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CDPHP
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Albany, New York
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pertaining to the health care industry. The Special Investigator will coordinate referrals of suspicious ... .
Designation as an Accredited Health Care Fraud Investigator preferred.
Incumbent must meet one of the
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CDPHP
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Albany, New York
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.
The Appeals Coordinator is responsible for the timely and accurate triaging all appeals, grievances ... necessary information to process their requests within regulatory guidelines. The Appeals Coordinator is
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CDPHP
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Albany, New York
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comprehensive total rewards package that includes award-winning health care coverage, health care dollars, a
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CDPHP
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Albany, New York
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outcomes. In addition, the Medicaid Special Programs Registered Nurse Care Manager is responsible and ... mail. The Medicaid Special Programs Care Manager typically works in the telephonic managed care setting
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CDPHP
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Albany, New York
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who share these values and invites you to be a part of that experience.
The HR Coordinator ... engagement programs. The Coordinator will work cross-functionally to support different aspects of Human
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CDPHP
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Albany, New York
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offers a comprehensive total rewards package that includes award-winning health care coverage, health care dollars, a generous paid time off allowance, employee assistance programs, flexible work
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CDPHP
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Albany, New York
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assisted with their health care needs, by the entire staff, which includes assisting the team with ... , employees have access to award-winning health care coverage, health and flexible spending accounts, and a
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CDPHP
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Albany, New York
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Care Manager (RN) is responsible and accountable for coordinating the care of CDPHP members who are ... Hospital to Home Care Manager will navigate a variety of applications and platforms in the daily
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CDPHP
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Albany, New York
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Experience in providing corporate legal counsel and services to the management of a managed care organization ... package that includes award-winning health care coverage, health care dollars, a generous paid time off
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CDPHP
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Albany, New York
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Directors on denials, completing inpatient level of care reviews, post-acute care initial and concurrent ... two (2) years of acute care experience is required as a Registered Nurse.
Minimum five (5
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CDPHP
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Albany, New York
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resolve and prevent any occurrences. The Analyst will present findings to health care providers and ... Care Fraud Investigator (AHFI®) accreditation to be obtained once the required AHFI criteria is met
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CDPHP
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Albany, New York
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) years quality/utilization review experience in an HMO, managed care organization, or similar experience ... containment issues preferred.
Demonstrated ability to review health care delivery against established
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CDPHP
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Albany, New York
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Specialist will also support the Sourcing Manager and Sourcing Director in establishing, reviewing, and ... health care coverage, health care dollars, a generous paid time off allowance, employee assistance
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