- MVP Health Care (Schenectady, NY)
- …difference for our customers in every interaction **Your key responsibilities:** + The Associate , Medicaid Member Service Representative is responsible ... To achieve this, we're looking for an ** Associate , Bilingual Medicaid - Member Service Representative** to join #TeamMVP. This is the opportunity… more
- Humana (Albany, NY)
- …Pricer Business and System Support team responsible for administering complex Medicaid provider reimbursement methodologies. The associate will support existing ... are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. … more
- Humana (Albany, NY)
- …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. ... caring community and help us put health first** The Medicaid Test Lead will be a strategic and technical...Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet… more
- Humana (Albany, NY)
- …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal ... background, experience, and judgement to make determinations whether requested services , requested level of care, and/or requested site of..., requested level of care, and/or requested site of service should be authorized. All work occurs with a… more
- Humana (Albany, NY)
- …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. ... caring community and help us put health first** Own and manage Medicaid claims analytics dataset using Databricks. Ensure data accuracy, completeness, and readiness… more
- Humana (Albany, NY)
- **Become a part of our caring community and help us put health first** The Associate Actuary will be a key member of the Enterprise Growth Finance team. The ... are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. … more
- Humana (Albany, NY)
- …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. ... caring community and help us put health first** The Associate Director, Finance Data Management supports all aspects of...to Operate in Finance + Empower Finance with Self Service Analytics + Strengthen Compliance & Audit Readiness +… more
- Humana (Albany, NY)
- …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. ... (Learning Needs Analysis to Design and Development and Delivery) to support associate skilling. + As needed, designs, plans, and delivers/facilitates training around… more
- Humana (Albany, NY)
- …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. ... part of our caring community and help us put health first** The Associate Director of Cloud Infrastructure Operations is responsible for leading Humana's enterprise… more
- Humana (Albany, NY)
- …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. ... **Become a part of our caring community and help us put health first** The Associate Director of IT Disaster Recovery will lead DR operations and governance for all… more
- Humana (Albany, NY)
- …2 is a **Licensed, Masters level, Social Worker** who functions as a Support Social Services associate (Support SS) in our Special Needs Plan (SNP) program and ... serves as part of an interdisciplinary care team member working with other disciplines, such as nurse care...a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and… more
- Humana (Albany, NY)
- …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. ... seeking a Prior Authorization RN to join the Wisconsin Medicaid Market (iCare) team. This position reviews the clinical...if applicable, to promote cost-effective delivery of health care services . Share your talents and develop your skills all… more
- Humana (Albany, NY)
- …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal ... background, experience, and judgement to make determinations whether requested services , requested level of care, and/or requested site of..., requested level of care, and/or requested site of service should be authorized. All work occurs within a… more
- Northern Rivers Family Services (Schenectady, NY)
- …to be in-person with the member . + Level II - Provides care management services to low, medium, and high acuity members. Care Manager will provide a minimum of ... Health Home program. You will coordinate and monitor subsequent services to meet the needs of your members. You...of which is to be in person with the member . + Engage children, youth, and families with outreach… more
- Humana (Albany, NY)
- …Medicare/ Medicaid experience + Bilingual English/Spanish **Additional Information** + Associate will be expected to participate in weekend rotation a minimum ... are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. … more
- Ellis Medicine (Schenectady, NY)
- …EXPERIENCE REQUIREMENTS: Education: High School diploma or equivalent required. Associate 's degree preferred. Experience: 5 years patient registration, business ... Blue Cross eligibility and benefits through the OMNIPRO system, Medicaid through the EMEVS system on a daily basis...submits the application to the County Department of Social Services . Screens and reviews eligibility criteria and assists with… more
- Grifols Shared Services North America, Inc (Albany, NY)
- …medicine and develop, produce and market innovative medicines, solutions and services in more than 110 countries and regions. Overview: Primary responsibility ... major accounts and large players (ie, Commercial, Medicare, and Medicaid ) *Understanding of Hospital formulary with guidance of RSD...an equivalency could include 8 years of experience, an Associate 's degree with 6 years of experience, or a… more
- Humana (Albany, NY)
- …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. ... Fully Integrated Dual Eligible Special Needs Plan (FIDE-SNP) Michigan Medicare - Medicaid health plan. The individual leverages a broad understanding of managed care… more
- Humana (Albany, NY)
- …reading and interpreting claims + Exceptional understanding of Centers for Medicare & Medicaid Services (CMS) guidelines, state Medicaid guidelines, correct ... from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information **Interview Format** As part...a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and… more
- Humana (Albany, NY)
- …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. ... a variety of strategies, approaches and techniques to manage a member 's physical, environmental and psycho-social health issues. Identifies and resolves barriers… more