- UpvoteDownvoteShare Job
- Suggest Revision
These areas work with the New York State Department of Health (SDOH), MCOs, the Office of Medicaid Inspector General (OMIG), provider organizations (hospitals, physician groups and pharmacies), city agencies, client advocates, and MAXIMUS (the state managed care enrollment broker for the managed care program) to ensure the operational integrity of MAP’s managed care program.
$122,432 a yearFull-timeExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
- Suggest Revision
Participate & support projects identified by Assistant Coordinating Manager and Principal Hospital Care Investigator in the support of the Patient Accounts Department’s Medicaid Billing & Follow Up Unit.
Full-timeExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
- Suggest Revision
Utilize ePACES (Medicaid website), determine Medicaid eligibility and identify insurance plans. The Door’s Adolescent Health Center offers comprehensive health services, including primary care, sexual health and reproductive care, mental health services, eye care, dental services, dermatology, and nutrition counseling for all Door members.
Full-timeExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
- Suggest Revision
In addition, the Senior Case Manager will make all necessary linkages to community agencies to provide proper placement of residents in areas of permanent housing, referral to engage in aftercare services prior to leaving the agency, vocational and educational services, and to assist families in securing public assistance, Medicaid or other entitlements.
Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Identify eligible Medicaid consumers via Home Care Agencies, Adult Day Care Centers, DME Provider offices, Caregiver Resources Centers, specialty provider offices, HHC Long Term Care Facilities, etc.
$59,012 a yearFull-timeExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
- Suggest Revision
Position SummaryAetna is recruiting for a Senior Manager, National Value Based Care (VBC) Development who will support innovative and strategic provider Medicaid relationships as part of the National VBC Business Development team.
$190,700Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Well-versed in NYS Medicaid, MLTC and CDPAP eligibility. Do you have experience working in the Home Care Industry with referral sources helping process their HHA/PCA, CDPAP, PDN or NHTD cases.
$50,000 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
About the roleThe Senior Specialist, Risk Adjustment for Medicare Advantage (MA) and Affordable Care Act (ACA) lines of business will work with management to meet communicated single and departmental goals, deadlines set forth by Centers for Medicare & Medicaid Services (CMS) and Health and Human Services (HHS) , and be active and engaged in establishing Risk Adjustment processes.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
MetroPlus Health provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan, etc.
Full-timeExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
- Suggest Revision
Complete documentations required by the NYS Office of Mental Health (OMH) and NYC Department of Health and Mental Hygiene’s (DOHMH) licensing guidelines, NYS Medicaid billing guidelines as well as per CASES ACT Policy and Procedures.
Full-timeExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Center for Medicare & Medicaid Services (CMS) Correct Coding Initiative (CCI), Medically Unlikely Edits (MUEs) both practitioner and facility, modifier to procedure validation, and other CMS and American Medical Association (AMA) guidelines, etc.
Full-timeExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Must practice within the scope of the New York State Education law AND be under the supervision of a licensed practitioner in that profession who must be enrolled as a Medicaid provider Experience Required: Minimum of one year working with the medically fragile population AND Minimum of one year of clinical experience with pediatric population Preferred: involving end-of-life care.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Familiarity in electronic health records (e.g., FCM, eCW), Medicaid billings and other regulatory agency web portal systems (Maven, CARES, CAIRS, MAPP, MAS, PSYCKES) Guided by a ‘population health’ model of care, Essen has five integrated clinical divisions offering services in primary & specialty offices, urgent care centers, and nursing homes, as well as house calls for home bound patients; all clinical services are also offered via telehealth.
$65,000 a yearFull-timeExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
- Suggest Revision
Specific services include: assistance with applications and recertifications for benefits, including Medicare, Medicaid, long term care, SNAP, HEAP, accessing Food Resources, referrals and providing connections to medical care, in-home care, legal services, collaboration with the NORC VNS Nurse, and coordination with NORC case assistance services such as chore assistance, escort services, home visits, telephone reassurance calls.
$52,000 a yearExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
- Suggest Revision
At least two years Institutional Medicaid Billing experience. Spool the billing file from our various billing software, review the file further to ensure the accuracy and integrity, then bills New York State and the managed care companies for services rendered to our OPWDD clients and Managed Care clients.
$58,500 a yearFull-timeExpandApply NowActive JobUpdated 2 days ago
medicaid job Title: care physician Company: Ima Medical Group in New York, NY
FEATURED BLOG POSTS
10 Reasons HR is Important to an Organization
"Nothing we do is more important than hiring and developing people."
7 Importances of Organizational Culture and How to Build It
The world of work has drastically changed in the past few years. Where a good salary and a nice office might have been enough to attract talent in the past, employees today expect flexibility, growth opportunities, and a healthy work environment. In fact, 77% of applicants say they’d consider a company’s culture before applying for a job.
Collaborative Recruiting: The Key to a Better Talent Acquisition Strategy
Talent acquisition is a multi-stage process where candidates undergo various application steps before getting hired. The unfortunate reality is that it is a labor-intense system, with the hiring manager and recruiter often handling all of the work on their own. Ask any one of them, and you will hear about the overabundance of applications and the demanding task of filtering through them to find the best candidates. The quality of talent suffers under the weight of all that work on one person's hands. It's not easy, but as many companies are starting to realize, there is a better way. The future of talent acquisition lies in collaborative recruiting!
4 Talent Acquisition Trends Going Into 2023
For better or worse, a side effect of the COVID-19 pandemic was a marked shift in talent acquisition practices worldwide. With the struggle to retain talent that began in 2020, companies have had to rethink recruitment strategies. The result has been new talent acquisition trends that are well on their way to becoming commonplace. These are the practices that are going to become even more widespread going into 2023.
Why is Professionalism Important & How to Be Professional
You might have heard the word professionalism thrown around in the workplace, but do you know what it means? And do you know how to maintain professionalism no matter the circumstances?
Why Are Internships Important & How Can You Get One?
Internships are for college students or people who have just completed their degree. If you are a student or recent grad, you may be wondering how to land an internship. If you've never had one, you may even wonder if you need one. After all, didn’t you work in that call center while also doing exams? Or perhaps you’ve bartended your first year in college?
Why is Networking Important & How to Network Effectively
Even if you’ve worked hard to earn a degree from an impressive school, landing your dream job might still come down to who you know – otherwise known as networking. Lots of qualified candidates might apply for a job, but the person who gets it might very well be so-and-so’s sibling, friend, or kid. Sometimes the only way to get your foot in the door is to know someone.