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  • Wisonsin
    Req #24
    Friday, July 12, 2019
    Community Site Surveyor - Green Bay / Eau Claire, WI Area  Overall Responsibilities: SSO is seeking a highly motivated and dependable individual to conduct home and community-based services, non-residential assessments for the Wisconsin Bureau of Adult Long-Term Care. The assessments will be conducted in the non-residential setting utilizing the format put forth by the Centers for Medicare and Medicaid (CMS) Final Rule. The Community Site Surveyor (CSS) is a full-time position an ... More
  • 431A Broadway, Menands
    Req #16
    Tuesday, July 9, 2019
    Healthcare Program Specialist  - DHPCO - Item 1454 Requirements and Day-to-Day Tasks of PositionStrong 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 member and supervisorStrong communication skills (written and verbal) with the ability to handle internal and external calls/inquiriesPre ... More
  • 431A Broadway, Menands
    Req #15
    Tuesday, July 9, 2019
    Healthcare Program Specialist  - DHPCO - Item 1456 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 member and supervisorStrong communication skills (written and verbal) with the ability to handle internal and external calls/inquiriesPr ... More
  • 431A Broadway, Menands
    Req #14
    Tuesday, July 9, 2019
    Healthcare Program Specialist  - DHPCO - Item 1454 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 member and supervisorStrong communication skills (written and verbal) with the ability to handle internal and external calls/inquiriesPr ... More
  • 431A Broadway, Menands
    Req #13
    Tuesday, July 9, 2019
    Healthcare Program Specialist  - DHPCO - Item 1451Requirements 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 member and supervisorStrong communication skills (written and verbal) with the ability to handle internal and external calls/inquiriesPre ... 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
  • 90 Church Street, NYC
    Req #9
    Sunday, June 30, 2019
    Position Title:             Medicaid Program Director - Division of Long Term CareLocation:                     Albany, NY OR New York CityTravel percentage:     TBD (Travel will be between Albany & New York City)NYS DOH's Office of Health Insurance Programs (OHIP) Division of Long Term Care is seeking a qualified individual to lead the day to day management of a large-scale project to develop and implement programs that integrate Medicare and Medicaid coverage for persons dully eligible for Med ... 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
  • One Commerce Plaza, Albany
    Req #4
    Sunday, June 30, 2019
    Healthcare Data Analyst - Division of Finance & Rate Setting (Item 1040) in Albany, NYDay-to-Day Tasks:Adjudicate and process Stop loss payment requestsRun SQL code against the Office of Health Insurance Program’s databaseEnsure health plan submissions match database’s encounter diagnoses and procedure codesDevelop and maintain procedures and processing methodsUpdate and maintain public website informationRun weekly inventory reportsLiaise with health plans on reporting requirementsProduce ad ho ... More
  • One Commerce Plaza, Albany
    Req #3
    Sunday, June 30, 2019
    Medicaid Program Advisor - Division of Long Term Care in Albany, NYThis individual will assist senior staff in the New York State Department of Health, Office of Health Insurance Programs (OHIP) 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 Division of Long Term Care, Bureau of Managed Long Term Care (MLTC) in a broad range of planning, implementation, reporti ... 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