Medicaid jobs in New York, NY - Page 11Create job alerts

Job DescriptionDescription: Why Join ADAPT? It's more than a job; it's a calling. It's where passion meets purpose. ADAPT Community Network, formerly United Cerebral Palsy (UCP) of NYC provides a multitude of services to people with developmental disabilities. At ADAPT, we are 3,000 strong, and ...

Job Description Position Overview maxRTE delivers software solutions that helps our clients solve one of the most important challenges in healthcare -- helping patients gain access to care through revenue cycle management. We are growing fast, and are looking for a passionate and driven Customer...

The challenges of affordable healthcare continue to create new opportunities.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.These high-quality healthcare plans ...

Job Description PROS Recovery Specialists establish and maintain a therapeutic relationship with individuals and their families by effectively utilizing clinical skills. They may review the individuals psychiatric, medical and other case records and discuss issues with families and other members ...

Conduct case reviews of applications for cash assistance, Medicaid, and/or SNAP benefits and cases recertified for ongoing assistance to measure timeliness of expedited SNAP requests, appropriate responses to no-food and non-food emergencies, appropriate handling of reasonable accommodation reque...

Job DescriptionDescription: Senior Program Manager, Primary Care Consulting & Cardiovascular Health Improvement Lead Preferably New York Tri-state Primary Care Development Corporation (PCDC): Catalyzing Excellence in Primary Care Quality primary care is transformative and a cornerstone of h...

Job Description Director, Day Program Services Start working to make a difference…. Life Opportunities Unlimited (LOU) is a premier boutique human service agency providing both residential and day program services for adults with developmental disabilities in Northern New Jersey. LOU is l...

Job DescriptionDescription: JOB TITLE: Client Services Public Benefits Enroller EXEMPTION: Non-Exempt REPORTS TO: Program Director SUPERVISES: N/A PURPOSE OF THE POSITION: Coordinate access to resources that help clients secure access to public benefits. I. SPECIFIC RESPONSIBILITIES inclu...

Job Description Job Description Posted Tuesday, June 24, 2025 at 12:00 AM Care Specialist: Are you looking to join a dynamic team focused on providing high quality health care to communities across Brooklyn & Queens? If so, you’ve come to the right place. For over 125 years, Catholic Charities ...

Job Description Program Director - Care Management Brooklyn, NY 150-180K Lead one of downstate NY's largest and most impactful care management programs. We're a respected, mission-driven agency serving over 4,000 clients, and we need an experienced leader to drive our expansive Health Homes ...

In order to be eligible for appointment and to maintain employment, you cannot be listed as an excluded individual or entity on any of the Federal and/or State Medicaid and Medicare exclusion lists (or excluded from any other Federal or Federally assisted program). If you are appointed and subseq...

Job Description PROS Recovery Specialists establish and maintain a therapeutic relationship with individuals and their families by effectively utilizing clinical skills. They may review the individuals psychiatric, medical and other case records and discuss issues with families and other members ...

Previous health care marketing experience; Home Care preferred. Conduct individual/group presentations for health care professionals, seniors, and others in order to reach Medicaid eligible home care patients. Generate home care patient referrals from existing and potential accounts.

Job Description Summary Job Description The Director of Programs for People with Intellectual Disabilities provides strategic, operational, and programmatic leadership for programs serving individuals with intellectual and developmental disabilities (I/DD). Reporting to the Senior Vice President...

Job Description JOB SUMMARY The Associate Program Director is responsible for compliance with all federal, state, and accrediting agencies’ requirements to ensure the continuum of services necessary for each resident in the Program. Assists the Program Director in the administration of residenti...

Strong working knowledge of regulatory requirements including, but not limited to: The Joint Commission (TJC) Centers for Medicare and Medicaid Services (CMS) Conditions of Participation Association for the Advancement of Medical Instrumentation (AAMI) Association of Perioperative Registered Nurs...

Project managers with 10+ years of solid health care industry experience. Project Manager Medicaid / Medicare.

Project Manager Medicaid / Medicare implementation experience (2 open roles) Client Client Horizon Location 3 Penn Plaza East, Newark - ONSITE DAY ONE - needs to be in office for 2-3 days in a week Duration- 10+ months extension up to 1 year Visa- any Project managers with 10+ years of solid Heal...

Claims and Collections verifies income of Medicaid recipients and collects payments from recipients when Medicaid was incorrectly paid. It is also responsible for evaluating and assessing the resources of Medicaid Nursing Home residents through computer bank matches. Oversee two investigative uni...

Under the general direction of the Senior Director of Medicaid Community Offices with wide latitude for the exercise of independent judgement and initiative, the Director of the Out-Stationed Eligibility Division (OED) manages the operations of staff involved in the processing of applications and...

Insure high quality, cost-effective care and services for Elderplan members through support of professional Care Management and/or Clinical Service activities. The position supports all aspects of care coordination for our Medicare, Medicaid, and/or dual product members in compliance with all dep...

The Office of Constituent Services /Ombudsman Case Reviewer within the Medicaid Eligibility Information Services (EIS) is responsible for interviewing Medicaid applicants and reviewing their documentation to determine eligibility for Medicaid. The Office of Constituent Services /Ombudsman is seek...

Schedule: Fridays 8 am 4:30 pm Weekly.Contract: Start ASAP for 1 year w/ option to extend another full year!.Patient Load: 27 Beds 1 unit; coverage shared with another provider.In-network with NY Medicaid/Medicare.Please reach out to me ASAP if you are interested in this position.

