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Description Responsibilities The Associate Director for ACD Audit , at the director of the Director of Payment Integrity, will create and implement process improvement plans focused on the beneficiary and provider ..
Description The Referrals Coordinator 2 process referrals from Military Treatment Facilities (MTFs) and civilian providers. The Referrals Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically ..
Apply Now Share this job Send yourself a reminder Alert me to jobs like this one NUMBER OF POSITIONS: 1 SALARY GRADE: SG-30 SALARY: $111,803 - $136,516 NEGOTIATING UNIT: PEF (05) ..
Description The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All ..
Description Humana is continuing to grow nationwide! We have 28 new Bilingual Medicaid Inbound Contact Representative openings that will have the pleasure of taking inbound calls from our Florida Medicaid Members ..
Contact Agency Mental Health, Office of Title Rehabilitation Counselor 2, Central New York Psychiatric Center – Coxsackie Mental Health Unit, P23993 Occupational Category Health Care, Human/Social Services Salary Grade 19 Bargaining ..
Description The Medical Records Retrieval Representative (Risk Adjustment Representative 2) works with regional providers to utilize EMR access and other retrieval methods to retrieve member medical records that will be submitted ..
Contact Agency Children & Family Services, Office of Title Child Protective Services Specialist 1 Occupational Category Enforcement or Protective Services Salary Grade 16 Bargaining Unit PS&T - Professional, Scientific, and Technical ..
Description The DRG Validation Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM and PCS) to patient records. The Medical ..
Description If you are a problem solver, resourceful, and looking to make a difference for your family as well as others we want you on our team. Help us deliver exceptional ..
Description The Behavioral Health Medical Director responsible for behavioral health care strategy and/or operations. The Behavioral Health Medical Director work assignments involve moderately complex to complex issues where the analysis of ..
Contact Agency Health, Department of Title Health Program Administrator 1 –51018 Occupational Category Health Care, Human/Social Services Salary Grade 23 Bargaining Unit PS&T - Professional, Scientific, and Technical (PEF) Salary Range ..
Contact Agency Labor, Department of Title Program Research Specialist 3 Human Services - Albany Occupational Category Other Professional Careers Salary Grade 23 Bargaining Unit PS&T - Professional, Scientific, and Technical (PEF) ..
Contact Agency Medicaid Inspector General, NYS Office of the Title Pharmacy Consultant Occupational Category Health Care, Human/Social Services Salary Grade 25 Bargaining Unit PS&T - Professional, Scientific, and Technical (PEF) Salary ..
Contact Agency Health, Department of Title Health Program Administrator 1 - Item 51018 Occupational Category Health Care, Human/Social Services Salary Grade 23 Bargaining Unit PS&T - Professional, Scientific, and Technical (PEF) ..
Contact Agency Mental Health, Office of Title Psychologist 2, Central New York Psychiatric Center – Coxsackie Residential Mental Health Unit, P24028 Occupational Category Health Care, Human/Social Services Salary Grade 23 Bargaining ..
Job Information Humana Bilingual Quality Auditor in Albany New York Description The Bilingual Quality Auditor/ Professional 2 ensures that products meet specific Centers for Medicaid and Medicare Services standards of quality. ..
Contact Agency Health, Department of Title Health Program Director 1 - Item 87926 Occupational Category Other Professional Careers Salary Grade 664 Bargaining Unit M/C - Management / Confidential (Unrepresented) Salary Range ..
Description The Bilingual Manager, Learning Facilitation , plans, coordinates, and implements all aspects of training programs for participants throughout for Grievance and Appeals / Careplus. EST states Responsibilities The Bilingual Grievances ..
Contact Agency Mental Health, Office of Title Mental Health Program Specialist 2 – Two positions, Central Office Occupational Category Other Professional Careers Salary Grade 23 Bargaining Unit PS&T - Professional, Scientific, ..
Contact Agency Corrections and Community Supervision, Department of Title Deputy Commissioner/Chief Medical Officer Occupational Category Administrative or General Management Salary Grade NS Bargaining Unit M/C - Management / Confidential (Unrepresented) Salary ..
Description Humana is seeking a Senior Communications and Marketing Professional to join our growing team. The Senior Communications and Marketing Professional will create and lead strategy for Humana's Wisconsin Medicaid Market ..
Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part C Line of Business. The Medical Director provides medical interpretation and determinations ..
