- 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
- City of New York (New York, NY)
- … with other agencies such as the NY State Department of Health (SDOH), NY Medicaid CHOICE/MAXIMUS, Managed Care Organizations (MCOs), the Office of ... the Executive Director, of the Office of Mail Renewal, Managed Care Program (MCP), and Third-Party Health...Organizations (MCOs) and case management providers through which eligible Medicaid clients access behavioral and health care … more
- City of New York (New York, NY)
- …APPLICANTS MUST BE PERMANENT IN THE PRINCIPLE ADMINISTRATIVE ASSOCIATE CS TITLE The Home Care Services Program (HCSP) is a Medicaid funded program that provides ... daily living through the Community Alternative Systems Agency (CASA), Managed Long Term Care (MLTC) Program, the...and guidelines. - Participate in meetings and act as liaison with MAP staff involved in developing Medicaid… more
- Staffing Solutions Organization (New York, NY)
- Medicaid Program Advisor - DPDM 1069 New York, NY, USA * Virtual Req #988 Monday, September 9, 2024 Staffing Solutions Organization LLC (SSO), an affiliate of Public ... LLC (PCG), is focused on delighting clients with world-class managed staffing and talent consulting services. SSO is committed...reflection of our clients and the people they serve. ** Medicaid Program Advisor, Albany NY** **DPDM - 1069** **This… more
- Centene Corporation (New York, NY)
- …in conflict management or data reporting and evaluation. Experience working in managed care , utilization management, case management, or quality improvement ... license preferred. 4+ years of clinical nursing experience, preferably in a large primary care office or clinic setting working with Medicaid or the uninsured.… more
- VNS Health (Manhattan, NY)
- …required + Bachelor's degree, preferred Work Experience: + Minimum four years of managed Medicare, Medicaid , life insurance and/or any other sales experience ... OverviewThe Senior Community Liaison educates consumers in the communities served by...Pre-tax flexible spending accounts (FSAs) for healthcare and dependent care and commuter transit program + Generous tuition reimbursement… more
- VNS Health (Manhattan, NY)
- …equivalent, required Bachelor's degree, preferred Work Experience: Minimum two years of managed Medicare, Medicaid , life insurance and/or any other sales ... OverviewThe Community Liaison educates consumers in the communities served by...Pre-tax flexible spending accounts (FSAs) for healthcare and dependent care and commuter transit program + Generous tuition reimbursement… more
- VNS Health (Manhattan, NY)
- …well as the ability to manage multiple priorities. required + Knowledge of managed care , Medicare/ Medicaid and insurance authorization/billing, preferred + ... authorization. Verifies insurance information and coordinates acceptance of cases with Managed Care . Informs patients/family member of sources(s) and extent of… more
- City of New York (New York, NY)
- …OR BE PERMANENT IN A COMPARABLE TITLE ELIGIBLE FOR 6.1.9 TITLE CHANGE. The Home Care Services Program (HCSP) is a Medicaid funded program that provides long term ... daily living through the Community Alternative Systems Agency (CASA), Managed Long Term Care (MLTC) Program, the... Care (MLTC) Program, the Assisted Living Program, Care at Home Program and Homebound Medicaid .… more
- Hackensack Meridian Health (Hackensack, NJ)
- …knowledge of applicable Federal and State regulations; maintains thorough knowledge of managed care and third party billing rules, applicable State Department ... for any specialty billing purposes, including out of state Medicaid , Charity Care & Medicaid ,...to the revenue cycle. + Provides feedback to the Managed Care department regarding contract terms and… more
- City of New York (New York, NY)
- Job Description The Home Care Services Program (HCSP) is a Medicaid funded program that provides long term care to medically fragile and vulnerable ... daily living through the Community Alternative Systems Agency (CASA), Managed Long Term Care (MLTC) Program, the... Care (MLTC) Program, the Assisted Living Program, Care at Home Program and Homebound Medicaid .… more
- The Mount Sinai Health System (New York, NY)
- …and contract compliance related to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as MSHP's ... work at the forefront of innovation in healthcare The Managed Care Contracting Team within MSHP is...to drive performance for value-based contracts for Medicare Advantage, Managed Medicaid and Commercial arrangements. * Support… more
- City of New York (New York, NY)
- …medication and other health care services at little or no cost. MAP Managed Care Client Services (MCCS) - Restricted Recipient Program (RRP) Unit imposes ... within MAP to ensure appropriate delivery of services to clients enrolled in managed care . - Type correspondences, reports and other written materials. -… more
- Hackensack Meridian Health (Hasbrouck Heights, NJ)
- …Abilities Preferred** : + Bachelor's degree. + Experience in healthcare. + Knowledge of Managed Care contracts, Medicare, and Medicaid . + Proficient in SMS, ... not limited to Patient Accounting, Case Management, Health Information, Clinical, Training, Managed Care , Outsource Partners, Practice Management and DTS .… more
- Staffing Solutions Organization (New York, NY)
- …accordance with State and Federal guidelines. **Responsibilities include:** + Act as a liaison between the Social Care Networks and other stakeholders. This ... LLC (PCG), is focused on delighting clients with world-class managed staffing and talent consulting services. SSO is committed...NYC** **DPDM - 1083** **Summary** The Bureau of Social Care and Community Supports works to integrate health and… more
- Hackensack Meridian Health (Hackensack, NJ)
- …patient accounting/revenue cycle operations or relevant experience/training. + Demonstrated knowledge of Managed Care Contracts, Medicare, and Medicaid . + ... accuracy and proper revenue recognition. + Acts as a liaison with other departments to adjust or reconcile financial...verifies validity of daily credit card chargeback. + Reconciles Managed Care , Medicare and other Governmental payments… more
- The 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 ... to inform our clinical or contracting staff to improve contract outcomes. b. Care Management Helps to identify, understand and prioritize at-risk members in need of… more
- The 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
- New York State Civil Service (Bronx, NY)
- …specialists, various clinical staff as necessary.* Advocate for individuals' health care needs.* Maintains ongoing communication with med liaison /designee.* ... Office for Title Registered Nurse 1 (NY HELPS) Occupational Category Health Care , Human/Social Services Salary Grade 18 Bargaining Unit PS&T - Professional,… more
- New York State Civil Service (Bronx, NY)
- …specialists, various clinical staff as necessary.* Advocate for individuals' health care needs.* Maintains ongoing communication with med liaison /designee.* ... Office for Title Registered Nurse 1 (NY HELPS) Occupational Category Health Care , Human/Social Services Salary Grade 18 Bargaining Unit PS&T - Professional,… more