- Abbott House (Bronx, NY)
- Job Summary: The Medicaid Managed Care Liaison is the primary contact person for the Medicaid Managed Care Plans (MMCP). MMC Liaison must ... + Medicaid Managed Care policies and procedure + The Medicaid Managed Care Liaison is a full-time position. Duties and Responsibilities: 29I… more
- Mount Sinai Health System (New York, NY)
- …as needed + Ensures that patients have appropriate authorizations from various managed care insurers + Works as a liaison between MSHS and other community ... **Job Description** The Care Coordinator is responsible for coordinating care...Medicaid data to educate patients and form a care plan with specific health outcomes. The position is… more
- New York State Civil Service (Queens Village, NY)
- …for Title Health Information Management Administrator 3 Occupational Category Health Care , Human/Social Services Salary Grade 22 Bargaining Unit PS&T - Professional, ... Resolves issues regarding diagnostic codes for laboratory agencies and Medicaid and Medicare reimbursements.* Prepares for, coordinates, and participates in… more
- Sodus Rehab & Nursing Center (Tarrytown, NY)
- …assessments & paperwork requirements + Maintain knowledge of regulations governing Medicare/ Medicaid / Managed Care reimbursement processes + Coordinate and ... required. + Maintain knowledge of Federal and State regulations and reimbursement processes ( Managed Care , Medicare, and Medicaid ). + Effectively manage… more
- New York State Civil Service (Staten Island, NY)
- …the following duties:* Has primary responsibility for providing direct supervision to the Family Care Home Liaison .* Ensures that the fiscal and other Family ... for Title Social Work Assistant 2 Occupational Category Health Care , Human/Social Services Salary Grade 17 Bargaining Unit PS&T...the direct link to Central Office and the Provider/Home Liaison on behalf of the individuals living in family… more
- New York State Civil Service (Queens Village, NY)
- …for the purpose of purchasing commodities and services as directed. * Liaison with contractors/suppliers and agency staff to help resolve procurement issues. * ... operations regarding accounts payable. Verify vendor invoices for payment processing. Liaison to NYS OGS Business Services Center for payment processing. Pay… more
- Grifols Shared Services North America, Inc (New York, NY)
- …strategy, aligns tactics to the needs of the customer + Remain cognizant of managed care coverage throughout the business territory including major accounts and ... + Educate and promote IG product portfolio to customers including Primary Care Physicians, Allergists, Neurologists, Pharmacists, and Nurses. + Key Opinion Leader… more
- Calvary Hospital (Bronx, NY)
- …by Calvary Hospital. Works cooperatively with other departments, provider referrers and managed care organizations to facilitate the admission of patients to ... the various programs provided by Calvary Hospital. Interfaces with managed care organizations to facilitate reimbursement for services provided by the Hospital.… more
- Mount Sinai Health System (New York, NY)
- …+ Experience working in healthcare provider analytics related to revenue modeling, managed care contracting, population management, case management, clinical or ... is preferred in analytics development expertise, preferably in health care , or for a health provider, health plan or...Soarian, etc. + Knowledge of the New York State Medicaid and CMS Medicare regulations and related reporting requirements,… more
- Mount Sinai Health System (New York, NY)
- …pharmacy group. 11.Obtains prior authorizations from intermediaries and payers, including managed care companies, insurance companies or others as appropriate. ... including Medicare , Medicaid and TriCare. Preferred: 3 years of health care related billing and benefits investigation 1 year of retail pharmacy experience 1… more
- Centene Corporation (Queens, NY)
- …federal contracts, related laws, regulations and executive orders. + Deep understanding of managed care models (HMO, PPO, Medicaid , Medicare Advantage, ... + Familiarity with healthcare laws, reimbursement models, and value-based care initiatives. + Perform duties as senior liaison... care initiatives. + Perform duties as senior liaison between product line, other business units, corporate, and… more