- Public Consulting Group (Columbus, OH)
- …(CMS) and the new streamlined modular certification (SMC) and outcomes-based certification (OBC). Our ideal Medicaid Consultant will provide oversight ... 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. Deep Medicaid… more
- Iowa Department of Administrative Services (Des Moines, IA)
- Education Program Consultant (School-Based Medicaid ) Print (https://www.governmentjobs.com/careers/iowa/jobs/newprint/4713150) Apply Education Program ... Consultant (School-Based Medicaid ) Salary $65,416.00 - $101,129.60 Annually Location Des Moines...when submitting any information related to an application, examination, certification , appeal, or any other facet of the selection… more
- Elevance Health (Topeka, KS)
- …Kansas medical license. + Internal Medicine, Family Medicine, Emergency Medicine board certification preferred. + Medicaid experience preferred. + Managed Care ... **Medical Director- Kansas Medicaid ** **Location: This is a hybrid position. Candidates**...discuss review determinations. + Serves as a resource and consultant to other areas of the company. + May… more
- MyFlorida (Tallahassee, FL)
- 68047265 - GOVERNMENT OPERATIONS CONSULTANT II Date: Nov 25, 2024 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... for Health Care Administration Working Title: 68047265 - GOVERNMENT OPERATIONS CONSULTANT II Pay Plan: Career Service Position Number: 68047265 Salary: $1,694.62… more
- VNS Health (Manhattan, NY)
- …analysis and interpretation designed to improve clinical outcomes. . Serves as consultant for unusual and difficult medical cases. Participates in the QARR/HEDIS ... Investigation Unit on issues related to Fraud, Waste, and Abuse of Medicare/ Medicaid services. + Collaborates with pharmacy services to review PBM activities and… more
- MyFlorida (Tallahassee, FL)
- …(https://compcalculator.myflorida.com/) Position Overview: This is a full time Registered Nursing Consultant position within the Bureau of Medicaid Program ... 68055652 - REGISTERED NURSING CONSULTANT Date: Nov 20, 2024 The State Personnel...(APRN) working in Tallahassee within the Agency's Bureau of Medicaid Program Integrity (MPI). MPI serves as the primary… more
- Highmark Health (Harrisburg, PA)
- …job is a highly skilled subject matter expert (SME) in Medicare STARS, Medicaid HEDIS and risk revenue streams and provides strategic, hands-on, office based support ... to PCPs for analysis of performance Medicare STARS, Medicaid HEDIS and risk revenue streams, identifies opportunities for improvement in value creation, cost control… more
- HCA Healthcare (Nashville, TN)
- …**Job Summary and Qualifications** The Coding Operations Education and Appeals Consultant is responsible for assisting in the efficient and effective design, ... to understand, meet, and exceed customer expectations and needs. The Education Consultant is responsible for assisting in the development of the Quality Assessment… more
- Molina Healthcare (Ashland, WI)
- …community who are enrolled in the Wisconsin IRIS Program and the TMG IRIS Consultant Agency. While your office will be home-based, you will have regularly scheduled ... participants in their home and community. As an IRIS Consultant (IC), you will build relationships with the people...most out of the Wisconsin IRIS program - a Medicaid long-term care option for older adults and people… more
- MyFlorida (Tallahassee, FL)
- REGISTERED NURSING CONSULTANT - 64081036 Date: Oct 31, 2024 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... No: 840187 Agency: Department of Health Working Title: REGISTERED NURSING CONSULTANT - 64081036 Pay Plan: Career Service Position Number: 64081036 Salary:… more
- WellSense (Boston, MA)
- Sr. Provider Relations Consultant - (MA residents)-$5,000 sign on bonus WellSense Health Plan is a nonprofit health insurance company serving members across ... Massachusetts and New Hampshire through Medicare, Individual and Family, and Medicaid plans. Founded 25 years ago as Boston Medical Center HealthNet Plan, we provide… more
- MyFlorida (Delray Beach, FL)
- …evaluation of health care facilities for state licensure and federal certification requirements for participation under Medicare/ Medicaid . The incumbent will ... 68030839 - PUBLIC HEALTH NUTRITION CONSULTANT Date: Nov 19, 2024 The State Personnel...of Field Operations is responsible for the survey and certification process of health care facilities across the State… more
- Elevance Health (Miami, FL)
- **Be Part of an Extraordinary Team** **Title** : Clinical Quality Program Consultant **Location:** Candidates must reside within 50 miles or 1-hour commute each way ... **Build the Possibilities. Make an Extraordinary Impact.** The **Clinical Quality Program Consultant ** is responsible for serving as a liaison with and overseeing… more
- City of New York (New York, NY)
- …with essential benefits such as Cash, Food and Rental Assistance as well as Medicaid . The Office of the Medical Director aims to improve the health and well-being ... one (1) City Medical Specialist (Per Diem) to function as a Medical Consultant who will: - Indirectly supervise contracted clinical staff, share policies and… more
- MyFlorida (Tallahassee, FL)
- 68064412 - HEALTH SERVICES & FACILITIES CONSULTANT Date: Nov 15, 2024 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... Care Administration Working Title: 68064412 - HEALTH SERVICES & FACILITIES CONSULTANT Pay Plan: Career Service Position Number: 68064412 Salary: $1,794.92 biweekly… more
- University of Washington (Seattle, WA)
- …natural beauty. **Department of Emergency Medicine has an outstanding opportunity for Research Consultant .** The University of Washington (UW) is proud to be one of ... screening for social determinants of health, and evaluating the impact of the Medicaid Transformation Project on ED utilization in King County. This position will be… more
- CVS Health (Columbus, OH)
- …schedule - M-F 8:00AM-5:00PM EST. As a Utilization Management (UM) Nurse Consultant , you will utilize clinical skills to coordinate, document and communicate all ... environment and is detail oriented and highly organized. The UM Nurse Consultant reviews services to assure medical necessity, applies clinical expertise to assure… more
- Public Consulting Group (Columbus, OH)
- …carry out related project work across multiple public health care projects, including Medicaid programs + Serve as a subject matter expert in health care finance, ... benchmarking, financial management/analysis including experience projections, and administration + Medicaid actuarial experience (any state program, health insurer or… more
- Atlantic Health System (Morristown, NJ)
- …Prior M/B, L&D or SCN experience + NRP certification + ACLS certification + International Board -Certified Lactation Consultant or working towards #LI-KA1 ... Nursing program + Valid NJ RN license + BLS certification + Prior experience in M/B, lactation education Preferred:...twelve consecutive times, and the Centers for Medicare and Medicaid Services awarded us again with its highest five-start… more
- Rising Ground (Brooklyn, NY)
- Overview Psychiatrist Consultant Per-Diem - Bilingual Spanish About Rising Ground Founded as an orphanage in 1831, Rising Ground has been at the forefront of ... controlled substance + New York Ordering/Prescribing/Referring/Attending status to prescribe to Medicaid population. + An active Health Commerce Account to execute… more