• Daiichi Sankyo, Inc. (Bernards, NJ)
    …but not limited to, areas of GPO/PBM and trade/distribution agreements, Medicare , Medicaid , product pricing, and government price reporting. Coordination ... by senior management.Responsibilities- Lead drafting and negotiating contracts for commercial, Medicaid and Medicare coverage, as well as other government… more
    HireLifeScience (11/02/24)
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  • Medicaid Certification Consultant

    Public Consulting Group (Columbus, OH)
    …Deep Medicaid experience is critical, as well as experience working with the Centers for Medicare and Medicaid Services (CMS) and the new streamlined ... marketplace is changing, and PCG is at the forefront. We are looking for an experienced Medicaid Consultant to join our team and help lead our growth efforts.… more
    Public Consulting Group (10/16/24)
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  • Sr. Provider Relations Consultant - (MA…

    WellSense (Boston, MA)
    …health insurance company serving members across Massachusetts and New Hampshire through Medicare , Individual and Family, and Medicaid plans. Founded 25 years ... Sr. Provider Relations Consultant - (MA residents)-$5,000 sign on bonus WellSense Health...**Competencies, Skills, and Attributes:** + Knowledge or familiarity with Medicaid and Medicare required + Understanding of… more
    WellSense (09/12/24)
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  • Systems Programming Consultant / FX TCoE…

    MyFlorida (Tallahassee, FL)
    …managers, agency executives and sponsors, internal and external business partners, and the Centers for Medicare and Medicaid Services (CMS) Medicaid ... Date: 12/06/2024 Total Compensation Estimator Tool (https://compcalculator.myflorida.com/) Systems Programming Consultant / FX Testing Center of Excellence… more
    MyFlorida (11/07/24)
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  • Signature Clinical Care Consultant - RN…

    Signature Healthcare (Louisville, KY)
    …our skilled nursing facilities have achieved a 4 or 5-star overall rating from the Centers for Medicare & Medicaid Services. Additionally, we have been ... Clinical Care Consultant Candidate would have working knowledge of Medicare , Medicaid and Managed Care coverage, referral, and reimbursement methods.… more
    Signature Healthcare (11/06/24)
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  • Healthcare Review/Audit Senior Consultant

    Guidehouse (Mclean, VA)
    …Will Do** **:** Guidehouse is looking for a Senior Consultant to work on a Centers for Medicare and Medicaid Services (CMS) project with the Office of ... programs, specific to the Affordable Care Act. The Senior Consultant will work with a team of reviewers to...Insurance Exchanges preferred, but not required + Knowledge of Medicare , Medicaid , Medicare Advantage preferred,… more
    Guidehouse (10/06/24)
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  • Per Diem Lactation Consultant

    Nuvance Health (Fishkill, NY)
    … (IBCLC) certification * Must be eligible to be credentialed with Medicaid / Medicare * Basic computer literacy * Excellent interpersonal, communication, and ... *Description* *Per Diem Lactation Consultant - Southern O/B* We are seeking an...Hospital in Connecticut, and Northern Dutchess Hospital, Putnam Hospital Center and Vassar Brothers Medical Center in… more
    Nuvance Health (10/04/24)
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  • Medical Policy Consultant (US)

    Elevance Health (Independence, OH)
    …of brands. We administer government contracts for Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health ... **Medical Policy Consultant ** National Government Services is a proud member...8 am - 4:30 pm EST.** The **Medical Policy Consultant ** is responsible for researching and drafting NGS Medical… more
    Elevance Health (11/07/24)
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  • Nurse Consultant

    State of Colorado (Denver, CO)
    …psychiatric hospital + Extensive competency with The Joint Commission (TJC) standard and The Centers of Medicare & Medicaid Services (CMS) rules and ... NURSE CONSULTANT Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4715738) Apply  NURSE CONSULTANT...from reviews of the Mental Health Hospitals (MHH), Regional Centers (RC), and Veterans Community Living Centers more
    State of Colorado (11/02/24)
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  • Registered Nurse, PT Evenings Lactation…

    Atlantic Health System (Morristown, NJ)
    …with an "A" hospital safety grade - its highest - twelve consecutive times, and the Centers for Medicare and Medicaid Services awarded us again with its ... + NRP certification + ACLS certification + International Board -Certified Lactation Consultant or working towards #LI-KA1 ABOUT US At Atlantic Health System, our… more
    Atlantic Health System (11/02/24)
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  • Project Manager/Fire & EMS Consultant

