- City of New York (New York, NY)
- …is recruiting for one (1) Principal Administrative Associate II, to function as a Medicaid Consultant within the Central Intake Unit, who will: - Interpret ... TITLE. The Home Care Services Program (HCSP) is a Medicaid funded program that provides long term care to...Medicaid policies and procedures for assigned cases for individuals… more
- Public Consulting Group (Columbus, OH)
- …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. Deep ... new streamlined modular certification (SMC) and outcomes-based certification (OBC). Our ideal Medicaid Consultant will provide oversight and direction for scope,… more
- Public Consulting Group (Columbus, OH)
- …Grants Management + Assessments and Feasibility Studies PCG is looking for a Senior Consultant in Medicaid policy and funding as it relates to children's ... and children's behavioral health services. PCG is looking for a Senior Consultant in Medicaid policy and funding as it relates to children's behavioral health… more
- Guidehouse (Atlanta, GA)
- …quality care wherever they live, while minimizing state expenses. As an actuarial consultant focusing on Medicaid programs, you will ensure quality deliverables ... Over 21% of the US population receive healthcare through Medicaid , and our team supports that important work by...development and hiring for the long-term. As a Senior Consultant , you will have clearly defined career growth goals… more
- Guidehouse (Atlanta, GA)
- …quality care wherever they live, while minimizing state expenses. As an actuarial consultant focusing on Medicaid programs, you will ensure quality deliverables ... Over 23% of the US population receive healthcare through Medicaid , and our team supports that important work by...to analyze emerging trends, + Providing support to State Medicaid programs with legislative requests, and + Other actuarial… more
- Teva Pharmaceuticals (Parsippany, NJ)
- …a Pharmaceutical and/or med Device company , state and/or state agency or as Medicaid consultant or equivalent work experience Experience Preferred: + Minimum of ... Medicaid Claims Analyst Date: Jan 6, 2025 Location:...our journey of growth! **The opportunity** **Position Summary:** The Medicaid Claims Analyst is responsible for Medicaid … more
- Guidehouse (Hanover, MD)
- …technical competency, business development, client service and people development. As a Consultant , you will work with an experienced team to support the development ... of client deliverables, internal and client presentations, day-to-day project logistics, and any additional project tasks. This position provides individuals the opportunity to serve clients across a wide variety of functions including strategy, process… more
- MyFlorida (Tallahassee, FL)
- 68064253 - GOVERNMENT OPERATIONS CONSULTANT III Date: Jan 8, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... for Health Care Administration Working Title: 68064253 - GOVERNMENT OPERATIONS CONSULTANT III Pay Plan: Career Service Position Number: 68064253 Salary: $1,907.11… more
- Elevance Health (Topeka, KS)
- **Medical Director- Kansas Medicaid ** **Location: This is a hybrid position. Candidates** **MUST** **live within 50 miles of an Elevance Health location.** **Build ... or other ordering providers to discuss review determinations. + Serves as a resource and consultant to other areas of the company. + May be required to represent the… 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 (Fort Lauderdale, FL)
- 68064264 - GOVERNMENT OPERATIONS CONSULTANT II Date: Jan 9, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... for Health Care Administration Working Title: 68064264 - GOVERNMENT OPERATIONS CONSULTANT II Pay Plan: Career Service Position Number: 68064264 Salary: $1,694.62… 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 ... Care Administration Working Title: 68065017 - SENIOR INFO TECH BUSINESS CONSULTANT /FX CERTIFICATION LEAD Pay Plan: Career Service Position Number: 68065017 Salary:… more
- MyFlorida (Tallahassee, FL)
- 68021778 - GOVERNMENT OPERATIONS CONSULTANT III Date: Jan 10, 2025 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
- 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
- MyFlorida (Sanford, FL)
- GOVERNMENT OPERATIONS CONSULTANT II - 64049199 Date: Jan 10, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... Requisition No: 843495 Agency: Department of Health Working Title: GOVERNMENT OPERATIONS CONSULTANT II - 64049199 Pay Plan: Career Service Position Number: 64049199… more
- Banner Health (Phoenix, AZ)
- …for you. This position is responsible for maximizing the Medicare/ Medicaid /Champus reimbursement for all entities with multiple reimbursement variations and/or ... specialty areas and _requires_ Medicaid /Champus reimbursement Excel, MS4, EZ Workpapers, HFS, PowerBI, Lawson Scheduled: Monday - Friday 8 - 5 AZ Time This can be a… 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
- Humana (Columbus, OH)
- …in the country. The Healthcare Strategy team supports Humana's Medicare and Medicaid business unit. This business unit, Humana's largest, comprises the majority of ... leveraging core consulting skills to support delivering some of Medicare and Medicaid 's highest priority projects and initiatives, with an emphasis on Medicare… more
- Signature Healthcare (Lebanon, IN)
- …Care Consultant Candidate would have working knowledge of Medicare, Medicaid and Managed Care coverage, referral, and reimbursement methods. A passion for ... have achieved a 4 or 5-star overall rating from the Centers for Medicare & Medicaid Services. Additionally, we have been awarded as a certified Great Place to Work… more