About Susan Carl:
- Performed Medicaid managed care audits for the NYS Office of the Medicaid Inspector General.
- Played a major role in developing a new retractive Medicaid audit for Medicaid recipients who moved out of state (PARIS MATCH Audit). Developed audit protocols for Medicaid audits and member of the OMIG team revising Medicaid managed care audits.
- Acted as OMIG county liaison providing data and answering county staff questions related to managed care.
Developed educational information re Medicaid managed care for counties, nurses and OMIG staff.
Experience
- Developed educational materials to update NYS local departments of social services re Medicaid managed care system issues and changes and organized training sessions.
- Developed audit for identifying Medicaid managed care recipients who have moved out of NYS.
- Supervised Medicaid managed care compliance audits.
- Member of OMIG management group responsible for amendments to Medicaid managed care model contracts.
- Developed OMIG detailed audit protocol for a federal waiver program, Long Term Home Health Care Program, with appropriate legal citations.
Education
- Masters in Business Administration in Accounting, Union College, Graduate Management Institute, Schenectady, New York.
- Masters in Business Administration in Health ServicesAdministration, Union College, Graduate Management Institute, Schenectady, New York.
Professionals in the same Healthcare sector as Susan Carl
Professionals from different sectors near Albany, City of Albany, Albany
Other users who are called Susan
Jobs near Albany, City of Albany, Albany
-
Systems Engineer
Found in: ZipRecruiter Test10S US C2 - 1 day ago
USALLIANCE Financial Rye, United StatesJob Description · Job DescriptionLocation: · Please note this is a hybrid role, minimum 3 days in the office – Rye, NYAbout this Role: · Responsible for Windows and Linux based network infrastructure including Active Directory Domain Services, DFS, DNS, DHCP, Azure Cloud Site Rec ...
-
Clinical Nurse: MICU
Found in: Talent US C2 - 1 week ago
Albany Medical Center Albany, United States Part timeDescription · Implements physician orders, administers medications, starts IVs, performs treatments, procedures and special tests, and document treatment as required by company policy and local/state/federal rules and regulations. · Orders, interprets, and evaluates diagnostic t ...
-
emergency medical technician
Found in: Careerbuilder One Red US C2 - 3 days ago
Premise Health Systems Saratoga Springs, NY , USA, United StatesHealthcare Without Rival · Premise Health is the world's leading direct healthcare provider and one of the largest digital providers in the country, serving over 11 million eligible lives across more than 2,500 of the largest commercial and municipal employers in the U.S. Premise ...