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Participates in the development and implementation of the behavioral health sections of the Quality Management (QM)/Utilization Management (UM) Plan. Oversees the administration of all BH QM/UM and performance improvement activities, encompassing grievances and appeals, and contributes to various other subcommittees such as Compliance and Pharmacy.
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In this role, the Benefits Coordinator, in conjunction with the Benefits Manager and benefits team, will assist with plan compliance, daily benefits administration, benefit payroll processing and consult with plan consultants, service providers, and plan participants who have questions regarding the plans.
$80,000 depends on education, experienceFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Through oversight and management of a multifaceted team, the Director will help lead performance Improvement activities and also oversee Gotham Health's fulfilment of quality assurance requirements as put forth by Health Resources and Services Administration (HRSA), New York State Department of Health, Gotham Health's annual performance improvement plan, the NYC Health+ Hospitals' Quality Assurance/Performance Improvement (OAPI) Committee of the Board of the Directors, among others.
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We are seeking a highly skilled and experienced professional to join our team as a Health Plan Operations Audit Expert with a specialization in Call Center and Claims Integrity Auditing for Medicare/Medicaid SNP (Special Needs Plan) claims.
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Audit and process invoices for retiree benefits, including NYSNA VEBA, United HealthCare, Lucent Health Solutions, and Elixir. In this role, the Benefits Analyst will be responsible for assisting and administering benefits policies and plans in accordance with hospital policy, plan provisions and government regulations.
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OHIS has several high priority community initiatives to roll out and has partnered with the Mayor's Office of Immigrant Affairs, New York City Human Resources Administration, New York City Department of Aging to assist the uninsured; aged (65 years or older); certified blind; and certified disabled populations residing in the five boroughs through health insurance related education, outreach, and enrollment assistance.
$70,087Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Total Rewards at TD includes base salary and variable compensation/incentive awards (e.g., eligibility for cash and/or equity incentive awards, generally through participation in an incentive plan) and several other key plans such as health and well-being benefits, savings and retirement programs, paid time off (including Vacation PTO, Flex PTO, and Holiday PTO), banking benefits and discounts, career development, and reward and recognition.
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Initiates and orders selected therapeutic and diagnostic procedures, consultations and laboratory examination, prescribes medication regimens, interprets findings and alters plan of care according to accepted standards of care and practice guidelinesEducates and counsels in the areas of health promotion, maintenance, disease prevention, and management of acute/chronic illnesses.
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The Sr QA Auditor is responsible for conducting operational audits to objectively support HF Management’s ability to identify and mitigate key financial and operational risks and make recommendations and collaborate with business leaders on implementation of CAP/MAP (Corrective/Management Action Plan(s) to help improve operational efficiency and effectiveness; as well as, ensuring compliance with applicable laws and procedures.
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Additional benefits vary between locations and include options such as our 401(k) Retirement Savings Plan, Cash Balance Pension Plan, Medical/Dental/Life Insurance, Health Savings Account, Domestic Partners Coverage and a full complement of personal and professional benefits.
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Serves as technical advisor to administration regarding policies and procedures on student and employee health including, but not limited to management of serious physical problems, health evaluations, communicable disease control, environmental hazards, first aid, accident prevention, emergency care and emergency preparedness.
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Employees also receive a comprehensive benefits package that includes an employer matched retirement plan, generously subsidized healthcare with 100% employer paid dental, vision, telemedicine, and virtual mental health counseling, parental leave, and unlimited paid time off (PTO.
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Premium Healthcare Benefits: TRICARE Health Plan : As a member of the U.S. Army, you and your family can be covered under the TRICARE Health Plan – a top-tier healthcare program that provides medical, dental, vision, and prescription coverage.
$60,000 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Teladoc® Allied health plan members (and their dependents – even if not covered under your Allied health plan)can access free sick or acute care consults with board-certified physicians 24/7.
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Plus paid vacation, holidays, sick time, parental leave, marriage leave, and recharge leave; medical, tele-health, dental and vision benefits; 401(k) plan; flexible spending accounts (FSAs); commuter program; life and disability insurance; Maven (a support system for new parents); Carrot (fertility benefits); UrbanSitter (caregiver referral network); Employee Assistance Program; and pet insurance.
$115,000 a yearFull-timeExpandApply NowActive JobUpdated Today
health plan administration jobs in Maspeth, NY
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