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  • $62.35k

     ...Specialist to provide orientation and training of departmental staff Acts as a resource to team Ensures compliance with all MLTC regulations and contractual obligations Establishes and monitors quality of work provided by staff and takes appropriate action... 
    Suggested
    Temporary work
    Live in
    Work at office
    Immediate start
    Shift work

    Nascentia Health

    Syracuse, NY
    7 days ago
  •  ...Medicaid & Long-Term Care (MLTC) Finance Internship (Summer 2026) (Evergreen) (Open) The MLTC Finance Internship offers a hands-on opportunity to support the financial operations behind Nebraska's Medicaid and Long-Term Care programs. This role is ideal for students... 
    Suggested
    Summer work
    Internship

    Nebraska Government

    Lincoln, NE
    1 day ago
  • A bit about us: A NYC Metro Managed Long Term Care Plan Why join us? $15,000 Sign on Bonus (depending on position) 4 weeks Vacation 8 company paid holidays PENSION plan - Employer paid 100% at 5.75% of salary per year Employee Vesting at 5 year work...
    Suggested
    Temporary work
    Local area
    Relocation package
    Flexible hours

    Jobot

    Brooklyn, NY
    3 days ago
  • $100k - $115k

     ...RN Case Manager – MLTC (Bilingual highly preferred) – Hybrid (4 days remote) Job Summary: The Nurse Care Manager is responsible for providing care coordination including in-home assessment, planning, facilitation, advocacy and authorization of covered plan services... 
    Suggested
    Work at office
    Local area
    Remote work
    Home office

    RCM Healthcare Services

    Bronx, NY
    3 days ago
  • $20 - $28 per hour

     ...Shift : Day Pay : $20-$28 /hr Contract : 2-month possible extension Duties : Handle incoming and outgoing calls on MLTC/PCS and Behavioral Health (BH) ACD lines, including warm transfers to clinical case managers. Assist members with benefits... 
    Suggested
    Contract work
    Temporary work
    Shift work

    Pride Health

    New York, NY
    5 days ago
  •  ...Manage Social Security Representative Payee and Direct Deposit forms. Complete annual Medicaid and insurance re-certifications (MLTC, Medicare, etc.) Participate in weekly UR meetings and share updated insurance information. Support annual financial reporting,... 
    Suggested
    Full time
    Work at office

    Betsy Ross Nursing Home & Rehab Center

    Rome, NY
    5 days ago
  • $70.2k - $87.7k

     ...Specialist The Medicare Enrollment Specialist educates consumers who have reached out to VNS Health Plans and existing VNS Health Plans MLTC members about the benefits of enrolling in MAP, MAPD and/or DSNP products. Achieves monthly conversion rate and quality/compliance... 
    Suggested
    Work experience placement
    Flexible hours

    NYC Staffing

    New York, NY
    3 days ago
  •  ...Appeals Coordinator Resolves grievances, appeals and external reviews for VNS Health Plans product lines - Managed Long Term Care (MLTC), Medicare Advantage (MA), Fully Integrated Dual Advantage (FIDA) and Select Health. Ensures regulatory compliance, timeliness... 
    Suggested
    Flexible hours

    NYC Staffing

    New York, NY
    3 days ago
  • $70k - $100k

     ...referral falls through the cracks in a highly competitive market. The Ideal Candidate: * 3+ years experience in home care (LHCSA, MLTC, Medicaid-based services) * Prior experience managing staff * Strong understanding of Medicaid and MLTC processes * Ability to... 
    Suggested
    Remote work

    Mai Placement

    Long Island City, NY
    14 hours ago
  • $70k - $100k

     ...Account Manager - Healthcare (MLTC / MAP) $70,000–$100,000 (DOE) + travel reimbursement Brooklyn / Monsey (Primarily Field-Based) Position Overview A healthcare plan is seeking an Account Manager to manage and maintain existing referral relationships within... 
    Suggested

    Mai Placement

    Brooklyn, NY
    1 day ago
  • $22.79 - $38.84 per hour

     ...including "metal" products offered through the New York State of Health (NYSOH), Medicaid Managed Care, Child Health Plus, Medicare, MLTC, FIDA and HARP. Ability to answer product feature and benefit questions; compare and contrast Fidelis Care products and provider... 
    Suggested
    Hourly pay
    Full time
    Part time
    Live in
    Work at office
    Local area
    Remote work
    Flexible hours
    Afternoon shift

    Centene

    Rego Park, NY
    3 days ago
  • $48.6k - $65.96k

     ...Acrobat. The Project Liaison maintains control of the division's workflow as directed by the District Managers, Senior Managers of MLTC/MAP Growth, and Director of Growth and Account Network Operations (MLTC/MAP) while working independently to ambitiously handle... 
    Suggested
    Temporary work
    Work experience placement

    Healthfirst

    New York, NY
    3 days ago
  • $24 per hour

     ...department, including organizing charts, uploading documents, and managing deadlines Assist with internal and external audits (DOH, OMIG, MLTC), including gathering documentation, compiling visit logs, and ensuring data accuracy Monitor email queues and task lists to... 
    Suggested
    Full time

    Personal Touch Home Care

    Brooklyn, NY
    4 days ago
  •  ...Albany, NY Division of Health Plan Contracting & Oversight (DHPCO) Item 1014 Medicaid Managed Care and Managed Long-Term Care (MLTC) Cost Reporting 50% Remote 50% Onsite Summary: The Medicaid Program Advisor will support the New York Department of Health's... 
    Suggested
    Work experience placement
    Work at office
    Remote work
    Flexible hours

