Job Search
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Onsite Reviewer (OH Department of Medicaid) in Ohio (Location – Cleveland/Canton/Akron/Columbus area) The overarching responsibility for this position is to ensure Ohio Medicaid providers are providing a legitimate service, operating within the required Ohio administrative code rules, and completing site visits at the providers listed service location(s) using a comprehensive checklist approved by the Ohio Department of Medicaid (ODM). The Onsite Reviewer will operate on a solo basis, within ...Read more about Onsite Reviewer - OhioMore
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Senior Healthcare Program Specialist – Office of Mental Health in Albany, NY Summary: The Division of Strategic Finance and Managed Care, Office of Managed Care is recruiting to fill one Senior Healthcare Program Specialist position. The Office of Managed Care is responsible for large scale system transformation as New York State migrates from a fee-for-service system to a person-centered service system focused on recovery. This position is integral to OMH’s Medicaid managed care oversight ac ...Read more about Senior Healthcare Program SpecialistMore
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Healthcare Program Associate, Albany, NY DEMI - 1255 Summary The Healthcare Program Associate will work within the Division of Eligibility and Marketplace Integration’s (DEMI) Bureau of Community Enrollment and Eligibility Processing to help provide and expand health insurance to New York’s neediest and most vulnerable populations. The duties may include, but not limited to, the following: Assisting in the implementation of a new health insurance program for the elderly population. Work with lo ...Read more about Healthcare Program AssociateMore
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Healthcare Program Associate – Provider Enrollment Summary: The position will review provider enrollment documents, verify information, follow up on missing information, perform data entry, meet production and quality standards, maintain documentation, and assist and educate providers and their representatives about the enrollment process. Minimum Qualifications: Two years’ experience in healthcare field required, or An Associate degree in a related field may be substituted for th ...Read more about Healthcare Program AssociateMore
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One Commerce Plaza, Albany, 99 Washington Ave, Albany, NY, USA ● Req #533Wednesday, July 3, 2024Healthcare Program Specialist - Provider Enrollment - Albany, NY Part-time position 20-29hrs 100% remote (interview in person/training in person) Day-to-Day Tasks of Position: This position is in a high-volume production environment and will be responsible for processing healthcare provider applications for enrollment in the New York State Medicaid program while ensuring compliance with State and federal laws, regulations, and policies. This position may also process revalidations for enrollm ...Read more about Healthcare Program Specialist (Part-Time)More
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Corning Tower, Albany, 100 S Mall Arterial, Albany, NY, USA ● Req #498Wednesday, July 3, 2024Supervisor - Financial Review – Office of Primary Care & Health Systems Management Responsibilities: This position is to serve as a financial reviewer responsible for monitoring the financial status of financially distressed Article 28 facilities receiving state support as they implement transformation plans for long-term financial sustainability, and for assessing financial capability and feasibility for Certificate of Need (CON) establishment and construction applications submitted by hospit ...Read more about Supervisor - Financial ReviewMore
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Corning Tower, Albany, 100 S Mall Arterial, Albany, NY, USA ● Req #225Wednesday, July 3, 2024Financial Analyst - Hospital Finance Review in Albany, NY50% Onsite / 50% Remote Responsibilities: This position will be responsible for analyses to support assessment of Article 28 facility financial needs and facilitate quantification and implementation of transformation plans associated with funding from State operating assistance programs and capital grant awards The work with financially distressed facilities that typically have a 75- 80% Medicaid payer mix will include review of an ...Read more about Financial Analyst - Hospital Finance ReviewMore
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Corning Tower, Albany, 100 S Mall Arterial, Albany, NY, USA ● Req #224Wednesday, July 3, 2024Financial Analyst - Hospital Finance Review Summary: This position is to serve as a financial reviewer responsible for monitoring the financial status of financially distressed Article 28 facilities receiving state financial support as they implement transformation plans for long-term financial sustainability. This person will be engaged in these financial review activities and will be responsible for providing analysis and advice on a wide range of financial issues related to emergent trends i ...Read more about Financial Analyst - Hospital Finance ReviewMore
