• Medicaid Certification

    Public Consulting Group (Trenton, NJ)
    …(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
    Public Consulting Group (01/15/25)
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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 (01/26/25)
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  • Registered Nurse/Lactation Consultant

    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
    Atlantic Health System (01/09/25)
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  • Registered Nurse/Lactation Consultant

    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 (01/03/25)
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  • Sr Business Solutions Consultant - QNXT SME…

    Molina Healthcare (New York, NY)
    …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
    Molina Healthcare (01/21/25)
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  • Scrum Master (Remote)

    GovCIO (Trenton, NJ)
    …of Scrum Master Consultant to support the Centers for Medicare & Medicaid Services (CMS) Management and Design Thinking Office (ManDO) ISPG PMO. This fully ... Medicaid Services (CMS)and/or Government agency experience. + Security Certification **Clearance Required:** Ability to obtain and maintain a Suitability/Public… more
    GovCIO (01/30/25)
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  • RN Medicare Compliance

    Sedgwick (Trenton, NJ)
    …in a state or territory of the United States required. Medicare Set-Aside Consultant Certified (MSCC) certification required or actively enrolled in the MSCC ... and act as an internal resource regarding Centers for Medicare & Medicaid Services (CMS) guidelines. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Prepares and… more
    Sedgwick (01/29/25)
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  • Chief Medical Officer, Health Plans

    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
    VNS Health (11/20/24)
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