Medicaid Investigator jobs - New York, NY
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| May 25 | SUPERVISOR OF MEDICAID ENTITLEMENT | Promesa | New York, NY |
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Primary Care Clinics, seeks a Supervisor of Medicaid Entitlement. Description: The ideal ... applicants for Public Assistance and Medicaid, gathering information... more |
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| May 25 | Medical Records Administrator-(Documentation & Coding Education Specialist) | United States Department of Veterans Affairs | East Orange, NJ |
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(JCAHO), the Centers for Medicare and Medicaid Services, etc.; 3. Ability to provide technical advice and/or provide oversight on health information issues. This includes skill in... more |
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| May 23 | Quality Manager | University of Pittsburgh Medical Center | Yonkers, NY |
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whose health coverage is sponsored through Medicaid, Medicare, and commercial plans. We are currently seeking candidates for a full-time Quality Manager to help support the... more |
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| May 23 | Network Management Representative | Healthfirst | Newark, NJ |
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a marketable network of providers for Medicaid and Medicare, and other potential ... and collaborate with the Medicare and Medicaid sales Respresentatives. Participate... more |
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| May 23 | Sr. Risk Adjust. Analyst (SSP) | Emblemhealth | New York, NY |
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on CRG related information; Report on Medicaid and Medicare member claims, ... to meet team and departmental needs for Medicaid and Medicare populations Run ad hoc... more |
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| May 21 | Senior Investigator | UnitedHealth Group | Iselin, NJ |
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Senior Investigator The UnitedHealthcare Government Program (UHCGP) Special Investigations ... statistical outliers relevant to the Medicaid program; Prepare and present reports on the... more |
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| May 21 | Administrative Manager | Mount Sinai Medical Center | Manhattan, NY |
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regulatory compliance for designated Medicaid and Medicare, JCAHO and other ... denials management. Ensures compliance with Medicaid and Medicare, and billing and... more |
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| May 16 | Financial Investigator | Visiting Nurse Service of New York | New York, NY |
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maintain their Medicaid coverage by handling Medicaid applications and re-certifications. ... for initiating/monitoring/following-up on Medicaid application process to ensure timely... more |
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| May 15 | Regional Director Payer Relations | Biomet | Parsippany, NJ |
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intelligence to senior management, including Medicaid and Workers Compensation legislation at state levels. Maintain close interaction with Insurance Services Center on insurance... more |
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| May 12 | Provider Relations Analyst Job | AMERIGROUP | New York, NY |
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reports on the following information: ICR Medicaid, POC comparison, rate tracking by ... Preferred: - Experience in Medicaid/Medicare network activities - Field experience and/or... more |
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| May 12 | Special Investigator | Visiting Nurse Service of New York | New York, NY |
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agents. Evaluates and analyzes Medicare and Medicaid records, researches monetary losses, ... Very strong knowledge of Medicare, Medicaid statues, regulations, policies,... more |
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| May 11 | FISCAL AUDITOR | Ipro | New Hyde Park, NY |
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conduct audit activities in accordance with Medicaid coverage, coding and audit policies ... (1) year of auditing experience, required. Medicaid reimbursement, healthcare billing or... more |
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| May 09 | Senior Investigator - Minnesota or | UnitedHealth Group | Iselin, NJ |
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The Senior Investigator may also conduct onsite provider claim and/or clinical audits (uti ... healthcare programs (Medicare, Part D, Medicaid, Military & Veterans), Bachelor... more |
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| May 01 | Program Director | Devereux | Wayne, NJ |
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includeknowledge of NJ's DDD regulations, medicaid fee-for-service, strong financial acumen and the ability to analyze and forecast needs, leading and influencing others by... more |
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| Apr 20 | Supervisor Financial Investigations | Visiting Nurse Service of New York | New York, NY |
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maintain their Medicaid coverage by handling Medicaid applications and re-certifications. ... efficient methods for obtaining/maintaining Medicaid Eligibility and accurate Medicaid... more |
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| Apr 06 | COMPLIANCE MGR - ST6289 | ValueOptions | Manhattan, NY |
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with experience working in New York Medicaid, New York Insurance and Medicare ... of federal compliance requirements and Medicaid/Medicare Advantage... more |
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| Apr 01 | Financial Analyst | Healthcare Company | New York, NY |
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System for Insurance policies and medicare / medicaid Excellent written and verbal communication skills and presentation ability are essential in synthesizing information, making... more |
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| Mar 07 | Administrative Manager | Mount Sinai | Manhattan, NY |
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regulatory compliance for designated Medicaid and Medicare, JCAHO and other ... denials management. Ensures compliance with Medicaid and Medicare, and billing and... more |
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| Feb 28 | NY HEDIS Program Lead RN | Carenational Healthcare Services | Garden City, NY |
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and reporting requirements for Medicare, Medicaid, and applicable state plans. Must be computer literate and knowledgeable in MS Office, E-mail and EMR systems, and multiple... more |
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| Feb 17 | Director of Clinical Operations, Clinical Research Management Office | Columbia University | New York, NY |
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and infrastructure to build and sustain investigator initiated, industry and ... * Providing oversight and monitoring of investigator/coordinator compliance with standard... more |
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| Feb 16 | Program Coordinator (Part Time) | Albert Einstein College of Medicine, Yeshiva University | New York, NY |
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funding for services through foster agency Medicaid per diem rates and/or governmental sources of funding (e.g. TANF), to support project sustainability Provide general... more |
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| Jan 12 | Quality Assurance Representative | Logisticare | Long Island City, NY |
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of state and local government agencies (Medicaid agencies, transit authorities, school boards), managed care organizations and hospitals. LogistiCare is not a provider of... more |
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| Dec 14 | Business Systems Sr. Analyst | Services | Ny, NY |
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in The Centers for Medicare and Medicaid Services (CMS) regulations and hospital reimbursement. - Clinical service or practice area knowledge to the extent of being able to... more |
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| Dec 13 | Chief Privacy and Compliance Officer | Compliance Search Group | White Plains, NY |
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outcomes. We work collaboratively with Medicaid Agencies, state and local governments, health plans, employers and labor trust groups to design and deliver services and solutions... more |
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| Oct 25 | Quality Assurance ANALYST --NJ or NYC | Royale Class Consulting | New York, NY |
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llent Communication Skills is a MUST * TAKE Charge individuals able to take initiative to get things done and followup without supervision. * Must have Medicare/Medicaid... more |
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