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Akron, OH, USA ● Canton, OH, USA ● Cleveland, OH, USA ● Ohio, USA ● Youngstown, OH, USA ● Req #689Friday, April 26, 2024Onsite Reviewer in Ohio: (Location – Cleveland, Akron, Canton, Youngstown) 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 a team environment, and t ...Read more about Onsite Reviewer - OhioMore
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Corning Tower, Albany, 100 S Mall Arterial, Albany, NY, USA ● Req #225Wednesday, April 24, 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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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, a ...Read more about Senior Healthcare Program SpecialistMore
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One Commerce Plaza, Albany, 99 Washington Ave, Albany, NY, USA ● Req #645Monday, April 22, 2024Executive Administrative Assistant Albany, NY Summary: The DHPCO Executive Administrative Assistant will provide administrative support to Division Directors and three additional individuals (2 Deputy Division Directors and a Medical Director). This level of support will include managing calendars for the above listed staff, acting as an office manager, assigning and maintaining the Executive Deputy Commissioner Clearance (EDCC), coordinating Division Director sign off on variety of documents su ...Read more about Senior Healthcare Program SpecialistMore
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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 - Contractor, 99 Washington Ave, Albany, NY, USA ● Req #588Monday, April 22, 2024Healthcare Program Specialist: This position is within the Division of Program Development and Management, Bureau of Specialized Services for Children (BSSC). The candidate must 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 also possess the ability to interpret policy and develop guidance for stakehol ...Read more about Healthcare Program SpecialistMore
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One Commerce Plaza, Albany, 99 Washington Ave, Albany, NY, USA ● Req #533Monday, April 22, 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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Healthcare Program Associate, Albany, NY DEMI - 1255 The Healthcare Program Associate will work within the Division of Eligibility and Marketplace Integration’s (DEMI) Bureau of Community Enrollment and Eligibility Processing. Duties may include, but not limited to, the following: Provide program support to ensure compliance with State and Federal regulations. Assist with the transition of program operations from the local social services districts to NY State of Health. Provide technical assi ...Read more about Healthcare Program AssociateMore
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Healthcare Program Associate - Albany, NY DEMI - 1257 Summary The Healthcare Program Associate will work within the Division of Eligibility and Marketplace Integration’s (DEMI) Bureau of Community Enrollment and Eligibility Processing. Duties may include, but not limited to, the following: Provide program support to ensure compliance with State and Federal regulations. Assist with the transition of program operations from the local social services districts to NY State of Health. Provide techn ...Read more about Healthcare Program AssociateMore
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Senior Healthcare Program Specialist: Albany, NY Summary: The position is for a Contract Manager for the Statewide III Facility Health Care Transformation Program. This program currently has a total of 126 contracts that have been awarded by NYSDOH. The staff available to work on the development and execution of the contracts in this program is three (3). There is a pressing need for more Contract Managers to develop and execute the contracts for the Not-for-Profit and financially distress ...Read more about Senior Healthcare Program SpecialistMore
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Albany, NY, USA ● Req #651Thursday, April 18, 2024Healthcare 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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Corning Tower, Albany, 100 S Mall Arterial, Albany, NY, USA ● Req #622Thursday, April 18, 2024Senior Healthcare Program Specialist - Grants Management in Albany, NY The Administrative Services Management Group/Grants Management Bureau (AMSG-GMB) position will perform activities required to establish contracts between grant recipients and the Department of Health. Responsibilities: Perform contract development activities, in the areas of application review, drafting and revision of grant contracts, entering workplans and other information into the Grants Gateway, vendor responsibility ...Read more about Senior Healthcare Program SpecialistMore
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Healthcare Program Associate DOS - 1101 Summary: The Administrative Assistant will serve in the New York State of Health Bureau in the Division of Systems. Under the general direction of the Bureau Director, the Administrative Assistant will perform office support and clerical activities, such as coordinating schedules and scheduling meetings via appropriate Microsoft Office software. Basic Qualifications: The Administrative Assistant will serve in the New York State of Health Bureau ...Read more about Healthcare Program AssociateMore
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Senior Healthcare Program Specialist: 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 requiremen ...Read more about Senior Healthcare Program SpecialistMore
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Albany, NY, USA ● Req #664Wednesday, April 17, 2024Healthcare Organizational Operations Administrator: Albany, NY Summary: This position will be located in the Systems Operations area of the Bureau of Program Implementation and Enrollment of the Division of Health Plan Contracting and Oversight. Duties include but not limited to: Processing Upstate and NYC enrollments, triaging and analyzing managed care issues through our BML, reviewing, and handling Good Cause and Fair Hearing requests and other general office duties as assigned. Basic Q ...Read more about Healthcare Organizational Operations AdministratorMore
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Corning Tower, Albany, 100 S Mall Arterial, Albany, NY, USA ● Req #498Wednesday, April 17, 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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1 Commerce Plaza, Albany, NY 12210, USA ● Req #569Tuesday, April 16, 2024Medicaid Registered Nurse: Assist Division of Health Plan Contract Oversight, Bureau of Managed Long Term Care (BMLTC), Surveillance Unit in a broad range of planning, implementation, investigation, and oversight activities. This position will assist in the records review of case notes to determine MLTC plans’ compliance to contracting and regulatory requirements ...Read more about Medicaid Registered NurseMore
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Healthcare Data Specialist, Albany, NY DHPCO - 1050 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 feder ...Read more about Healthcare Data SpecialistMore
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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 DDSA - Principal Healthcare Data AnalystMore
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Senior Healthcare Data Analyst - Albany, NY DDSA - 1175 Summary This position is a part of OHIP’s Division of Data Services & Analytics (DDSA) within the Bureau of Product & Process Management (BPPM). The candidate in this title will be part an agile team focused on proactively engaging Medicaid Program SMEs to elicit and document institutional knowledge on stakeholder and customer needs to understand how solution testing strategies are influenced by policy and regulatory processes that span t ...Read more about Senior Healthcare Data AnalystMore
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Senior Healthcare Data Analyst - Albany, NY DDSA - 1176 Summary This position is a part of OHIP’s Division of Data Services & Analytics (DDSA) within the Bureau of Product & Process Management (BPPM). The candidate in this title will be part an agile team focused on proactively engaging Medicaid Program SMEs to elicit and document institutional knowledge on stakeholder and customer needs to understand how solution testing strategies are influenced by policy and regulatory processes that span t ...Read more about Senior Healthcare Data AnalystMore
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Senior Healthcare Data Analyst DDSA - 1038 Summary NYS Department of Health’s Division of Data Services and Analytics (DDSA) is a forward thinking, leading edge, technology driven enterprise tasked with supporting the data needs of the NYS Medicaid program, whose mission is to transform the way that Medicaid data is organized, understood, and leveraged. DDSA's goal is to enhance data driven policy agendas and program improvement efforts that span the Medicaid enterprise. The Data Analyst will wo ...Read more about Senior Healthcare Data Analyst - DDSA 1038More
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One Commerce Plaza, Albany, 99 Washington Ave, Albany, NY, USA ● Req #565Monday, April 8, 2024Senior Healthcare Program Specialist - Quality Oversight in Albany, NYItem 1100This individual will assist senior staff in the New York State Department of Health, Division of Health Plan Contracting and Oversight (DHPCO) in implementing and evaluating health reform initiatives with a primary focus on quality oversight of Managed Long Term Care plans. Job Duties to Include: Assist senior managers in the DHPCO with a broad range of planning, implementation, reporting evaluation and surveillance ...Read more about Senior Healthcare Program Specialist - Quality OversightMore