• Medicaid Consultant

    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
    City of New York (09/29/24)
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  • Legal Nurse: Medical Analyst Support…

    New York State Civil Service (New York, NY)
    …Attorney General, Office of the Title Legal Nurse: Medical Analyst Support Medicaid Fraud Cases (6345) Occupational Category Legal Salary Grade NS Bargaining Unit ... Managed care; * Prior experience as a legal nurse consultant ; and * Knowledge of state and federal rules...rules and regulations related to health care, particularly the Medicaid program. Duties Description The Office of the New… more
    New York State Civil Service (10/02/24)
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  • Medical Consultant

    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
    City of New York (10/28/24)
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  • Government Health Actuary Consultant

    Deloitte (New York, NY)
    …Human Capital practice. Work you'll do As a Government Health Actuary - Consultant in Deloitte's Human Capital Actuarial and Insurance Solutions Practice, you will ... health plan/insurance company experience + 1 + years' experience with Medicaid managed care capitation rate development and/or fee-for-service rate development +… more
    Deloitte (08/09/24)
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  • Financial Crimes and Fraud Technologist…

    Guidehouse (New York, NY)
    …fraud, as well as a consulting background. + Experience with Medicare and Medicaid program rules and regulations. + Certified Fraud Examiner (CFE) or forensic ... accounting/financial investigations background. The annual salary range for this position is $71,800.00-$107,600.00. Compensation decisions depend on a wide range of factors, including but not limited to skill sets, experience and training, security… more
    Guidehouse (09/30/24)
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  • Regulatory Affairs Manager

    Penn Medicine (Plainsboro, NJ)
    …to maintain compliance with standards and regulations for the Center for Medicaid and Medicare Services, NJ Department of Health, The Joint Commission (TJC), ... NJ Department of Health and Center for Medicare and Medicaid Services regulations. 2. Provide organization wide leadership in...the Board of Directors. 6. Acts as an internal consultant to stakeholders, collaborates with UPHS entity colleagues on… more
    Penn Medicine (09/21/24)
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  • Senior Reimbursement-Chargemaster Analyst…

    Mount Sinai Health System (New York, NY)
    …preferably as CDM coordinator, revenue cycle analyst or coding consultant is preferred. Nursing or clinical or materials management/purchasing background ... interpersonal and communication skills. + Must have strong understanding of Medicare, Medicaid and third-party payor rules and regulations and thorough knowledge of… more
    Mount Sinai Health System (09/29/24)
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