• Associate , Medicaid Member

    MVP Health Care (Schenectady, NY)
    …difference for our customers in every interaction **Your key responsibilities:** + The Associate , Medicaid Member Service Representative is responsible ... To achieve this, we're looking for an ** Associate , Bilingual Medicaid - Member Service Representative** to join #TeamMVP. This is the opportunity… more
    MVP Health Care (12/03/25)
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  • Medicaid Provider Hospital Reimbursement…

    Humana (Albany, NY)
    …Pricer Business and System Support team responsible for administering complex Medicaid provider reimbursement methodologies. The associate will support existing ... are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. ​… more
    Humana (12/18/25)
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  • National Dental Contracting Professional…

    Humana (Albany, NY)
    …**Required Qualifications** + Minimum of 4 years of experience in dental provider Medicaid recruitment, provider service and retention. + Knowledge of ... are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. ​… more
    Humana (12/19/25)
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  • Medicaid Test Lead

    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. ​ ... caring community and help us put health first** The Medicaid Test Lead will be a strategic and technical...Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet… more
    Humana (12/16/25)
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  • Medical Director - Medicaid (remote)

    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 ... background, experience, and judgement to make determinations whether requested services , requested level of care, and/or requested site of..., requested level of care, and/or requested site of service should be authorized. All work occurs with a… more
    Humana (12/07/25)
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  • Actuary, Medicaid Trend Analytics and Data…

    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. ​ ... caring community and help us put health first** Own and manage Medicaid claims analytics dataset using Databricks. Ensure data accuracy, completeness, and readiness… more
    Humana (11/20/25)
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  • Associate Actuary - Enterprise Growth…

    Humana (Albany, NY)
    **Become a part of our caring community and help us put health first** The Associate Actuary will be a key member of the Enterprise Growth Finance team. The ... are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. ​… more
    Humana (12/16/25)
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  • Associate Director, Technology Solution…

    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. ​ ... of our caring community and help us put health first** The Associate Director, Technology Solution Implementation delivers new technological solutions to meet… more
    Humana (12/19/25)
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  • Senior Learning Designer - IT Associate

    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. ​ ... (Learning Needs Analysis to Design and Development and Delivery) to support associate skilling. + As needed, designs, plans, and delivers/facilitates training around… more
    Humana (12/17/25)
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  • Associate Director, Cloud Solutions…

    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. ​ ... part of our caring community and help us put health first** The Associate Director of Cloud Infrastructure Operations is responsible for leading Humana's enterprise… more
    Humana (12/17/25)
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  • Associate , Marketing Data Scientist…

    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. ​ ... of our caring community and help us put health first As an Associate Data Scientist, Pharmacy Marketing Analytics, you'll support advanced data analysis efforts that… more
    Humana (12/30/25)
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  • Senior Associate , Marketing Data Scientist…

    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. ​ ... Home Health business by delivering insights that improve care delivery, member engagement, and operational efficiency. You'll analyze data across marketing and… more
    Humana (12/30/25)
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  • Associate Director, IT Disaster Recovery

    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. ​ ... **Become a part of our caring community and help us put health first** The Associate Director of IT Disaster Recovery will lead DR operations and governance for all… more
    Humana (12/18/25)
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  • Special Needs Plan- Support Social Services

    Humana (Albany, NY)
    …2 is a **Licensed, Masters level, Social Worker** who functions as a Support Social Services associate (Support SS) in our Special Needs Plan (SNP) program and ... serves as part of an interdisciplinary care team member working with other disciplines, such as nurse care...a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and… more
    Humana (12/28/25)
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  • Medical Director - IP Claims Management

    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 ... background, experience, and judgement to make determinations whether requested services , requested level of care, and/or requested site of..., requested level of care, and/or requested site of service should be authorized. All work occurs within a… more
    Humana (12/11/25)
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  • Child Health Home Care Manager

    Northern Rivers Family Services (Schenectady, NY)
    …to be in-person with the member . + Level II - Provides care management services to low, medium, and high acuity members. Care Manager will provide a minimum of ... Health Home program. You will coordinate and monitor subsequent services to meet the needs of your members. You...of which is to be in person with the member . + Engage children, youth, and families with outreach… more
    Northern Rivers Family Services (12/23/25)
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  • Growth Strategy Manager

    Humana (Albany, NY)
    …experienced team member to support delivering some of Medicare and Medicaid 's highest priority projects and initiatives, with an emphasis on Medicare Advantage ... are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. ​… more
    Humana (12/29/25)
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  • BI Analyst

    Humana (Albany, NY)
    …decisions + Experience in Medicare/ Medicaid , CMS (Centers for Medicare & Medicaid Services ) or other Federally regulated healthcare programs + Experience ... from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information Internal- If you have...a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and… more
    Humana (12/19/25)
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  • Patient Access Representative II

    Ellis Medicine (Schenectady, NY)
    …EXPERIENCE REQUIREMENTS: Education: High School diploma or equivalent required. Associate 's degree preferred. Experience: 5 years patient registration, business ... Blue Cross eligibility and benefits through the OMNIPRO system, Medicaid through the EMEVS system on a daily basis...submits the application to the County Department of Social Services . Screens and reviews eligibility criteria and assists with… more
    Ellis Medicine (10/23/25)
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  • Care Manager, Telephonic Nurse

    Humana (Albany, NY)
    …Medicare/ Medicaid experience + Bilingual English/Spanish **Additional Information** + Associate will be expected to participate in weekend rotation a minimum ... are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. ​… more
    Humana (12/17/25)
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