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Provide direct representation, advocacy, education, and counseling to consumers and/or their caregivers or advocates, concerning eligibility for Medicaid, problems with enrollment and disenrollment in managed care plans, benefits coverage and access rules and procedures, member rights and responsibilities, and appeals.
$51,289 - $55,449 a yearFull-timeExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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Cityblock’s VP of Finance must be an experienced finance executive, ideally with expertise in Medicaid, Medicare Advantage / Duals (e.g., D-SNP, MMP) programs, and/or value-based care. Cityblock is the preeminent value-based care provider focused primarily on high needs populations, specifically Medicaid and Dual-Eligible beneficiaries.
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About NYC Health + Hospitals MetroPlusHealth 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.
$50,000Full-timeExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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As a wholly-owned subsidiary of NYC Health + Hospitals, the largest public health system in the United States, MetroPlus Health's network includes over 27,000 primary care providers, specialists and participating clinics.
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Knowledge of New York State Medicaid and CMS Medicare regulations and related reporting requirements such as STARS, QARR, MMCOR, MEDS, RAPS, EDGE and HEDIS required. Working knowledge of health care EMR or claims systems (Epic/Clarity, eCW, Facets, QNXT, Amisys, etc.
$86,000 - $165,000 a yearFull-timeExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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About New York Medicaid Choice Maximus New York is currently looking for an experienced Editor/Writer to support its New York Medicaid Choice (NYMC) project in New York, NY. NYMC was established in 1998 to support New Yorkers in selecting and enrolling in a health plan of their choice.
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MetroPlusHealth 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.
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The Credentialing Coordinator is responsible for maintaining the confidentiality of all Medical Staff related information, organizing and preparing for committee meetings, and ensuring compliance with the Medical Staff Bylaws, accrediting and regulatory agencies (i.e., Joint Commission, Centers for Medicare & Medicaid Services, NCQA) in regard to credentialing while developing and maintaining a working knowledge of the statutes and laws.
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PROGRAM DESCRIPTION:The Fred Cooper Substance Abuse Service Center (SASC), which is licensed by the NYS Office of Alcoholism and Substance Abuse Services and funded by Medicaid and the NYC Department of Health and Mental Hygiene, serves people with alcohol and substance abuse problems who are homeless or marginally housed.
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Activities for benefit programs such as Medicaid, NYC Care, SNAP, WIC, FairFares, etc. Gain experience in identifying clients' needs to appropriately coordinate medical care. external agencies to book and arrange public services and health care appointments.
Part-timeExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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You should have an understanding of regulations impacting digital products such as FCC (TCPA, CANSPAM), FTC, State Unfair Competition Laws; familiarity with EEOC/ADA/GINA, ERISA, HIPAA, Medicare/Medicaid a plus.
$180,000 - $210,000 a yearFull-timeExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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Knowledge of Medicare/Medicaid Grievance and appeals process. Lead investigations and responses to SDOH (State Department of Health) and CMS (Center of Medicaid and Medicare) complaints.
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Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in response to our patients' and members' needs. The Enrollment Coordinator must ensure that all assignments are completed accurately and in a timely manner in accordance with NYSDOH Medicaid guidelines, MLTC provider regulations, and agency policies and procedures.
$38,545.53 - $48,181.92 a yearPart-timeExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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Ensure compliance with generally accepted accounting procedures as well as with the fiscal guidelines of the Office of Mental Health, Medicaid and County contracts. Reporting directly to the Director of Finance, the Assistant Director of Finance assumes primary responsibility for the day-to-day finance operations and will supervise a team of staff members.
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The ongoing project involves creating large cohorts of pregnant women who use opioids in Medicaid and Marketscan data and linking such data with relevant state-level opioid policies and state-level substance use policies that target pregnant women.
$70,000ExpandApply NowActive JobUpdated 5 days ago
medicaid job Title: primary care Company: Ima Medical Group in New York, NY
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