58 government jobs found in New York, NY

Job Introduction: If you're looking for more than a job and want to make an impact in the healthcare industry, then this is the position for you. We're hiring a Bilingual QA Coordinator for the Quality Assurance department in New York City. Candidates must read, write and speak fluently in English and Chinese (Cantonese/Mandarin). This is a full-time temporarily remote office-based position. About New York Medicaid Choice: New York Medicaid Choice (NYMC) has served the State of New York and New York resid ents since 1998 by providing education, outreach and enrollment services to help resid ents with Medicaid select and enroll in a health plan of their choice.  We're proud that over the past twenty years NYMC has grown and expanded across the state. To date, we have helped millions of New Yorkers access the health services that best fit their needs. We're proud to meet our mission of Helping Government Serve the People through this program. Education and...

At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us and start doing your life's best work.(sm) There are changes happening in health care that go beyond the basics we hear in the news. People like you and organizations like UnitedHealth Group are driving ever higher levels of sophistication in how provider networks are formed and operate. The goal is to improve quality of service while exploring new ways to manage costs. Here's where you come in. You'll use your strong customer service orientation and knowledge of insurance claims to serve as an advocate for providers in our networks. As you do, you'll discover the impact you want and the resources, backing and opportunities that...

Cherry Bekaert is proud to have over 75 years of experience in Accounting and Advisory services. Our shared values, including uncompromising integrity, a passion for excellence and mutual respect have helped us get here. If these values align with yours, we’d like to hear from you. Let's grow your career as an Audit Manager supporting our Austin and/Houston practice.  What your day looks like: Communicating between clients and the firm to ensure engagement objectives are met by all parties. Oversee firm objectives (engagement economics) and manage firm resources to ensure that established goals are met. Provides guidance and experience to ensure that engagement risks are identified and appropriate responses (including specific audit steps) are taken. Mentor and develop associates by providing timely on-site reviews and providing feedback on associates’ performance Facilitate resolutions on complex audit and accounting issues Review financial reporting and...

At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us and start doing your life's best work.(sm)  Positions in this function requires a North Carolina RN. This role works under the direct supervision of the NC Health Plan UM Manager. Function is responsible for performing pre-service clinical coverage review of Private Duty Nursing (PDN) and Personal Care services (PCS) that require notification, using applicable benefit plan documents, evidence-based medical policy and nationally recognized clinical guidelines and criteria. Determines medical appropriateness of inpatient and outpatient services following evaluation of medical guidelines and benefit determination.  If you are...

Cherry Bekaert is proud to have over 70 years of experience in Accounting and Advisory services. Our shared values, including uncompromising integrity, a passion for excellence and mutual respect have helped us get here. If these values align with yours, we’d like to hear from you. Lets grow your career as an Audit Manager  supporting our Raleigh, NC, practice.  What your day looks like: Communicating between clients and the firm to ensure engagement objectives are met by all parties. Oversee firm objectives (engagement economics) and manage firm resources to ensure that established goals are met. Provides guidance and experience to ensure that engagement risks are identified and appropriate responses (including specific audit steps) are taken. Mentor and develop associates by providing timely on-site reviews and providing feedback on associates’ performance Facilitate resolutions on complex audit and accounting issues Review financial reporting and ensure...

At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us and start doing your life's best work.(sm) You get it. Everyone gets it. The health care system needs to evolve even further than it has and it has to do so quickly. New models of care and new networks of providers are emerging now to better serve patients and communities. And leaders like UnitedHealth Group are playing a lead role. Here's where you come in. As member of our network contracting team, you'll help develop and support Provider Networks and guide unit cost management activities through financial and network pricing modeling, analysis and reporting. As you do, you'll discover the impact you want and the resources, backing and...

**Customer Experience Specialist, Part-Time (Remote)** at Birchbox New York **About Birchbox** Since 2010, Birchbox has redefined the way people discover and shop for beauty and grooming by pairing a monthly subscription of handpicked, customized samples with relevant content and a curated e-commerce shop. Birchboxs trailblazing subscription concept has continued to innovate. Visit www.birchbox.com for a forever useful, always delightful beauty and grooming experience. **Position Overview** We are looking for empathetic, positive Part-Time Customer Experience Specialists to connect with our customers -- answering questions, resolving issues, and making personalized product recommendations. At Birchbox, our Specialists dont use scripted responses because each customer is unique and deserves a personalized experience. Our Specialists are the heart of our business and have a major impact on our continued success. **This position is remote and does not have any in office work...