    Public Consulting Group (Columbus, OH)
    …This individual will support the public safety consulting business line, and other Medicaid and Medicare related projects. This role will use knowledge of ... seeking candidates for a Project Manager (Fire & EMS Consultant ) position who will work as an integral part...team along with peers and senior staff. The Fire/EMS Consultant will be responsible for carrying out the day-to-day… more
    Public Consulting Group (10/11/24)
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  • Quality Management Nurse Consultant

    CVS Health (Phoenix, AZ)
    …+ Commands a comprehensive knowledge of NCQA HEDIS and STARS Measures for both Medicare and Medicaid , with recent experience in the annual HEDIS audit. + ... Anchored in our brand - with heart at its center - our purpose sends a personal message that...**Position Summary** This is a fulltime Quality Management Nurse Consultant opportunity within Arizona. The working schedule is Monday-… more
    CVS Health (10/26/24)
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  • Public Health Senior Consultant

    Guidehouse (Mclean, VA)
    …any of the following Federal Health Agencies: NIH (National Institutes of Health), CMS ( Centers for Medicare & Medicaid ), The VHA (Veterans' Health ... Administration), CDC ( Centers for Disease Control), FDA (Federal Drug Administration) or HHS (Health & Human Services) or with or for any State or Local Health Agency. + 3+ years of professional experience in consulting, strategy, organizational… more
    Guidehouse (10/08/24)
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  • Utilization Management Nurse Consultant

    CVS Health (Springfield, IL)
    …Microsoft Office applications (Outlook, Teams, Excel) **Preferred Qualifications** + Experience Medicare / Medicaid populations + MCG experience + Managed care ... care for a rapidly changing world. Anchored in our brand - with heart at its center - our purpose sends a personal message that how we deliver our services is just… more
    CVS Health (11/07/24)
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  • Eligibility Consultant - Phoenix, Arizona

    CVS Health (Phoenix, AZ)
    …skills + Less than 10% of travel for quarterly meetings. **Preferred Qualifications** + Medicaid or Medicare experience + Experience with working at home + The ... care for a rapidly changing world. Anchored in our brand - with heart at its center - our purpose sends a personal message that how we deliver our services is just… more
    CVS Health (10/30/24)
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  • Program Consultant

    Elevance Health (Tampa, FL)
    …+ Strong leadership skills to improve all levels of network performance, including Medicaid , Medicare , and Commercial lines of business preferred. + Background ... **Location: 11430 NW 20TH ST, STE 300 Miami, Fl and 5411 SKY CENTER DR Tampa, FL** **Must reside in the State of Florida** Elevance Health supports a hybrid… more
    Elevance Health (10/27/24)
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  • Participant Liaison Field Rep - iLife

    Centers for Independence (Milwaukee, WI)
    …operations or related experience. Some understanding of long term care, disabilities, Medicaid , managed care and/or Medicare is preferred. A valid Wisconsin ... Rep ensures optimal service is provided to participants, participant-hired workers, IRIS Consultant Agency staff and Department of Health Service staff by helping… more
    Centers for Independence (10/04/24)
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  • Physical Therapist - Pediatric Day Health…

    Aveanna (Royal Palm Beach, FL)
    …may change at any time with or without notice. As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements ... Physical Therapist - Pediatric Day Health Center ApplyRefer a FriendBack Job Details Requisition #:...team members and family. * Serve as a resource consultant for clinical staff. * Supervises other personnel (PTA,… more
    Aveanna (10/23/24)
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  • Lead Management Analyst

    Centers for Medicare & Medicaid Services (Woodlawn, MD)
    …issues for senior leadership; AND 2) Experience serving as a consultant to management on human capital management activities (examples: recruitment ... strategy/planning, organizational change/analysis, etc.); AND 3) Experience writing and editing a variety of materials (reports, memorandums, emails) to ensure content accuracy, grammar, and spelling. Experience refers to paid and unpaid experience, including… more
    Centers for Medicare & Medicaid Services (11/07/24)
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  • Market CMO-North Texas

    CenterWell (Dallas, TX)
    …will plan, organize, manage and supervise health care services offered in the medical centers . Work in conjunction with the Center Medical Directors to motivate ... consumer experiences . **Preferred Qualifications** + Active and unrestricted DEA license + Medicare Provider Number + Medicaid Provider Number + Minimum of… more
    CenterWell (10/30/24)
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