• Medicaid Program Manager

    Staffing Solutions Organization (Albany, NY)
    …diverse workforce, which is a reflection of our clients and the people they serve. ** Medicaid Program Manager , Albany NY** **DHPCO - 1137** **Summary** The ... and other sources + Contribute to the clarification of program policies and procedures which may include marketing, enrollment,...or knowledge of NYS public health insurance programs (eg, Medicaid , Managed Long Term Care, CHPlus or Health Benefit… more
    Staffing Solutions Organization (02/21/25)
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  • Senior Manager , Medicaid Provider…

    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
    CVS Health (03/04/25)
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  • Medicaid Contract Director

    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
    Highmark Health (01/28/25)
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  • Residential Program Manager 2 (NY…

    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
    New York State Civil Service (03/14/25)
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  • Assistant Program Manager - Adult…

    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
    Equinox, Inc (01/28/25)
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  • Community Health Program Manager 3…

    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
    New York State Civil Service (02/04/25)
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  • Program Manager - Adult Residential…

    Equinox, Inc (Albany, NY)
    Program 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 ... mental illness and an addiction that need 24/7 support. This position will be the Program Manager at our Holt House Residence. Position Summary: The Program more
    Equinox, Inc (03/15/25)
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  • Sr Manager , Project Program

    CVS Health (Albany, NY)
    …issues. - Strong analytical and problem-solving skills - Knowledge of Medicare and Medicaid program requirements - Operational background within a health plan ... in this position, the candidate must have demonstrated experience in Medicaid and Medicare, including health plan operations, understanding benefits, regulatory… more
    CVS Health (02/23/25)
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  • Manager , Technology Leadership

    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
    Humana (03/15/25)
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  • Manager of Counseling Services

    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
    Pearson (03/13/25)
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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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  • Child Health Home Care Manager

    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
    Northern Rivers Family Services (02/07/25)
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  • Case Manager , Project HOST

    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
    St. Catherine's Center for Children (02/22/25)
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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 (02/03/25)
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  • CTI Care Manager

    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
    Unity House (03/15/25)
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  • Human Resources & Business Office Manager

    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
    National Health Care Associates (03/15/25)
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  • Sr. Coordinator, Individualized Care (Case…

    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 (03/12/25)
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  • Sr Coordinator, Individualized Care (Case…

    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
    Cardinal Health (03/07/25)
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  • Enrollment Solution Train Engineer

    Humana (Albany, NY)
    …Join Our Team! We seek a Solution Train Engineer in the Medicare & Medicaid Enrollment delivery space! We're looking for a driven leader passionate about creating ... a SAFe solution train to deliver value across Medicare, Medicaid , and specialty insurance lines. If you're ready to...the solution vision and roadmap along with the Solution Manager and Solution Architect. + Oversee the Solution Train… more
    Humana (03/11/25)
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  • Network Development and Contracting, Primary Care

    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
    CVS Health (03/12/25)
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