At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us and start doing your life's best work.(sm) Positions in this function are responsible for the development and/or on-going management and administration of clinical programs. Provides implementation support, measurement standards, and revisions as needed that incorporate applicable best practices with proven outcomes. Generally work is self-directed and not prescribed Works with less structured, more complex issues Serves as a resource to others Self-motivated Comfortable presenting and working with State officials and jail/prison leadership If you are located in Washington State, you will have the flexibility to...

Job Introduction: Maximus is currently hiring for Regional Nurse Managers to support the New York Independent Assessor Program (NYIA). The NYIA Program serves the State of New York by conducting UAS assessments to determine eligibility for community-based long-term services. The Regional Nurse Manager will have the opportunity to lead and support a team of RNs who are on the frontline of ensuring that some of New York State’s most vulnerable populations receive relevant, timely and quality healthcare services.     * This position is remote and will support a regional area in New York State.    About the Position If you are a Registered Nurse looking to advance your career on a management track, this leadership position may be ideal for you! You’ll have the opportunity to lead and support a team of RNs who are on the frontline of ensuring that some of New York State’s most vulnerable populations receive relevant, timely and quality healthcare services. You’ll...

You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. At UnitedHealthcare , we’re simplifying the health care experience, creating healthier communities, and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable, and equitable. Ready to make a difference? Join us and start doing your life’s best work.SM Positions in this family include those responsible for functions in areas such as health services, clinical services, and delivery of clinical care. Positions in this function includes those responsible for initial triage of members, administrative intake of members or managing the admission/discharge information post-notification, working with hospitals and the clinical team. Includes managing incoming calls, managing requests for services from providers/members, providing...

At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us and start doing your life's best work.(sm)  The Senior Clinical Quality RN position is responsible for direction and guidance on clinical quality improvement and management programs. Serves as the main point of contact for provider groups regarding Quality improvement. The goal of this position is to assist practices meet set targets in HEDIS measures. If you are located in Philadelphia, Montgomery County or Bucks County, you’ll enjoy the flexibility to work remotely *as you take on some tough challenges. Primary Responsibilities: Ongoing management of provider practice and community education on state specific...

At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us and start doing your life's best work.(sm)  Providing outstanding service to our Medicaid Health plans takes a solid mix of business skills, technical proficiency, and industry knowledge. We have a strong team of pharmacists and pharmacy service specialists, and we are looking for a talented individual to join us.  In this position, our new team member will have the opportunity to develop an expertise in the Medicaid, DSNP, and Exchange business. The Plan Pharmacy Director serves as the primary point of contact to the Pharmacy Management program for the Community Plan health plan management team related to execution of the pharmacy...

Job Description Summary: Job Summary: The Lead Family Support Coordinator works closely with their FSC unit and Nurse Evaluators to support the case management needs of families who have children with behavioral health/psychiatric/medical issues. The Lead Family Support Coordinator is a subject matter expert who is able to ensure consumer engagement and demonstrate understanding of the Children and Youth Evaluation Service (C-YES). The ideal candidate will have case management experience and a passion to connect children/youth to Home and Community Based providers for improved outcomes. The position is currently remote with the potential of being office-based. The Lead Family Support Coordinator will work closely with the FSC Supervisor and Operations Support Manager in following up on reports related to the consumer lifecycle, ensuring timely completion of tasks for a cohort of staff who report to the FSC Supervisor, working on deliverables directly related to the Client: New...

Job Introduction: Maximus is currently seeking a Clinical Operations Manager to support the Independent Practitioner Panel, which completes assessment reviews and issues practitioner orders for New Yorkers who qualify for long-term in-home care. The Clinical Operations Manager will lead and support medical professionals who ensure that some of New York State’s most vulnerable populations receive relevant, timely and quality healthcare services.   * This position is remote and can reside in New York, or New Jersey but will support a regional area in New York State.   About the Position Maximus administers the Independent Practitioner Panel, which completes assessment reviews and issues practitioner orders for New Yorkers who qualify for long-term in-home care. This is an exciting new program that directly contributes to positive long-term outcomes for vulnerable populations in New York State.     Education and Experience Requirements: Primary...

