- 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 Wednesday, August 21, 2024 Staffing Solutions Organization LLC (SSO), an affiliate of ... 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
- Allaire Rehab & Nursing (Edison, NJ)
- …+ Maintain a working knowledge of Federal and State regulations and reimbursement ( Managed Care , Medicare, and Medicaid ). + Provide assistance with ... Allaire Health Services is looking for a Marketing Liaison to join our incredible New Jersey team!...admissions process. + Maintain a strong working knowledge of managed care referral processes. + New Jersey… 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)
- 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
- 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
- Catholic Health Services (Melville, NY)
- …at least one day per week. Duties and Responsibilities Primary: Assists System Director, Managed Care in select contract negotiations. Point of contact for the ... and effectively communicate conclusions Knowledge of reimbursement methodologies for Commercial, Managed Medicare and Managed Medicaid hospital contracts… more
- 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, ... Blue Cross/Blue Shield, Workers' Compensation, private insurance carriers, Medicare and Medicaid to verify the patient's eligibility for coverage, the portion of… more
- Catholic Health Services (Melville, NY)
- …(ie, Access\MS-SQL); EPIC, and other reporting and database tools. Sound knowledge of Medicaid , Medicare and managed care requirements Must be Self-directed ... and quarterly reports reflecting accurate departmental data Works with Revenue Cycle and Managed Care teams to identify and resolve issues related to timely… 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
- Staffing Solutions Organization (New York, NY)
- …accordance withState and Federal guidelines. **Specific duties include:** + Act as a liaison between the Social Care Networks and other stakeholders. This ... Public Consulting Group LLC (PCG), is focused on delighting clients with world-class managed staffing and talent consulting services. SSO is committed to a diverse… more
- New York State Civil Service (Queens Village, NY)
- …Management Administrator with duties to include: * Function as BFDDSO's HIPAA Liaison , including responsibilities of reporting HIPAA breaches, being the lead contact ... * Oversight of TABS billing, including ensuring Room & Care billing is billed and that TABS discrepancy reports...Management Report monthly.* Function as BFDDSO's US Census Bureau Liaison and lead contact for the Consolidated Fiscal Review… more