    Staffing Solutions Organization LLC

    Albany, NY
    2 days ago
  • $50k

     ...department. Scope of Role & Responsibilities Recertification/renewal of membership Assist all line of business (Medicaid/Medicare/MLTC/CHP/EP) in retaining current qualified members by following a strategic daily work schedule that includes am and pm hours as well as... 
    Suggested
    Full time
    Weekend work

    MetroPlus Health Plan

    New York, NY
    9 hours ago
  • $17.21 per hour

     ...Lincoln Job Posting Hiring Rate: $17.21 Classification Salary Range: $17.22 - $25.38 Job Posting: JR2024-00003744 SOS Temp Accountant I - MLTC (Open) Applications No Longer Accepted On (If no date is displayed, job is posted as open until closed): : Join the Nebraska... 
    Full time
    Temporary work
    Work experience placement
    Work at office
    Immediate start
    Remote work
    Work from home
    Monday to Friday

    State of Nebraska

    Lincoln, NE
    2 hours ago
  • $19.96 per hour

     ...Medicaid benefits, including applications, understanding, and applying for any other benefits that they may be entitled to. Assist the MLTC Operations Team with a wide array of departmental initiatives. Position Description Assist with all referrals made to the... 
    Temporary work
    Work at office
    Local area
    Immediate start

    Nascentia Health

    Syracuse, NY
    27 days ago
  • $110.88 - $124.74 per hour

     ...This position requires 3-5 years of health plan experience in medical management with Medicare and Medicaid Programs (specifically MLTC, MAP, DSNP and MAPD) Experience with both inpatient and outpatient utilization management (medical, pharmacy) Experience with appeal... 
    Daily paid
    Part time
    Remote work

    Village Care

    New York, NY
    3 hours ago
  • $112.35k

     ...relationships with its members and providers. Position Overview Meets with applicant, family, and caregiver in person to determine if MLTC program applicants meet the clinical qualifications for enrollment. (i.e., UAS score 5 or greater, needing 120 days of care, safe in... 
    Full time

    MetroPlus Health Plan

    New York, NY
    11 days ago
  • $190 - $200 per unit

     ...computerized systems such as Microsoft Outlook, Microsoft Word, Excel. Fluent in English and Spanish Experience working with MLTC plans Pay per assessment $190-$200 We are an equal opportunity employer and all qualified applicants will receive consideration... 
    Contract work

    Complete Home Care Holdings

    Bronx, NY
    more than 2 months ago
  •  ...Department of Insurance Accident & Health NY License. Working knowledge of Medicaid/Medicare, D-SNP, MAP, and Managed Long Term Care (MLTC) product lines. Valid driver's license and the ability to travel throughout the tri-state area to a variety of community and... 
    Full time
    Local area
    Work from home

    VIllageCare of New York

    New York, NY
    1 day ago
  • $20 per hour

     ...contract agencies for the daily operations of the Agency. RESPONSIBLITIES: Working with patients, referral sources, caregivers & MLTC to coordinate home placement, problem solving, and identification of needed home health services. Schedule and coordinate home... 
    Full time
    Contract work
    Local area
    Weekend work

    Xtreme Care

    Bayside, NY
    3 hours ago
  •  ...functional, and psychosocial needs to develop individualized care plans. Review and evaluate NY UAS information for members in the MLTC line of business. Coordinates and manages care services across multiple providers and settings, including home care, community... 
    Full time
    Immediate start
    Remote work

    Complete Home Care Holdings

    Albany, NY
    a month ago
  •  ...UM Review Nurse (Utilization Management) Overview The purpose of this job offer is to ensure that Archcare Community Life MLTC members obtain timely, cost-effective, quality care in the appropriate setting. Responsibilities »The primary function of the Utilization... 
    Valhalla, NY
    17 days ago
  •  ...experience in ambulatory care, community health or home health setting Long Term Support Services (LTSS) or Managed Long-Term Care (MLTC) UAS field RN experience preferred. Excellent written and verbal communication skills. Excellent computer skills and use of... 
    Temporary work
    Work at office

    w3r Consulting

    Williamsville, NY
    3 days ago
  •  ...interpersonal skills required Ability to work independently is required Effective computer and english language skills required Mltc/ managed medicaid experience preferred **community care home health services is committed to ensuring the safety and wellbeing of... 
    Daily paid
    Day shift

    IntelyCare

    Smithtown, NY
    3 days ago
  • $50 - $55 per hour

     ....5 hours daily). Overtime may be required. UAS Registered Nurse (Community Based) Requirements Registered Nurse (RN) licensed in NY MLTC, MAP or Maximus experience High School Diploma or GED Attendance is mandatory for the first 90 days. UAS Registered Nurse (Community... 
    Hourly pay
    Full time
    Contract work
    Temporary work
    Immediate start

    A-Line Staffing Solutions

    New York, NY
    2 days ago
  •  ...experience in home care intake High school graduate; some college credit preferred Understanding the requirements for CHHA’s and MLTC’s Understanding of communicating effectively with employee, patients and their families, medical and community affiliates in... 
    Work at office
    Flexible hours

    Preferred Home Care of New York

    Brooklyn, NY
    1 day ago
  • $31 - $31.5 per hour

     ...services and nursing home placement processes. Timely follow-through on needed referrals. Working knowledge of the Medicaid and MLTC application process as it relates to both community and institutional benefits; assist families with the Medicaid application process... 
    Daily paid
    Work experience placement
    Shift work
    Weekend work

    Hudson Valley Hospice

    Poughkeepsie, NY
    5 days ago
  • $100k - $104k

     ...County, New York. Fallon Health Weinberg offers a Program of All Inclusive Care for the Elderly (PACE) and a Managed Long Term Care (MLTC) plan to serve the health needs of dual-eligible residents of the Western New York counties of Erie and Niagara. Fallon Health is... 
    Local area

    Fallon Health

    Buffalo, NY
    5 days ago