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  • One Commerce Plaza, Albany, 99 Washington Ave, Albany, NY, USA
    Req #45
    Wednesday, November 13, 2019
    Healthcare Data Analyst- DFRS - Item 1030 - Albany, NY   Additional Requirements and Day-to-Day Tasks of Position Strong Microsoft Excel skills; experience using Tableau to create dashboards. Day-to-Day Tasks: Support Value Based Payment related rate adjustments via data extractions and analysisSupport Managed Care through the development and maintenance of health plan dashboards using TableauPosition and Minimum Qualifications:2 years of SAS or SQL experience Some experience wi ... More
  • Illinois, USA
    Req #32
    Tuesday, November 12, 2019
    Registered Nurse – HCBS Waivers Review in Illinois Responsibilities: Builds and maintains relationships with users and providers to provide a high level of customer service. Evaluates provider for compliance to applicable regulations. Coordinate with providers to schedule onsite visits Clearly communicate visit requirements to providers Conduct informational provider compliance interviews Evaluate provider documentation and business practices against applicable regulations Collect d ... More
  • One Commerce Plaza, Albany, 99 Washington Ave, Albany, NY, USA
    Req #33
    Tuesday, November 12, 2019
    Healthcare Financial Analyst - Division of Health Plan Contracting and Oversight (DHPCO) - Item 1067 in Albany, NYDUTIES: This individual will assist the Department of Health’s Office of Health Insurance Programs (OHIP)/Division of Health Plan Contracting and Oversight (DHPCO) in development, analysis, outreach and oversight associated with the Managed Care Operating Cost Reports .   • Assist in the development of  quarterly financial reports for to collect financial information from ... More
  • Ohio, USA
    Req #44
    Friday, November 8, 2019
    Healthcare Compliance Investigator I - Ohio Duties and Responsibilities: Investigates incidents pertaining to Medicaid recipients and/or their providers with the purpose of ensuring health and welfare Educates Medicaid providers of all applicable rules, responsibilities, and best practices related to providing services to Medicaid recipients  Conducts thorough investigations of all incidents and violations including a review of all relevant documentation, billing, and inte ... More
  • Corning Tower, Albany, 100 S Mall Arterial, Albany, NY, USA
    Req #42
    Friday, November 1, 2019
    Medicaid Program Advisor (OPCHSM) – Item 1440 in Albany, NYUnder the direction of the Medicaid Program Director and the Special Advisor to the Commissioner, the Medicaid Program Advisor will be an active team member and will be assigned research projects on aging and long term care. Ability to be flexible, think critically and meet deadlines is very important in this position. Strong writing skills and the ability to communicate effectively are necessary. This position will also provide technica ... More
  • One Commerce Plaza, Albany, 99 Washington Ave, Albany, NY, USA
    Req #17
    Wednesday, October 30, 2019
    Senior Healthcare Program Specialist - DLTC - Albany, NY  Qualified and individually motivated candidates will report to senior management in the Division of Long Term Care in the Office of Health Insurance Programs to implement the policy and programmatic goals of the Medicaid program in the area of Long Term Care, including Managed Long Term Care insurance products, and fee-for-service long term care services and supports.  Candidates may be assigned to core day-to-day oversight and programmat ... More
  • One Commerce Plaza, Albany, 99 Washington Ave, Albany, NY, USA
    Req #20
    Wednesday, October 30, 2019
    Senior Healthcare Program Specialist  Qualified and individually motivated candidates will report to senior management in the Division of Long Term Care in the Office of Health Insurance Programs to implement the policy and programmatic goals of the Medicaid program in the area of Long Term Care, including Managed Long Term Care insurance products, and fee-for-service long term care services and supports.  Candidates may be assigned to core day-to-day oversight and programmatic implementation an ... More
  • One Commerce Plaza, Albany, 99 Washington Ave, Albany, NY, USA
    Req #41
    Wednesday, October 30, 2019
    Senior Healthcare Program Specialist ( 3 Open Positions ) Qualified and individually motivated candidates will report to senior management in the Division of Long Term Care in the Office of Health Insurance Programs to implement the policy and programmatic goals of the Medicaid program in the area of Long Term Care, including Managed Long Term Care insurance products, and fee-for-service long term care services and supports.  Candidates may be assigned to core day-to-day oversight and programmat ... More
  • One Commerce Plaza, Albany, 99 Washington Ave, Albany, NY, USA
    Req #40
    Wednesday, October 30, 2019
    Healthcare Program Specialist ( 2 Open Positions) - DLTC  Qualified and individually motivated candidates will report to senior management in the Division of Long Term Care in the Office of Health Insurance Programs to implement the policy and programmatic goals of the Medicaid program in the area of Long Term Care, including Managed Long Term Care insurance products, and fee-for-service long term care services and supports.  Candidates may be assigned to core day-to-day oversight and programma ... More
  • One Commerce Plaza, Albany, 99 Washington Ave, Albany, NY, USA
    Req #38
    Monday, October 28, 2019
    Data Analyst (Medicaid Rate Setting) in Albany, NY As a Data Analyst, part of the Medicaid rate setting team, you will be part of setting reimbursement rates which disburses over $17 Billion dollar in premiums to Health Plans which provide health care coverage to the neediest individuals and families in New York state. As a part of our contract, we are responsible to ensure that Health Plans are receiving adequate funding to cover the necessary costs of the covered members, as well as cr ... More
