Medicaid jobs in Woodside, New York (NY) State

About NYC Health + HospitalsMetroPlus 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 ...

The Medicaid Entitlement Specialist is responsible for assisting clients in the Medicaid recertification process to reactivate their insurances so NYPCC services can continue without disruption. Medicaid Entitlement Specialist. Contact clients that have lost their Medicaid coverage to discuss pos...

The ideal candidate will bring a deep understanding of Medicaid policies, regulations, and the ecosystem, coupled with a passion for leveraging technology to improve access and outcomes for Medicaid beneficiaries. Title: Medicaid Subject Matter Expert (SME). Medicaid Subject Matter Expert (SME) t...

We help our clients maximize their reimbursements from the Medicaid to Schools program, providing much-needed funding back to the school districts that we serve. Medicaid with school districts in a way that builds compliance, accuracy, and maximization and yields client loyalty. Our vision is to ...

Under the supervision of the Team Supervisor, with some latitude for independent judgement, the Medicaid Helpline Agent is responsible for providing information to callers on the Medicaid program and services. OCS is recruiting for four (4) Eligibility Specialist II to function as Infoline/Medica...

Medicare/Medicaid Dual Plan Marketing Representative. Medicare and Medicaid dual-eligible people with IDD into Partner Health Plan’s fully integrated insurance plan. Managed Care, Medicare/Medicaid outside sales experience or IDD Care Coordination Organization (CCO) Sales/Enrollment. ...

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. Medicaid Administration Program (MAP) is recruiting for fourteen (14) Eligibility Specialist II to...

The Medicaid Entitlement Specialist is responsible for assisting clients in the Medicaid recertification process to reactivate their insurances so NYPCC services can continue without disruption. Job ...

As a Medicaid Specialist , within the Entitlements Department, she/he will maintain a working relationships with the Department of Social Services/Medicaid Office/Expedited and Marketplace to ensure ...

Communicate with potential residents/patients/designated representative on Medicaid guidelines as it relates to Medicaid eligibility with monthly NAMI responsibility, Medicaid transfer rules with ...

While experience in Medicaid-related areas such as coverage, reimbursement, managed care delivery systems, or projects under section 1115 of the Social Security Act is preferred, they encourage ...

Admissions/Medicaid Coordinator Come join us at Ozanam Hall Nursing Home of Queens! A Faith-Based, Nonprofit, Short-Term Rehabilitation and Skilled Geriatric Care facility sponsored by the Carmelite ...

Ensure high performance and productivity of pre-enrollment verifications of Medicare, Medicaid, and PACE eligibility * Educate referral sources, prospective participants/caregivers, and other ...

The ideal candidate will have a solid understanding of the regulatory framework for publicly-funded health and human service programs (e.g., Medicare, Medicaid, and HHS-administered grant programs ...

New York We are looking for a Medicaid SME for Mobile App Development who will play a critical role in ensuring that mobile application meets the complex needs and compliance requirements of Medicaid ...

The Support and Lien Recovery Litigation Unit (SLRLU) encompasses various sections responsible for the litigation and recovery of Medicaid costs, public assistance, and child support. SLRLU seeks ...

Develops and maintains current knowledge of state and federal regulatory requirements related to all aspects of grievances and appeals for Medicare managed care organizations, Medicaid, home health ...

If you are appointed and you lose the ability to bill through Medicare and Medicaid, you may be terminated from your employment. Additional Comments All OMH employees receive a generous benefits ...

Provide billing and Medicaid eligibility support, including but not limited to: weekly Medicaid eligibility checks, tracking and contacting Managed Care Organizations (MCOs) for prior authorizations ...

If you are appointed and you lose the ability to bill through Medicare and Medicaid, you may be terminated from your employment. 3. License and Certification: Loss of license or limited permit to ...

The Director of the PROS program manages and directs the Goodwill PROS Program, administers a NYS Office of Mental Health/Medicaid budget to provide necessary services to individuals with a diagnosed ...

BILLING RESPONSIBILITIES: 1. Prepares and submits initial Medicare and Medicaid bills either electronically or by hard copy submission to ICL Accounting/Billing Department. 2. Reviews and confirms ...

Primary Responsibilities:-Coordinates utilization reviews of managed care contracts using established guidelines and processes.-Ensures all clinical operations comply with Medicare and Medicaid ...

This is a newly created "all hands on deck" role where you will oversee multiple Managers over training, private pay, Medicaid compliance, business office, assisted living, and receivership. You will ...