- Abbott House (Bronx, NY)
- Job Summary: The Medicaid Managed Care Liaison is the primary contact person for the Medicaid Managed Care Plans (MMCP). MMC Liaison must ... + Medicaid Managed Care policies and procedure + The Medicaid Managed Care Liaison is a full-time position. Duties and Responsibilities: 29I… more
- New Directions Youth and Family Services (Randolph, NY)
- …actions and conduct concerning safety and healthy working conditions. POSITIONS SUPERVISED: LPN, RN, Medicaid Managed Care Liaison , Medicaid ... dedicated to ensuring the well-being of youth in our care . You'll oversee the delivery of health and psychiatric...manage a skilled team of healthcare professionals, and coordinate care in compliance with state and organizational standards. This… more
- Ochsner Health (New Orleans, LA)
- …but not limited to analytics, IS, legal & compliance. + Acts as a liaison to commercial and Medicare payors, CMS, Medicaid and other governmental agencies ... to commercial payors, Medicare Advantage, Medicare Shared Savings Program, and Medicaid value-based programs. Guides the company's progress toward compliance success… more
- McLaren Health Care (Indianapolis, IN)
- …of the Indiana Medicaid programs in which MDwise serves as a managed care entity (MCE). The Compliance Officer facilitates communication between federal and ... the State of Indiana and Centers for Medicare and Medicaid Services to bring you the Hoosier Healthwise and...+ _Two (2) years' experience and knowledge of HMO, PPO, TPA, PHO and Managed Care operational… more
- City of New York (New York, NY)
- …APPLICANTS MUST BE PERMANENT IN THE PRINCIPLE ADMINISTRATIVE ASSOCIATE CS TITLE The Home Care Services Program (HCSP) is a Medicaid funded program that provides ... daily living through the Community Alternative Systems Agency (CASA), Managed Long Term Care (MLTC) Program, the...and guidelines. - Participate in meetings and act as liaison with MAP staff involved in developing Medicaid… more
- City of New York (New York, NY)
- … with other agencies such as the NY State Department of Health (SDOH), NY Medicaid CHOICE/MAXIMUS, Managed Care Organizations (MCOs), the Office of ... the Executive Director, of the Office of Mail Renewal, Managed Care Program (MCP), and Third-Party Health...Organizations (MCOs) and case management providers through which eligible Medicaid clients access behavioral and health care … more
- CDPHP (Albany, NY)
- …and mail. The Medicaid Special Programs Case Manager typically works in the telephonic managed care setting but may be called on to work from a variety of ... clinical experience is required. + Previous experience working with Medicaid Long Term Care Programs preferred. +...patients with social needs preferred. + Experience in home care , medical office setting, or managed health… more
- OLV Human Services (Lackawanna, NY)
- …members to carry out the responsibilities within our Foster Care contracts and Medicaid Managed Care Plans assisting with any client and family needs ... Foster Care Coordinators of the contracted MMCPs ( Medicaid Managed Care Plans) in...**Essential Job Duties:** 1. Coordinate with the MMCP's foster care liaison /coordinator 2. Will attend all meetings… more
- Prime Therapeutics (Atlanta, GA)
- …or within Medicare/ Medicaid (eg insurance, government program operations, managed care practices, and/or provider contracting) + Paralegal certification ... we make. **Job Posting Title** PBM Contract Representative Sr - LA Medicaid **Job Description** The Senior Contract Representative is responsible for contract… more
- Wider Circle (Baltimore, MD)
- …in operations and management within a healthcare setting (health plan, managed care organization, etc.) + Volunteer experience + Medicaid experience a plus + ... to motivate and support each other to get the care they need when and where they need it....Area Manager will be responsible for implementing and managing Medicaid programs as outlined by the Implementation and Leadership… more