Job Introduction: About the Position We're hiring a Supervisor-Outreach in Downstate NY . We are looking for an individual who is passionate about helping their community, interested in learning, and taking part in public health services and is growth oriented. This position will be responsible for developing relationships with the community and staff to increase program awareness and achieve project goals in the project for the NYMC Outreach department.    This is a hybrid-remote position that will require 3-4 days of field travel within New York City.   About Maximus Maximus is a global organization that partners with national, state, and local governments to provide critical health and human services. With decades of experience designing, developing and delivering innovative programs and comprehensive solutions, Maximus is driven by a mission to strengthen communities and improve the lives of the people we serve. About New York Medicaid Choice New...

Job Introduction: Maximus is currently hiring for an Operations Support Supervisor to support our C-YES Department (Children and Youth Evaluation Services).   The Operations Support Supervisor works closely with their assigned Family Support Coordinator team to support the case management needs of families who have children with mental, behavioral, developmental, and physical health issues. The FSC Supervisor will ensure all tasks of the FSC team they are assigned are being performed consistently through supervision, meetings, and follow-up and that staff have a strong understanding of the Children and Youth Evaluation Service (C-YES), Children’s Home & Community Based Services, Health Home Care Management, Health Plans, and Medicaid. The ideal candidate will have prior professional experience working with individuals with mental, behavioral, developmental, and physical health issues, case management, administrative and/or supervisory experience, and a passion to...

Job Introduction: Maximus is currently hiring for RN Quality Assurance Specialists to support the New York Independent Assessor Program (NYIA)! This position is fully remote and located in the state of New York.   About the New York Independent Assessor Program (NYIA): The NYIA Program serves the State of New York by conducting a UAS assessment to determine eligibility for community-based long-term services.  The Quality Assurance Specialist will bring robust qualifications and a strong desire to contribute their knowledge and expertise to a meaningful program.  Specialists are on the front line of ensuring consistent and accurate assessment results by reviewing assessments and communicating with Nurse Assessors.     About the Position We are hiring for Quality Assurance Specialists!  As a member of the CFEEC QA team, you'll bring robust qualifications and a strong desire to contribute your knowledge and expertise to a meaningful program.  The Department is...

Job Introduction: Maximus is currently seeking Quality Assurance Analysts to support the Independent Practitioner Panel, which completes assessment reviews and issues practitioner orders for New Yorkers who qualify for long-term in-home care. The Analyst is responsible for reviewing assessments to ensure accuracy and consistency and collaborating with other program staff.     About the Position Maximus administers the Independent Practitioner Panel, which completes assessment reviews and issues practitioner orders for New Yorkers who qualify for long-term in-home care. This is an exciting new program that directly contributes to positive long-term outcomes for vulnerable populations in New York State.   Education and Experience Requirements: Primary Responsibilities: Collaborate with the Quality Assurance Manager to develop an effective quality monitoring program Provide QA training to the Independent Practitioners for quality actions to be incorporated...

At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us and start doing your life's best work.(sm)  There are changes happening in health care that go beyond the basics we hear in the news. People like you and organizations like UnitedHealth Group are driving ever higher levels of sophistication in how provider networks are formed and operate. The goal is to improve quality of service while exploring new ways to manage costs. Here’s where you come in. You’ll use your strong customer service orientation and knowledge of insurance claims to serve as an advocate for providers in our networks. As you do, you’ll discover the impact you want and the resources, backing and opportunities that...

Job Introduction: Maximus is currently hiring for a Regional Nurse Manager to support the New York Independent Assessor Program (NYIA). The NYIA Program serves the State of New York by conducting UAS assessments to determine eligibility for community-based long-term services. The Regional Nurse Manager will have the opportunity to lead and support a team of RNs who are on the frontline of ensuring that some of New York State’s most vulnerable populations receive relevant, timely and quality healthcare services.     * This position is remote and will support a regional area in New York State.    About the Position If you are a Registered Nurse looking to advance your career on a management track, this leadership position may be ideal for you! You’ll have the opportunity to lead and support a team of RNs who are on the frontline of ensuring that some of New York State’s most vulnerable populations receive relevant, timely and quality healthcare services. You’ll...