to enable New Yorkers to live their healthiest life. Position Overview The Medicaid Regulatory Compliance Specialist reports... to the Manager of Medicaid Regulatory Compliance. The position will support the oversight and management of Medicaid, HIV SNP...
to enable New Yorkers to live their healthiest life. Position Overview The Medicaid Regulatory Compliance Specialist reports... to the Manager of Medicaid Regulatory Compliance. The position will support the oversight and management of Medicaid, HIV SNP...
, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care... and a collaborative spirit, work with us. You can come to work being proud of what you do every day. The Sales Quality and Compliance...
, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care... Operations, the Product Specialist, Integrated Products will play a critical role in supporting product excellence...
, regulations, and their roles in Medicaid Compliance. Write, revise as needed, and oversee implementation of individuals' annual... standards of care. Participate in DQI and Medicaid Compliance audits, implement and oversee implementation of corrective...
for Habilitation Specialist 2 OR currently permanent in a title eligible for 70.1 transfer per Civil Service Rules and Regulations...-c service as a Habilitation Specialist 1, Habilitation Specialist 1 (Spanish Language), or Habilitation Specialist 1...
Job Description: JOB PURPOSE: The Community Outreach Specialist will conduct sales and networking to drive Program... Outreach Specialist will coordinate and attend events in the community, host events at our PACE centers/ACS, and join network...
permanent competitive service as a Health Systems Specialist 3, G-23 or current NYS employee with one of year of permanent... 52.6 of civil service law. Provisional Promotion Candidates: Current NYS DOH Employee or Office of the Medicaid Inspector General...
as an excluded individual or entity on any of the Federal and/or State Medicaid and Medicare exclusion lists (or excluded from any... actively participate to the degree necessary to allow for your services to be billed through Medicare and Medicaid...
Description : Purpose of the Position The Intensive Permanence Specialist has primary responsibility to introduce... youth in the past. The Intensive Permanence Specialist also conducts a concentrated search for family members or natural...
The Pharmacy Prior Authorization Specialist will ensure patients receive the medication that requires pre-authorizations... authorization requests. Pharmacy Prior Authorization Specialist Primary Responsibilities: Assist with medical necessity...
Job Title: Clinical Quality Specialist Job Summary: CASES is seeking a Clinical Quality Specialist to join our team... Quality Specialist role is $65,000 per year. What you will be doing: Conduct internal chart review and audits to confirm...
Verification Specialist Major Responsibilities: The Benefit Verification Specialist will investigate, review, and load accurate... for applicable commercial, Medicaid, and Medicare, or facility medication claims. Maintain a safe and clean pharmacy by complying...
vaccine). ENTITLEMENT SERVICES JOB DESCRIPTION: ENTITLEMENTS SPECIALIST COORDINATOR Takes direction from the Entitlement... and completion of the following Entitlements Specialist Coordinator job tasks and responsibilities: MAINTAIN ENTITLEMENT CASE...
policy. X Accept Cookies Medical Administrative Support Specialist Job Details Job Location 66 Boerum Place, 66... Description Under the supervision of the Child Advocate Supervisor, the Medical Administrative Support Specialist will perform a wide...
, discrepancy report and follow up on billing discrepancies. Conduct on-site reviews of documentation to monitor billing compliance... Federal and/or State Medicaid and Medicare exclusion lists (or excluded from any other Federal or Federally assisted program...
including quality assurance reviews and data collection, analysis of reports to ensure compliance with agency continuous quality... required and familiarity with search engines and search technology preferred. Familiarity with Medicaid billing preferred via Children Family...
residing in shelter is receiving or has applied for the appropriate level of VA, HRA, SSI, SSD, Medicaid, Medicare.... * Obtain and maintain CPR and First Aid certifications. May have on-call responsibilities. Comply and promote compliance...
– Managed Long Term Care (MLTC), Medicare Advantage (MA), or Select Health. Ensures regulatory compliance, timeliness... and appeals for Medicare managed care organizations, Medicaid, home health care, managed long term care as well as contractual...
Mon-Fri 9AM-5PM (Hybrid) Position Summary: To assess program compliance with Federal and State regulations...: Ensure compliance with State and Federal regulations (42 CFR 483; 14 NYCRR Parts 524, 586, 624, 625, 633, and 681) and agency...