  • One Commerce Plaza, Albany, 99 Washington Ave, Albany, NY, USA
    Req #39
    Friday, October 25, 2019
    Healthcare Program Specialist – Division of Communications (Item 1009) in Albany, NY This position would be in the OHIP Division of Communications. Under the direction of NYS staff, the candidate would perform the following duties: ·         Internal Communications- Newsletter, In-departmental messaging, OHIP Intranet, ListServe Management ·         Writing and Editing Skills ·         Experience using Word, Outlook, Excel, PowerPoint, and Adobe In-Design ·         HTML ... More
  • One Commerce Plaza, Albany, 99 Washington Ave, Albany, NY, USA
    Req #36
    Monday, October 21, 2019
    Healthcare Program Specialist - Division Of Long Term Care (Item 1377) in Albany, NY The incumbent in this position will assist directors and staff in the Office of Health Insurance Programs (OHIP), Division of Long Term Care in a broad range of planning, implementation, reporting and evaluation activities within the Division of Long Term Care’s Technical Assistance Center (TAC). Additional duties include: Research and respond to a wide range of inquiries from consumers and pla ... More
  • One Commerce Plaza, Albany, 99 Washington Ave, Albany, NY, USA
    Req #22
    Friday, October 18, 2019
    Healthcare Data Analyst- DFRS- Item 1031- Albany, NY  Day-to-Day Tasks:Adjudicate and process Stoploss payment requestsCreate/run data queriesAssist in inventory reportingRespond to ad-hoc requests Position and Minimum Qualifications:  Basic level Microsoft Excel experienceExperience managing multiple projects/assignmentsExperience engaging external stakeholdersBasic healthcare claims knowledgeAdditional Requirements and Day-to-Day Tasks of Position 2 years of SAS or SQL experience Basic level M ... More
  • One Commerce Plaza, Albany, 99 Washington Ave, Albany, NY, USA
    Req #28
    Wednesday, September 11, 2019
    Senior Healthcare Program Specialist (DFRS) Item 1040  in Albany, NY  Additional Requirements and Day-to-Day Tasks of Position Responsible for the following: Complete State Plan amendment packages for submission for CMS approval Satisfaction of reporting requirements and CMS RAIs relating to OP UPL payments Coordinate the annual submission of the UPL for Outpatient services Forecast, track, and monitor the Health Facility Cash Assessment Program (HFCAP) ... More
  • One Commerce Plaza, Albany, 99 Washington Ave, Albany, NY, USA
    Req #18
    Thursday, September 5, 2019
    Senior Healthcare Program Specialist - DLTC - Item 1138 in Albany, NY Responsibilities:This individual will provide professional review and technical assistance including quality improvement and serve as a program team member providing oversight to Medicaid programs, in particular 1915(c) Medicaid waivers. Oversight of Serious Reportable Incidents and complaints as quality assurance measures.  Develop training curricula related to quality assurance measures and outcomes. Train staff and stak ... More
  • 431A Broadway, Menands, 431 Broadway, Menands, NY, USA
    Req #11
    Tuesday, July 9, 2019
    Healthcare Program Associate - DHPCO - Item 1401 Requirements and Day-to-Day Tasks of Position:Strong computer skills with proficiency in Microsoft Office, navigation and data entryExcellent organizational skills including the ability to prioritize work assignmentsAbility to be flexible, innovative and work independently with minimal supervision and as a team leadStrong communication skills (written and verbal) with the ability to handle internal and external calls/inquiriesPrevious experience i ... More
  • 431A Broadway, Menands, 431 Broadway, Menands, NY, USA
    Req #10
    Sunday, June 30, 2019
    Healthcare Program Associate - DHPCO Item 1349Requirements and Day-to-Day Tasks of Position:Strong computer skills with proficiency in Microsoft Office, navigation and data entryExcellent organizational skills including the ability to prioritize work assignmentsAbility to be flexible, innovative and work independently with minimal supervision and as a team leadStrong communication skills (written and verbal) with the ability to handle internal and external calls/inquiriesPrevious experience in a ... More
  • One Commerce Plaza, Albany, 99 Washington Ave, Albany, NY, USA
    Req #7
    Sunday, June 30, 2019
    Licensed NYS Pharmacist - Division of Program Development & Management in Albany, NY - Item 1415Day-to-Day Tasks of PositionThe position will report to the Pharmacy formulary and Operations Supervisor.   Specific duties include: researching, analyzing ,developing clinical criteria, and performing quality assurance reviews of the Medicaid pharmacy formulary; communicating and working with Medicaid Managed Care plans to ensure consistent delivery of the pharmacy benefit; contributing to provider, ... More
  • 431A Broadway, Menands, 431 Broadway, Menands, NY, USA
    Req #2
    Sunday, June 30, 2019
    Healthcare Data Analyst - Division of Healthcare Plan & Contract Oversight (Item  1073) in Menands, NYThe position is responsible for:Providing guidance and management to staff utilizing provider enrollment’s datasetsThe datasets are an integral part in the ongoing revalidation and enrollment activities of this Unit and supports the enrollment, under Part 438 of the CMS final rule, of providers employed by managed care programProviding technical support for Provider Enrollment’s day to day activ ... More
  • One Commerce Plaza, Albany, 99 Washington Ave, Albany, NY, USA
    Req #1
    Sunday, June 30, 2019
    Medicaid Program Advisor (OHIP EXEC) in Albany, NYDay-to-Day Tasks of PositionThe position will support the Department of Health in a very transformative effort to transition the NYS Medicaid healthcare delivery system to a value based payment model and to achieve the goals of the NYS Value Based Payment (VBP) Roadmap. The position will report directly to the Director of Medicaid Payment Reform and will be responsible for a number of tasks related to policy development, stakeholder engagement an ... More