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  • New Hampshire
    Req #31
    Friday, September 20, 2019
    Position Title: Customer Service Specialist I in Portsmouth, NH   Overall Responsibilities:  Effectively respond to inbound call inquiries Initiate outbound calls to respond to inquiries and to follow-up with previous contacts Identify and assess customers’ needs to achieve customer satisfaction using one call resolution philosophy Provide accurate, valid and complete information by using the right methods/tools Handle complaints, prov ... More
  • Augusta
    Req #27
    Thursday, September 19, 2019
    Part-Time Customer Service Representative I – Provider Enrollment in Augusta, ME Duties & Responsibilities: Respond to inbound calls related to site visit scheduling, compliance review scheduling, provider enrollment, and other provider inquiries; Initiate outbound calls to resolve provider inquires and respond to email inquiries; Demonstrate superior customer service skills, including but not limited to professionalism, active listening, and show understanding ... More
  • One Commerce Plaza, Albany
    Req #30
    Wednesday, September 18, 2019
      Day-to Day Tasks:   The Navigator Program provides application assistance to individuals applying for health insurance through the New York State of Health (NYSoH) and local Departments of Social Services.  Additionally, the Bureau provides administrative oversight and technical assistance to over 5000 application assistors (Health Plan Facilitated Enrollers and CACs) who help individuals and families applying for health insurance coverage on NYSoH. The Senior Healthca ... More
  • One Commerce Plaza, Albany
    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
    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
  • One Commerce Plaza, Albany
    Req #19
    Tuesday, September 3, 2019
    Medicaid Registered Nurse (DLTC) Item 1130 in Albany, NY GENERAL RESPONSIBILITIES: The Program Specialist is assigned duties related to the Medical Assistance (Medicaid) Program in the Department of Health’s (DOH) Division of Long Term Care (DLTC).  Working in the Bureau of Managed Long Term Care in the Plan Surveillance Unit, the Program Specialist may provide technical assistance to local social service districts, State agencies, clients, health care providers, advocacy groups, and ... More
  • One Commerce Plaza, Albany
    Req #17
    Tuesday, September 3, 2019
    Healthcare Data Analyst-  DLTC- Item 1090 in Albany, NY The incumbent will work as part of a team within the Data, Systems and Network Unit for the Division of Long Term Care, NYS Department of Health and will be responsible for the programming/coding of databases, tracking, analysis and reporting of related data.DUTIES:Compile, review, and analyze data through database and statistical programming.Prepare written or automated reports.Assist in the development of programmatic policy based on stat ... More
  • 431A Broadway, Menands
    Req #12
    Tuesday, July 9, 2019
    Healthcare Program Associate - DHPCO - 1402 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 in a h ... More
  • 431A Broadway, Menands
    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
    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
    Req #8
    Sunday, June 30, 2019
    Licensed NYS Pharmacist - Division of Program Development & Management (Item 1416) in Albany, NYDay-to-Day Tasks of Position:Oversee the Medicaid Drug Utilization Review Program and Drug Utilization Review Board Activities including the review and Prioritize and oversee Drug Utilization Review (DUR) Board activities, including the review and approval of clinical and financial information prepared for Board review, member vetting and ensuring compliance with legislation. Work with colleagues and ... More
  • One Commerce Plaza, Albany
    Req #7
    Sunday, June 30, 2019
    Licensed NYS Pharmacist - DPDM - 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, member and internal staff communicatio ... More
  • Corning Tower, Albany
    Req #6
    Sunday, June 30, 2019
    Healthcare Data Analyst - Office of Quality & Patient Safety (Item 1286) in Albany, NYDay-to-Day Tasks of Position:Experience with data collection and analysis of large data sets. Proficient in the use of SAS, SPSS, SQL programming or similar languages. Experience with or knowledge of New York State public health insurance programs. Exceptional analytical and communication (both written and verbal) skills with the ability to present data and findings to interested parties with varying technical ... More
  • 431A Broadway, Menands
    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
    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