• Medicaid System Strategic

    US Tech Solutions (Minneapolis, MN)
    …efforts, which has created challenging complexity. + At a high level, RAMP seeks a Strategic Consultant to guide RAMP on the continued creation of an MES ... full-time resource to work on the new, unified effort that will be known as Medicaid Enterprise System (MES) modernization. Recently, the Redesign for an Agile … more
    US Tech Solutions (10/18/24)
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  • Medicaid Children's Behavioral Health…

    Public Consulting Group (Columbus, OH)
    …relevant work experience. **Preferred Experience** + Strong familiarity with the Medicaid system (eg1115 and other waivers,residential rehabilitation, targeted ... Grants Management + Assessments and Feasibility Studies PCG is looking for a Senior Consultant in Medicaid policy and funding as it relates to children's… more
    Public Consulting Group (07/25/24)
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  • Medicaid Certification Consultant

    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 ... modular certification (SMC) and outcomes-based certification (OBC). Our ideal Medicaid Consultant will provide oversight and direction... Medicaid , CMS, SMC/OBC, and MES * Conduct Medicaid System Assessments * Help states plan… more
    Public Consulting Group (10/16/24)
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  • MITA ( Medicaid IT Architecture)…

    Public Consulting Group (Sacramento, CA)
    …Technology Consulting team, you will help organizations streamline operations and achieve strategic goals to serve the public better. We provide the full spectrum ... personnel so classified.** **Qualifications:** Required Skills/Experience * Experience with Medicaid Infrastructure Technology Architecture (MITA) * 5+ years of… more
    Public Consulting Group (10/09/24)
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  • Value-Based Reimbursement Strategic

    Highmark Health (Columbus, OH)
    …and results to key provider partners. + Collaborate with and support the senior Strategic Partners Consultant role as needed + Other duties as assigned or ... and assists in developing new reimbursement models for the Organization's strategic partners and initiatives. The incumbent influences VBR integration into the… more
    Highmark Health (10/10/24)
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  • Healthcare Reimbursement Consultant - Acute…

    Plante Moran (Traverse City, MI)
    …acute care clients + Analyze data to optimize various areas of Medicare and Medicaid reimbursement + Consult with clients on strategic and operational decisions ... Healthcare Reimbursement Consultant - Acute Care + Location: United States, Michigan,...team works with acute providers including large hospital health systems as well as small community hospitals. Our acute… more
    Plante Moran (09/26/24)
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  • Project Manager/Fire & EMS Consultant

    Public Consulting Group (Columbus, OH)
    …www.publicconsultinggroup.com . PCG is seeking candidates for a Project Manager (Fire & EMS Consultant ) position who will work as an integral part of a dynamic team ... along with peers and senior staff. The Fire/EMS Consultant will be responsible for carrying out the day-to-day...Public Safety Consulting Services team within the Financial and Strategic Solutions (FSS) Center of Excellence. This individual will… more
    Public Consulting Group (10/11/24)
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  • National Director, Consultant Relations…

    Walgreens (Deerfield, IL)
    …partnerships with National Accounts. Accountable for developing and implementing a strategic account operating plan that ensures profitable access across key ... each day. Walgreens pharmacists play a critical role in the US healthcare system by providing a wide range of pharmacy and healthcare services, including those… more
    Walgreens (09/24/24)
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  • Clinical Documentation Specialist-…

    Intermountain Health (Las Vegas, NV)
    **Job Description:** The goal of the Clinical Documentation Specialist- Consultant is to educate leaders, physicians, advanced practice providers (APP), and other ... education plans, interventions, and training. + Acts as an education leader, consultant , and mentor to leaders, physicians, APP's, and other staff about… more
    Intermountain Health (10/18/24)
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  • Client Success Lead ( Consultant )…

    Public Consulting Group (Columbus, OH)
    …effectively implement, support, and optimize clients.Collaborate with Product to identify system improvements and opportunities for automation + Take initiative to ... intersection and overlap between our Special Education/Case Management and school-based Medicaid services work within a state; regularly engage with counterparts +… more
    Public Consulting Group (10/02/24)
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  • Sr Business Solutions Consultant (Remote…

