• Medicaid Managed Care

    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 ... more
    Abbott House (12/07/24)
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  • Executive Director, Office of Mail Renewal (OMR),…

    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 ... more
    City of New York (02/12/25)
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  • Medicaid Unit Supervisor

    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 ... more
    City of New York (02/12/25)
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  • Associate Counsel

    New York State Civil Service (New York, NY)
    …proposals to amend the State's legislation, regulations, or one of the components of Medicaid Managed Care contracts: o Conducts research, reviews, and ... more
    New York State Civil Service (02/12/25)
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  • Casa Director

    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 ... more
    City of New York (02/12/25)
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  • Senior Healthcare Program Specialist - Social…

    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 ... more
    Staffing Solutions Organization (02/08/25)
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  • Audit Reviewer

    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 ... more
    City of New York (02/12/25)
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  • Unit Clerk

    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 ... more
    City of New York (02/12/25)
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  • Medical Director (Medicare)

    Molina Healthcare (Yonkers, NY)
    …and evidence-based guidelines. + Experience in Utilization/Quality Program management + HMO/ Managed care experience **PR** **E** **FE** **R** **RED L** ... more
    Molina Healthcare (02/09/25)
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  • Medical Director (Marketplace)

    Molina Healthcare (Yonkers, NY)
    …guidelines. + Experience in Utilization/Quality Program management + HMO/ Managed care experience **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** ... more
    Molina Healthcare (02/06/25)
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  • Case Manager NYSNA Line

    BronxCare Health System (Bronx, NY)
    …and practice patterns as required. - Acts as patient advocate. - Dialogues with home care liaison practitioner or managed care organization. Follows up ... more
    BronxCare Health System (12/18/24)
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  • Field Monitor, Quality Control Unit

    City of New York (New York, NY)
    …individuals in a variety of settings to promote independence and well-being. The Home Care Services Program (HCSP) is a Medicaid funded program that facilitates ... more
    City of New York (02/12/25)
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  • Healthcare Payment & Financing Innovation Manager,…

    City of New York (New York, NY)
    …commercial payors at the federal and state levels, and the evolution of managed care . The regulation and financing of community-based organizations (CBO's) at ... more
    City of New York (02/12/25)
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  • Credit&Coll Ana-Hospital

    WMCHealth (Valhalla, NY)
    …general experience up to a maximum of two years. (2)Experience which involved direct liaison with managed care agencies, that included processing referrals, ... more
    WMCHealth (01/17/25)
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  • Director of Sales Operations and Support

    VNS Health (Manhattan, NY)
    …operations experience. required + Minimum of two years of management within a managed care environment required + Experience marketing to a culturally diverse ... more
    VNS Health (02/01/25)
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  • Chief Medical Officer, Health Plans

    VNS Health (Manhattan, NY)
    …+ Minimum five years of experience in clinical medicine, including three years in managed care , and application of evidence based medical necessity criteria and ... more
    VNS Health (11/20/24)
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  • Director of Policy & Legal/ Healthcare…

    City of New York (New York, NY)
    …of public and commercial payors at the federal and state levels, and the evolution of managed care - Value-based care and Alternative Payment Models. - Price ... more
    City of New York (02/12/25)
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  • Revenue Cycle Analyst

    Hackensack Meridian Health (Hackensack, NJ)
    …Abilities Preferred** : + Bachelor's degree. + Experience in healthcare. + Knowledge of Managed Care contracts, Medicare, and Medicaid . + Proficient in SMS, ... more
    Hackensack Meridian Health (01/24/25)
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  • Reconciliation Representative

    Hackensack Meridian Health (Hackensack, NJ)
    …patient accounting/revenue cycle operations or relevant experience/training. + Demonstrated knowledge of Managed Care Contracts, Medicare, and Medicaid . + ... more
    Hackensack Meridian Health (01/24/25)
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  • Psychologist 2

    New York State Civil Service (Thiells, NY)
    …Developmental Disabilities, Office for Title Psychologist 2 Occupational Category Health Care , Human/Social Services Salary Grade 23 Bargaining Unit PS&T - ... more
    New York State Civil Service (01/03/25)
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