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Advanced Contact Tracer – City of Cincinnati (In-office) Overview: A Contact Tracer will work on behalf of the City of Cincinnati Health Department (“Health Department”) and will be tasked with running the city’s COVID-19 hotline, performing positive case notifications and investigations, infection prevention and control activities with high-risk settings and providing vaccine scheduling and clinic vaccine administration support for the general public, and other communicable disease related nee ...Read more about Advanced Contact Tracer - OHMore
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Medicaid Program Manager - Albany, NY DEMI 1166 Summary Within the Division of Eligibility and Marketplace Integration (DEMI), Eligibility Systems Modernization Group, the incumbent will manage multiple supervisors and technical staff who provide support for activities related to the implementation of the new eligibility system for New York’s Complex Medicaid population. The individual will act as a liaison between the DEMI policy team, and other stakeholders and vendors, to provide system req ...Read more about Medicaid Program Manager - DEMI 1166More
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Senior Healthcare Data Analyst - Albany, NY DDSA - 1260 Summary The Tools Administrator will work within the Division of Data Services & Analytics (DDSA) Division Data Architecture Unit. The position is multi-role in nature and will perform duties in the areas of toolset configuration, low-code development, project management and business analysis. The individual will be responsible for configuration and general business-side administration of both vendor provided and internally developed util ...Read more about Senior Healthcare Data Analyst - DDSA 1260More
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Healthcare Organizational Operations Administrator - Albany, NY Summary: This position is in the Medical Evidence Gathering Group of the State Disability Review Unit. The incumbents will be responsible for gathering medical evidence for Medicaid disabilities determinations, and will involve regular contact with applicants, physicians’ offices, hospitals, and other health care providers to gather the documentation necessary for a Medicaid disability determination to be conducted. Basic Qu ...Read more about Healthcare Organization Operations AdministratorMore
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Principal Healthcare Data Analyst - Albany, NY DDSA - 1167 Summary The AI Solutions Architect is responsible for designing and implementing AI systems that can solve complex business problems and provide deep analytics. AI Architects are responsible for selecting the appropriate AI technologies and tools to implement the solutions, and ensuring that the solutions are scalable, reliable, and efficient. They work closely with stakeholders to understand the business requirements and design soluti ...Read more about Principal Healthcare Data AnalystMore
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Principal Healthcare Data Analyst - Albany, NY DDSA - 1172 Summary The AI Solutions Architect is responsible for designing and implementing AI systems that can solve complex business problems and provide deep analytics. AI Architects are responsible for selecting the appropriate AI technologies and tools to implement the solutions, and ensuring that the solutions are scalable, reliable, and efficient. They work closely with stakeholders to understand the business requirements and design soluti ...Read more about Principal Healthcare Data AnalystMore
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Senior Healthcare Program Specialist – Albany, NY OHIP - Item 1162 Summary Will work under the supervision of the Director of Strategic Operations and Planning to support the Medicaid Executive Office in the development and implementation of new strategic Medicaid initiatives, including budget priorities, federal waiver authority programs such as the 1115 waiver, and other state and federal activities through policy research and development, project management, and collaboration with subjec ...Read more about Senior Healthcare Program SpecialistMore
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Senior Healthcare Program Specialist: Albany, NY Summary: The incumbent, with other staff, will be responsible for developing, interpreting, and implementing Medicaid payment and coverage policy for a broad range of medical services reimbursed in both fee-for-service as well as Managed Care. Policy areas may include laboratory services, outpatient clinic services, inpatient hospital services, practitioner services, vision, podiatry, radiology, and acupuncture and chiropractic services, and l ...Read more about Senior Healthcare Program SpecialistMore
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Healthcare Organizational Operations Administrator, Albany, NY DEMI – 1159 Summary Review information submitted to the Bureau of Third Party Health Insurance, Medicare Savings Program and Recoveries from a variety of sources including, but not limited to, Medicaid Managed Care Organizations (MMC), other internal units/Bureaus. Make the necessary determination regarding any necessary updates to eMedNY and possible MMC premium recovery. Analyze and verify Third Party Health Insurance (TPHI) relat ...Read more about Healthcare Organizational Operations AdministratorMore
