- Eisai, Inc (Nutley, NJ)
- …hear from you. Essential Functions Revenue Management Systems (Contracting, Medicaid , Govt. Pricing, Chargebacks) Technologies Leadership Drive definition of future ... to business processes and the overall Finance Revenue Management (Contracting, Medicaid , Govt. Pricing, Chargebacks etc.) function. Provide strategic oversight of… more
- Lundbeck (Queens, NY)
- …Medicare payer landscape in addition to other payer channels including Medicaid and Commercial. Pharmaceutical Environment/Compliance - Ability to apply knowledge of ... and proficiency for the role. Salary Pay Range: $120,000 - $148,000 and eligibility for a sales incentive target of $37,500. Benefits for this position include… more
- A-Line Staffing Solutions (New York, NY)
- …support to medical, behavioral and social support staff to determine needs, eligibility and services for members. Conduct screening and risk assessment interventions ... CCM, BSN, ADN, ASN, Case Manager, Case Management, InterQual, Medicare, Medicaid , CMS Guidelines, Utilization Review, Utilization Management, Registered Nurse, MCO,… more
- City of New York (New York, NY)
- …Term Care (MLTC) Program, the Assisted Living Program, Care at Home Program and Homebound Medicaid . The Medicaid Eligibility Unit is responsible for the ... Medicaid eligibility review and processing of initial applications, change actions,...programs. This unit is responsible for the processing of Medicaid eligibility for consumers who receive services… more
- City of New York (New York, NY)
- …(MAP) is recruiting for one (1) Eligibility Specialist II to function as Medicaid Eligibility Specialist, in MAP's CREP unit, who will: - Conduct a ... System, eMedNY and the HRA One viewer. - Determine eligibility for the appropriate level of Medicaid coverage for MAGI and Non-MAGI applicants and recipients. -… more
- VNS Health (Manhattan, NY)
- …Health Plans staff to ensure that prospective members/ members have appropriate Medicaid eligibility and receive appropriate MLTC services. + Arranges ... in a health care or human services setting, required + Knowledge of Medicaid eligibility and Medicaid Managed Care regulations, preferred + Bilingual skills… more
- City of New York (New York, NY)
- …Term Care (MLTC) Program, the Assisted Living Program, Care at Home Program and Homebound Medicaid . The Medicaid Eligibility Unit is responsible for the ... Medicaid eligibility review and processing of initial applications, change actions,...programs. This unit is responsible for the processing of Medicaid eligibility for consumers who receive services… more
- CVS Health (Parsippany, NJ)
- …plan operations, including contracting, claims processing, encounter data processing, and Medicaid eligibility and enrollment + Experience navigating a matrixed ... Experience developing and executing project plans and processes + NJ Medicaid regulatory experience **Education** Bachelor's Degree or equivalent experience **Pay… more
- VNS Health (Manhattan, NY)
- …opportunities What You Will Do + Reviews patient referrals and determines eligibility for Medicaid . Processes Medicaid applications. Conducts follow ... OverviewContacts and assists VNS Health Plans members with Medicaid applications and recertification. Enters and updates member demographic information into the… more
- City of New York (New York, NY)
- …- Process extension of Medical coverage for clients entitled to AC and whose Medicaid eligibility is scheduled to expire or has already expired. Processes "clock ... (MA). Fair Hearing Administration is recruiting for six (6) Eligibility Specialists, Level II to function as a Fair...Specialists, Level II to function as a Fair Hearing Eligibility Specialist for their MICSA Fair Hearing Unit. The… more
- City of New York (New York, NY)
- … Eligibility Information Services Unit is responsible for providing information to Medicaid providers on Medicaid eligibility requirements that are ... The Community Liaison Coordinator will: - Conduct monthly presentation/s on Medicaid Eligibility to providers, hospitals, approved Client rep's, community-based… more
- City of New York (New York, NY)
- …continued employment. Under supervision of the Ombudsman Unit Supervisor within the Medicaid Eligibility Information Services, with some latitude for independent ... initiative and judgment, the Medicaid Eligibility Specialist is responsible for interviewing Medicaid applicants and reviewing their documentation to… more
- City of New York (New York, NY)
- …continued employment. Under supervision of the Ombudsman Unit Supervisor within the Medicaid Eligibility Information Services, with some latitude for independent ... initiative and judgment, the Medicaid Eligibility Specialist is responsible for interviewing Medicaid applicants and reviewing their documentation to… more
- City of New York (New York, NY)
- …Term Care (MLTC) Program, the Assisted Living Program, Care at Home Program and Homebound Medicaid . The Medicaid Eligibility Unit is responsible for the ... Medicaid eligibility review and processing of initial applications, change actions,...programs. This unit is responsible for the processing of Medicaid eligibility for consumers who receive services… more
- City of New York (New York, NY)
- …forms, and making folders to be forwarded to supervisor for assignment to Medicaid Eligibility Specialist. - Maintain files of case record determinations by ... are high priority; use control codes for cases that are pending Medicaid eligibility redetermination. - Support supervisor in the preparation of weekly and… more
- City of New York (New York, NY)
- …doctors, medication and other health care services at little or no cost. Medicaid Eligibility Operations is recruiting for one (1) Principal Administrative ... report as required. - Train Excess Income unit staff. Ensure that Medicaid eligibility actions are consistent with applicable laws and regulations, keep staff… more
- City of New York (New York, NY)
- …Term Care (MLTC) Program, the Assisted Living Program, Care at Home Program and Homebound Medicaid . The Medicaid Eligibility Unit is responsible for the ... Medicaid eligibility review and processing of initial applications, change actions,...programs. This unit is responsible for the processing of Medicaid eligibility for consumers who receive services… more
- City of New York (New York, NY)
- …Term Care (MLTC) Program, the Assisted Living Program, Care at Home Program and Homebound Medicaid . The Medicaid Eligibility Unit is responsible for the ... Medicaid eligibility review and processing of initial applications, change actions,...programs. This unit is responsible for the processing of Medicaid eligibility for consumers who receive services… more
- City of New York (New York, NY)
- …to process applications including screening, intake, and assessment and monitoring of Medicaid eligibility and all related community alternative health care ... the day-to-day direction of the personnel engaged in processing applications, monitoring Medicaid eligibility and conducting eligibility assessments for… more
- VNS Health (Manhattan, NY)
- …attention to detail, analytical and writing skills required + Knowledge of Medicaid eligibility requirements required + Strong understanding or experience with ... plans' eligibility requirements. + Reviews and confirms potential enrollees eligibility ; collaborates with New York Medicaid Choice (NYMC) in scheduling… more
