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  • Albany, NY, USA
    Req #62
    Thursday, March 19, 2020
    Senior Healthcare Program Specialist - Division of Program Development & Management in Albany, NY (Item 1165) Role Summary: Under the Consolidated Children’s Waiver that was implemented on April 1, 2019, NYS DOH now has responsibility for the development, implementation, monitoring and oversight of the Waiver.  This position will be responsible for assisting in the implementation of these activities. This will include coordination and collaboration among the various agencies, entiti ... More
  • Ohio, USA
    Req #64
    Friday, March 13, 2020
    Healthcare Compliance Investigator in 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 int ... More
  • 44 Holland Ave, Albany, 44 Holland Ave, Albany, NY, USA
    Req #63
    Monday, March 9, 2020
    Medicaid Program Advisor - Office of Mental Health in Albany, NY  (Item 1237)  This position is integral to OMH’s Medicaid Managed Care stakeholder engagement and oversight activities  and is relied upon to perform operational surveys of Medicaid Managed Care Plans. A successful candidate will be able to validate survey findings, articulate conclusions, and produce summary reports. Writing and organizational skills are imperative to the functions of this position. Knowledge o ... More
  • Menands, NY, USA
    Req #59
    Monday, March 2, 2020
    Medicaid Registered Nurse (Item 1326) – Division of Operations & Systems in Menands, NY The Office of Health Insurance Programs Bureau of Medical Review is seeking a Registered Nurse (RN) to work as a front line prior approval/pended claims reviewer. The Bureau of Medical Review is responsible for prior approval and post payment review of medical equipment and services, policy development, fraud and abuse monitoring for the New York State Medicaid System.  Duties:  Performin ... More
  • Albany, NY, USA
    Req #51
    Friday, February 14, 2020
    Clinical Case Manager - Medical Indemnity Fund in Albany, NY Overall Responsibilities: SSO is currently seeking a qualified Case Manager.  The Case Manager will be responsible for assisting enrollees of a publicly administered Medical Fund on behalf of a state agency. The Case Manager will be charged with helping program recipients, family members, and caretakers navigate healthcare benefits offered through this Fund. The Case Manager will also be responsible for utilizing a case managemen ... More
  • One Commerce Plaza, Albany, 99 Washington Ave, Albany, NY, USA
    Req #56
    Wednesday, February 12, 2020
    Healthcare Program Specialist – DPDM (Item 1203) in Albany, NY   The Healthcare Program Specialist will provide program coordination and support to the Program Director, and senior leaders in the New York State Department of Health for a multi-year federal grant.  Duties will include, but not limited to: Assisting in a broad range of project implementation, monitoring, and evaluation activities Building rapport and functioning as a program liaison with DOH and a ... More
  • Albany, NY, USA
    Req #45
    Wednesday, February 5, 2020
    Healthcare Data Analyst- DFRS - Item 1030 - Albany, NY   Day-to-Day Tasks of Position:Support Value Based Payment program related rate adjustments via data extractions and analysis using SQLSupport Managed Care through the development and maintenance of health plan dashboards using TableauThe right candidate for this role will have experience writing complex code for the purposes of data mining. Minimum Qualifications:2 years of SAS or SQL experienceSQL experience is a must for this roleS ... More
  • One Commerce Plaza, Albany, 99 Washington Ave, Albany, NY, USA
    Req #53
    Friday, January 24, 2020
    Medicaid Registered Nurse - DPDM - Item 1111 in Albany, NY Position Summary: The Bureau of Medical, Dental and Pharmacy Policy in the Division of Program Development and Management has overall responsibility for program policy governing a wide range of health care services and programs provided under the Medicaid program including but not limited to hospital outpatient services, free-standing clinics, Federally Qualified Health Centers, medical, dental, pharmacy policy,  new techno ... More
  • One Commerce Plaza, Albany, 99 Washington Ave, Albany, NY, USA
    Req #52
    Friday, January 24, 2020
    Medicaid Registered Nurse - DPDM - Item 1168 in Albany, NY Position Summary: The Bureau of Medical, Dental and Pharmacy Policy in the Division of Program Development and Management has overall responsibility for program policy governing a wide range of health care services and programs provided under the Medicaid program including but not limited to hospital outpatient services, free-standing clinics, Federally Qualified Health Centers, medical, dental, pharmacy policy,  new technology cov ... More
  • New York, NY, USA
    Req #50
    Wednesday, January 22, 2020
    Clinical Case Manager - Medical Indemnity Fund in New York CityOverall Responsibilities: SSO is currently seeking a qualified Case Manager.  The Case Manager will be responsible for assisting enrollees of a publicly administered Medical Fund on behalf of a state agency. The Case Manager will be charged with helping program recipients, family members, and caretakers navigate healthcare benefits offered through this Fund. The Case Manager will also be responsible for utilizing a ... More
  • One Commerce Plaza, Albany, 99 Washington Ave, Albany, NY, USA
    Req #17
    Wednesday, December 11, 2019
    Senior Healthcare Program Specialist - DLTC (Item 1090) - 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 an ... More
  • One Commerce Plaza, Albany, 99 Washington Ave, Albany, NY, USA
    Req #40
    Wednesday, December 11, 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 #20
    Wednesday, October 30, 2019
    Senior Healthcare Program Specialist - DLTC (Item 1408) in 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 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