a whole new level! Join our ... on our members who are enrolled in Medicare and Medicaid and present with a wide range of complex...for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed… more
    CVS Health (12/15/24)
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  • Senior Marketing Campaign Manager

    Humana (Albany, NY)
    …eligible dependents + Parental and caregiver leave + Employee charity matching program + Network Resource Groups (NRGs) + Career development opportunities **Our ... leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal… more
    Humana (01/23/25)
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  • Program Aide

    New York State Civil Service (Albany, NY)
    NY HELP No Agency People With Developmental Disabilities, Office for Title Program Aide Occupational Category Administrative or General Management Salary Grade 13 ... Disabilities (OPWDD) Enterprise Project Management Office (EPMO) is seeking a Program Aide to support key project and portfolio management functions. The… more
    New York State Civil Service (01/11/25)
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  • Client Success Lead (Consultant) - Northwest…

    Public Consulting Group (Albany, NY)
    …strategic clients + Understand and continually monitor Federal, state, and local Medicaid School-Based program policies and guidance, collaborating with PCG ... preferred + 8+ years of relevant work experience, including: working with clients, people manager + Knowledge of, or experience in, Medicaid is preferred +… more
    Public Consulting Group (01/01/25)
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  • Sr Mgr, Medicare Business Analytics - FEP

    CVS Health (Albany, NY)
    …health care more personal, convenient and affordable. **Position Summary** The Federal Employee Program (FEP) is one of the largest CVS Health PBM clients. The ... Medicare Business Analytics - FEP - Sr. Manager provides technical, analytical and business support for the...team. The role serves as the authority for FEP program data analytics, trend analysis, contractual guaranteed financial metrics,… more
    CVS Health (12/21/24)
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