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Healthcare Organizational Operations Administrator: Albany, NY Summary: These positions are in the Medical Evidence Gathering Group of the State Disability Review Unit. The incumbents will be responsible for gathering medical evidence for Medicaid disabilities determinations, and will involve regular contact with applicants, physicians’ offices, hospitals, and other health care providers to gather the documentation necessary for a Medicaid disability determination to be conducted. Basic Qualif ...Read more about Healthcare Organizational Operations AdministratorMore
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Healthcare Data Specialist, Albany, NY Summary: This individual will assist senior staff in the New York State Department of Health, Division of Health Plan Contracting and Oversight (DHPCO). Working within the Bureau of Managed Long Term Care with the System’s Team, the candidate will provide support for existing and new federal and state reporting requirements, audits, operational surveys, and enrollment issues. Job Duties to Include: Analysis of data to respond to state and federal reporting ...Read more about Healthcare Data SpecialistMore
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One Commerce Plaza, Albany, 99 Washington Ave, Albany, NY, USA ● Req #508Tuesday, July 2, 2024Healthcare Program Associate - Bureau of Specialized Service for Children in Albany, NYItem 1174Summary: The candidate must possess a professional approach to all aspects of their work; have excellent communication, analytical and organizational skills; and be able to effectively communicate verbally and in writing with internal and external stakeholders regarding services for children with special needs. The candidate must be comfortable using management information system; have proficiency wit ...Read more about Healthcare Program Associate - Children's ServicesMore
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Corning Tower, Albany, 100 S Mall Arterial, Albany, NY, USA ● Req #459Tuesday, July 2, 2024Data Scientist-Healthcare Analytics: Item 1292 Remote position Summary: This individual will assist managers and researchers in the Office of Quality and Patient Safety in a broad range of data management, analysis, programming and reporting activities and will be responsible for conducting analyses from existing NYSDOH, state and federal data sources that can be used to plan and evaluate Value Based Payment (VBP) related initiatives. Duties:Coordinates with the collection, tracking and reporti ...Read more about Data Scientist-Healthcare AnalyticsMore
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One Commerce Plaza, Albany, 99 Washington Ave, Albany, NY, USA ● Req #434Tuesday, July 2, 2024Principal Healthcare Data Specialist - Albany, NY DDSA - 1272 Summary The Business Analyst will work within the Division of Data Services & Analytics (DDSA) Data Sharing team to manage and document project and request requirements. The ideal candidate will utilize their experience and skill set to coordinate internal and external requests for data from the NYS Department of Health’s Medicaid program. The candidate will follow established processes, align with federal and state laws and regulati ...Read more about Principal Healthcare Data SpecialistMore
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Quality Assurance Officer - CDC in Augusta, ME Summary: The primary purpose of this position will be to join and assist the Health & Environmental Testing Laboratory (HETL) Quality Assurance Team with maintaining global quality systems, and appropriate and sufficient associated records. The position will assist with ensuring the lab is meeting all required accreditation standards for various accrediting and credentialing boards. The position will participate in both external and internal aud ...Read more about Quality Assurance OfficerMore
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Senior Healthcare Program Specialist - Albany, NY DPDM - 1098 Summary Assist with tasks related to the launch of a new certification process for medical respite programs in New York State, including: Tracking and reviewing certification applications, including following up with applicants regarding incomplete materials. Implementing an on-site inspection process and reviewing results for completeness and accuracy. Maintaining a directory of certified medical respite programs. Developing and ...Read more about Senior Healthcare Program SpecialistMore
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Senior Healthcare Program Specialist – Albany, NY Item 1113 Summary: The Bureau of Social Care and Community Supports works to integrate health and human services within the Medicaid program. The bureau is composed of two units, Housing and Social Determinants of Health. This position is within the Housing Unit. The incumbent will oversee housing providers that are contracted to assist vulnerable Medicaid members in obtaining supportive housing. Duties of the position include: Contrac ...Read more about Senior Healthcare Program SpecialistMore