    Molina Healthcare (Covington, KY)
    …years IT or system delivery or related experience. * 3 years strategic planning experience. * Project management background. **PR** **E** **FE** **R** **RED ED** ... experts (SMEs), business and IT operations partners, and Vendors. Manage strategic operations roadmaps and capability priorities. Leads business process improvement… more
    Molina Healthcare (08/11/24)
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  • IV&V Consultant

    Public Consulting Group (Albany, NY)
    …Technology Consulting team, you will help organizations streamline operations and achieve strategic goals to serve the public better. We provide the full spectrum ... Desired: State agency experience * Ability to understand both the service delivery system for programs which are administered by states and monitored by federal… more
    Public Consulting Group (10/09/24)
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  • Program Manager 1-A

    Louisiana Department of State Civil Service (Baton Rouge, LA)
    …mental illness and addictive disorders. The agency acts as a monitor and subject matter consultant for Medicaid 's Coordinated System of Care contract and the ... also known as local governing entities (LGEs). Services are provided for Medicaid and non- Medicaid eligible populations. Duties performed should support the… more
    Louisiana Department of State Civil Service (10/08/24)
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  • Maternal Fetal Medicine/Perinatology

    Lancaster General Health (Lancaster, PA)
    …Practice Residency program. + Assist Medical Director to serve as a strategic partner with the senior administrative team to help facilitate organization ... development/change, strategic initiatives, human performance, and outcomes as needed. +...conditions; identifying opportunities to standardize processes and "error proof" systems that will lead to increased safety; and participating… more
    Lancaster General Health (10/14/24)
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  • Pharmacy Services Manager

    Intermountain Health (Murray, UT)
    …Pharmacy Services and SelectHealth Prescriptions. This position contributes to the strategic and clinical direction of the department. The Manager identifies and ... pharmacy clinical coordinators multiple pharmacy residents and the business development consultant . Job Essentials Analyzes pharmacy claims to identify areas of… more
    Intermountain Health (10/19/24)
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  • Director, Operations- Hospitalists, Critical Care,…

    UPMC (Erie, PA)
    …and supplies. May act as liaison to outside vendors. + Act as a consultant to physicians in developing new strategic business opportunities and develop new ... **Purpose:** This individual is responsible for strategic decision-making, policy development, and policy implementation for the business unit within the… more
    UPMC (07/31/24)
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  • Vice-President of Finance

    Access Dubuque (Dubuque, IA)
    …grant reporting as related to the Electronic Handbook (EHB) and Uniform Data Systems (UDS), Medicare and Medicaid Cost Report activities. The ideal candidate ... the strategies and plans designed to achieve these objectives. Based upon strategic directions, is responsible for the evaluation and related recommendations for… more
    Access Dubuque (10/04/24)
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  • AVP, Chief Network Officer - Florida & Georgia

    CVS Health (Tampa, FL)
    …for a Chief Network Officer who is responsible for local market strategic and operational leadership, development, and medical expense performance along with ... focused on optimizing local market network performance and cost, delivering strategic network goals. Ensuring all contracting efforts with hospital/provider … more
    CVS Health (10/10/24)
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  • Medical Group Manager Quality and Safety

    Trinity Health (Des Moines, IA)
    …+ Works strategically with the local medical directors, providers, managers, colleagues, and system leaders to develop quality and safety strategic plans. + ... outcomes. + Achieves the best outcomes aligned to Centers for Medicare and Medicaid Services (CMS) and other pay for performance programs, including those aligned to… more
    Trinity Health (08/23/24)
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  • Supervisory Nurse (Quality & Safety)

    Indian Health Service (Polacca, AZ)
    …hospital personnel to provide quality management services. Participates and develops strategic plans; develops long-range goals, annual objectives, and strategies to ... management programs in a healthcare setting; serving as a consultant and advisor on legal and regulatory issues and... and advisor on legal and regulatory issues and strategic execution; participating in decision and policy making for… more
    Indian Health Service (08/10/24)
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