One such program is the Supplemental Needs Trust (SNT) Program, which is responsible for the oversight of exception trusts that allow a disabled person with excess resources to shelter their assets and qualify for Medicaid. Director Of Supplemental Needs Trust. Within DSS AO, the Office of Liens ...

Within DSS-AO, resides an area called the Office of Quality Assurance & Fiscal Integrity, the Medicaid Quality Control Unit (MAQC). Medicaid Quality Control Case Review Supervisor. Ensure the Quality Control Case Reviewers validate the corrective actions taken by MICSA and HCSP staffs.

Our client, a top teaching hospital in New York City, is hiring an Endocrinologist.Treat patients in the diabetes, endocrine and thyroid clinics.Education of medical students and residents.Board certified/board eligible Endocrinologist.Valid New York State License, DEA and Medicaid number.Visa ca...

Identify, develop, execute and evaluate quality and process improvement projects in partnership with providers and/or vendors that support public health, HEDIS, QARR, NCQA and other regulatory needs. Utilize tools to monitor and drive improvement in key quality Medicare STARS and Medicaid incenti...

The Medicaid Eligibility Unit is responsible for the Medicaid eligibility review and processing of initial applications, change actions, and renewals for all Medicaid funded long term care programs. Directly supervise staff within HCSP's Medicaid Eligibility unit, so that the required support is ...

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 i...

The CNA is responsible for providing patients with in-home personal care and designated health related services to maintain the patient's physical and emotional well being, while following the written plan of care, Medicare/Medicaid regulations and agency policies and procedures.Reports any unusu...

SLRLU represents the agency in state court actions to establish paternity and support orders on behalf of DSS and assert liens and claims against Public Assistance and Medicaid recipients' personal injury awards and estate assets. Supervise attorneys providing legal representation of the Commissi...

Responsible for EmblemHealth's direct to consumer markets including Medicaid and the Individual marketon and off the Exchange.Collaborate with Marketing, Operations, and other functional areas/departments to develop and implement strategies that closely align with business objectives of driving m...

Bachelor's degree in a human services field and 3 years of utilization review experience in a health care facility regulated by Centers for Medicare and Medicaid Services Utilization Review Standards. Bronx Psychiatric Center is recruiting for a Utilization Review Coordinator to analyze and evalu...

Job Authorization: US Citizen/GC/EAD (H4/L2/TN) preferred- No 3rdPARTIES and Agencies RESUME C2C ACCEPTED.Job Description: 8 years of experience as a Senior Business System Analyst is required.Medicare/Medicaid experience and at least 3 years of experience in the health insurance industry are req...

The challenges of affordable healthcare continue to create new opportunities.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.These high-quality healthcare plans ...

Analyst Medicaid Rebates East Hanover, NJ Start Date: 01/03/2022 End Date: 06/30/2022 Assist in the validation and adjudication of Medicaid invoices. Process knowledge and experience in Medicaid rebate processing is required.

Home Care Services Program (HCSP) is recruiting for one (1) Principal Administrative Associate II, to function as a Medicaid Consultant within the Central Intake Unit, who will:.

Supervises registration and clerical staff, patient reception and manages all daily office functions to maintain efficient and effective office and program operations. Responsible for verification and reporting of Medicaid/insurance eligibility and reporting changes to staff and business office. ...

Job DescriptionAbout Elite Elite Home Health Care is a licensed home care agency that provides professional homecare services in the New York Metropolitan area, Central, and Upstate NY Regions. At Elite, we only hire the most qualified nurses, home health aides and caregivers who are hand-picked ...

Job DescriptionAbout Elite Elite Home Health Care is a licensed home care agency that provides professional homecare services in the New York Metropolitan area, Central, and Upstate NY Regions. At Elite, we only hire the most qualified nurses, home health aides and caregivers who are hand-picked ...

Job Description JOB DESCRIPTION Part-Time Bilingual Help 365 Bronx Case Manager (English/Spanish)Location: Bronx, NY New York Common Pantry is one of the city’s largest hunger relief organizations, providing food assistance, case management services, senior food provision, nutrition educati...

Job DescriptionDescription: The Bridge offers supportive housing and behavioral health services to vulnerable New Yorkers facing behavioral health and substance use challenges. We provide individuals with the tools they need to pursue their dreams and live meaningful lives. The Bridge envisions a...

Business Analyst With Medicare And Medicaid Experience.

Responsible for being the SME (Subject Matter Expert) for Medicaid risk adjustment programs in multiple states. Prior experience in Medicaid risk adjustment is not required.

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Associate Manager, Clinical Health Services.Join our Aetna team as an industry leader in serving Medicaid populations by utilizing best-in-class operating and clinical models.You can have a life-changing impact on our Medicaid members who present with a wide range of complex health and social cha...

Job Description JOB SUMMARY: The Community Health Worker screens, assesses, and links adults and families to healthcare, benefits/entitlements, nutritious food, affordable housing, and other needed social and community supports. ESSENTIAL JOB FUNCTIONS: List all essential job duties. (To perfor...

Job Description A well run Skilled Nursing Facility is hiring for a Director of Social Work. Job Duties: 1. Plan, develop, organize, implement, evaluate, and direct the social service programs of the facility., 2. Assist in the development, administering, and coordinating of department polici...