- New York State Civil Service (Albany, NY)
- …civil and criminal evidentiary hearings and trials in New York state courts.The Medicaid program provides health coverage to millions of New Yorkers, including ... with ensuring the financial integrity of New York state's $94 billion Medicaid program by investigating healthcare providers, such as pharmaceutical companies,… more
- Highmark Health (Albany, NY)
- …Description :** **JOB SUMMARY** This job is responsible for the oversight of the Medicaid contract and is available for prompt response to direct inquiries from the ... requirements, overall profitability, member satisfaction and state regulator satisfaction. Lead efforts to capture plan performance, work with vendor partners… more
- Humana (Albany, NY)
- …and help us put health first** The Value-Based Programs Specialty Care Lead supports the creation of complex value-based programs. The Value-Based Programs ... Lead provides strategic advice and guidance to functional team(s)...scalability as we seek to broaden our core VB Program portfolio. The ultimate goal is to lay the… more
- Humana (Albany, NY)
- …in shaping the future of healthcare through AI excellence. We are seeking a Lead Data Scientist to guide the strategic decisions and the development of reliable, ... to deliver high impact AI use case solutions. + Lead the development and maintenance ofcomplex machine learning models...Plan + 401K - Excellent company match + Well-being program + Paid Volunteer Time Off If you share… more
- New York State Civil Service (Schenectady, NY)
- …by explaining parking requirements and suggesting alternate parking areas. * May lead volunteers, students, and inmates assigned to work crews by making assignments, ... or entity on any of the Federal and/or State Medicaid and Medicare exclusion lists (or excluded from any...(or excluded from any other Federal or Federally assisted program ). If you are appointed and subsequently listed as… more
- Pearson (Albany, NY)
- …this role collaborates closely with the Director and the Therapy Services Lead to develop and implement a strategic plan for high-quality counseling services ... by working with the Director of School Service Delivery and the Therapy Services Lead to establish and execute a strategic plan for Counseling services; Lead … more
- St. Catherine's Center for Children (Albany, NY)
- …services under the Children and Family Treatment Support Services (CFTSS) array, a Medicaid State Plan Service for children with, or at risk of, behavioral health ... week in direct service with clients, and may increase commensurate with client/ program needs and staff caseload. These 20 supervision hours are applicable toward… more
- Living Resources (Albany, NY)
- …with disabilities and special needs the support they need to thrive and lead active, full lives. For many Living Resources employees, their work becomes an ... for resident wage record keeping, medical bill processing, assisting the ISS Program with annual budget renewals, and providing support to the Finance Department… more
- Living Resources (Albany, NY)
- … program and necessary admission/discharge requirements + Knowledge of Medicaid , Medicare, SNAP and Social Security benefits and applications/certifications for ... with disabilities and special needs the support they need to thrive and lead active, full lives. For many Living Resources employees, their work becomes an… more
- Trinity Health (Schenectady, NY)
- …of care for seniors, located in Latham, 385 Watervliet Shaker Road We are a Program of All-Inclusive Care for the Elderly (PACE)--a unique model that is both the ... Medicare/ Medicaid insurer and healthcare provider--giving us maximum ability to...a licensed home care agency, transportation service, adult daycare program , home delivered meals, activities, RN case management, social… more
- Humana (Albany, NY)
- …our members achieve their best health. Primary responsibilities will include: + Lead teams of associates who are responsible for ensuring operational readiness and ... large-scale project leadership experience** + Experience with analytics, including program evaluation and optimization across contact center and back-office service… more
- Staffing Solutions Organization (Albany, NY)
- …drive actionable insights and improve healthcare analytics, with a focus on Medicaid -related data. This role requires expertise in AI/ML architecture, AI governance, ... technical teams to identify AI-driven opportunities, develop AI roadmaps, and lead the implementation of high-performance AI models. **Additional Requirements and/or… more
- Staffing Solutions Organization (Albany, NY)
- …projects, and policy knowledge and implementation. The BASP is seeking a passionate Medicaid Senior Healthcare Program Specialist to support the team in its ... unit, which is responsible for the oversight of the Health Home (HH) Program . HH providers are monitored based on performance, quality, and compliance with Federal… more
- New York State Civil Service (Menands, NY)
- …care provider organization or employer; or experience with the New York State Medical Assistance ( Medicaid ) Program in a New York State agency, or a New York ... ensure applications can be supported when key staff retire* Lead JAD sessions as a recording analyst or scribe*...the New York Hiring for Emergency Limited Placement Statewide Program (NY HELPS). HELPS Program titles may… more
- CenterWell (Albany, NY)
- …other stakeholders on a regular basis. + Work collaboratively with CIT Program Delivery team, Division Directors, Practice Implementation Lead , compliance, ... we want to help people everywhere, including our associates, lead their best lives. We support our associates to...educator has a deep understanding of all the High-risk program management roles and gains the respect and confidence… more
- Adecco US, Inc. (Schenectady, NY)
- …and quality of care. + ** Lead Initiatives:** Participate in projects, lead workgroups, and contribute to program delivery improvements. + **Quality ... Assurance:** Engage in activities to ensure program goals and quality measures are met. **What We're...New York State NP or PA license. + NY Medicaid ID Number (or willingness to obtain). **Skills:** Experience… more
- Trinity Health (Schenectady, NY)
- …to Friday 8am to 4:30pm.** Experience the difference of working in the PACE program ( Program of All-Inclusive Care for the Elderly)-where Social Workers are at ... more!) as well as provide our participants with their Medicare/ Medicaid insurance coverage. Our team of Social Workers are...ED/hospital, rehab, respite and more! There is no other program like PACE in our region - this model… more
- CenterWell (Albany, NY)
- …and in partnership with the training organization, develop comprehensive training program for coding staff to ensure continuous skill development and compliance ... matrixed functions + Proven ability to drive medical coding program effectiveness and oversight across multiple sites and geographies,...and team members in stressful situations. + Ability to lead by influence to engage colleagues and lead… more
- Staffing Solutions Organization (Albany, NY)
- …Management (Item 1416) in Albany, NY** **Day-to-Day Tasks of Position:** Oversee the Medicaid Drug Utilization Review Program and Drug Utilization Review Board ... compliance with legislation. Work with colleagues and the DUR Board Chair to co- lead meetings and handle logistics. Assist with the processes to oversee Managed Care… more
- Trinity Health (Schenectady, NY)
- …**Per Diem - LCSW - SOCIAL WORKER - Behavioral Health Specialty** **_EDDY SENIORCARE Program of All Inclusive Care for the Elderly_** Eddy SeniorCare is a program ... in the community for as long as possible. The program serves individuals 55 years of age and older...serves as both payer (we provide their Medicare and Medicaid insurance) and provider (offering a full range of… more