- 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 (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 (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 (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 (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 (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 (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 (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 (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 (Albany, NY)
- …our talent base - this role will provide direct oversight of the following services as a shared service across the organization: + IT Strategy Advancement ... Operating Model and Resourcing + Agile Coaching The Shared Services team led by the Director, IT Portfolio Management...a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and… more
- 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** At Humana, our Medicaid Clinical Enablement team is dedicated to designing, developing, and implementing innovative… more
- 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
- Northern Rivers Family Services (Albany, 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
- 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 (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 (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 (Albany, NY)
- …data/results, audits, and to meet requirements set by enterprise teams to include Medicaid Governance, the Center of Clinical Effectiveness Services & Products, ... from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. **Interview Format** As part...a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and… more
- Humana (Albany, NY)
- …reading and interpreting claims + Exceptional understanding of Centers for Medicare & Medicaid Services (CMS) guidelines, state Medicaid guidelines, correct ... from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information **Interview Format** As part...a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and… more
- CVS Health (Albany, NY)
- …the Care Manager develops and implements individualized care plans, monitors member progress, advocates for necessary services , and collaborates with ... NY License The Care Manager-Registered Nurse is a key member of our Special Needs Plan (SNP) care team,...challenges by connecting them with appropriate resources and support services . The Social Worker provides education and guidance to… more
- Molina Healthcare (Albany, NY)
- …for promoting and increasing member enrollments into plan programs (ie; Member portal, Rewards Program, etc.) * Assists Medicaid Members in contacting ... and maintaining healthcare coverage, and accurate information for eligibility for Medicaid , CHP and Essential Plan. Provide non-clinical reminders (ie; product… more