- 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
- MyFlorida (Tallahassee, FL)
- 68065017 - SENIOR INFO TECH BUSINESS CONSULTANT /FX CERTIFICATION LEAD Date: Dec 16, 2024 The State Personnel System is an E-Verify employer. For more information ... Administration Working Title: 68065017 - SENIOR INFO TECH BUSINESS CONSULTANT /FX CERTIFICATION LEAD Pay Plan: Career Service...the Manager of the MITA Business Architecture (BA) and Medicaid Enterprise Systems (MES) Certification Unit and… more
- MyFlorida (Tallahassee, FL)
- … Medicaid contracts and maintains active agency contract manager certification , adhere to established Agency procurement policies and procedures, participate in ... 68064253 - GOVERNMENT OPERATIONS CONSULTANT III Date: Dec 5, 2024 The State...entity. The Agency is responsible for administering the Florida Medicaid program, the licensure and regulation of nearly 50,000… 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
- 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 ... on issues related to Fraud, Waste, and Abuse of Medicare/ Medicaid services. + Collaborates with pharmacy services to review...York State required + Multi-state licensure preferred + Board Certification in internal or family medicine preferred + … more
- MyFlorida (Tallahassee, FL)
- 68021778 - GOVERNMENT OPERATIONS CONSULTANT III Date: Dec 12, 2024 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... for Health Care Administration Working Title: 68021778 - GOVERNMENT OPERATIONS CONSULTANT III Pay Plan: Career Service Position Number: 68021778 Salary: $1,907.11… more
- MyFlorida (Tallahassee, FL)
- …transparency initiatives. Position Overview: This is a full time Registered Nursing Consultant position within the Bureau of Medicaid Program Integrity (MPI), ... 68063495 - REGISTERED NURSING CONSULTANT Date: Dec 19, 2024 The State Personnel...entity. The Agency is responsible for administering the Florida Medicaid program, the licensure and regulation of nearly 50,000… 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
- Molina Healthcare (Barron, 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
- HealthEdge Software Inc (Columbus, OH)
- **Overview** **Overview:** The Business Consultant leads and mentors the Service Delivery team in all Tier 1 (Basic) and Tier 2 (Intermediate) consulting ... products (from basic to advanced features/functionality), payment methodologies/policies (Medicare, Medicaid , and commercial), payment integrity, and healthcare plan operations… more
- MyFlorida (Tallahassee, FL)
- 68064777 - HEALTH SERVICES & FACILITIES CONSULTANT Date: Jan 6, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... Care Administration Working Title: 68064777 - HEALTH SERVICES & FACILITIES CONSULTANT Pay Plan: Career Service Position Number: 68064777 Salary: $1,794.92 Biweekly… 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
- Marshfield Clinic (Marshfield, WI)
- …the most exciting missions in the world!** **Job Title:** Compensation Consultant (Remote) **Cost Center:** 101651125 Human Resources **Scheduled Weekly Hours:** 40 ... Shift:** 40 Normal (United States of America) **Job Description:** The Compensation Consultant works as a key resource within the Human Resources department… 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
- Centers for Independence (Kenosha, WI)
- **IRIS Consultant Case Manager - Milwaukee county** **Job Details** **Job Location** MCFI Main Campus - Milwaukee, WI **Position Type** Full Time **Education Level** ... in the IRIS program. The role of the IRIS Consultant (IC) is to assist participants in self-directing services...for completing the Long Term Care Functional Screen (LTCFS) certification and completing annual and rescreens for their participant… more
- Novant Health (NC)
- Job Summary The Compliance Consultant is responsible for working with Compliance leaders to: + Ensure Novant Health and its affiliates compliance with state and ... federal regulatory requirements (including, but not limited to Medicare, Medicaid , and Tricare); + Interpret regulations and identify compliance requirements; +… 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
- Atlantic Health System (Morristown, NJ)
- …Required: + Graduate of an accredited Nursing program + Valid NJ RN license + BLS certification + IBCLC certification Preferred: + BSN + Prior M/B, L&D or SCN ... experience + NRP certification + ACLS certification #LI-KA1 ABOUT US...twelve consecutive times, and the Centers for Medicare and Medicaid Services awarded us again with its highest five-start… more
- Atlantic Health System (Morristown, NJ)
- …+ Graduate of an accredited Nursing program + Valid NJ RN license + BLS certification + IBCLC certification Preferred: + BSN + Prior M/B, lactation education ... experience + NRP certification + ACLS certification #LI-KA1 ABOUT US...twelve consecutive times, and the Centers for Medicare and Medicaid Services awarded us again with its highest five-start… more
- Molina Healthcare (Columbus, OH)
- …urgency, communication and follow through to closure. * Knowledgeable of State Medicaid contract Service Level Agreements. Demonstrates SME knowledge of MCO contract ... Belt PMI - Project Management Professional (PMP) Agile Product Owner Design Thinking Certification **PHY** **S** **I** **C** **AL DEM** **A** **N** **D** **S** **:**… more