- 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
- 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: Feb 20, 2025 Location:...our journey of growth! **The opportunity** **Position Summary:** The Medicaid Claims Analyst is responsible for Medicaid … more
- New York State Civil Service (New York, NY)
- …No Agency Attorney General, Office of the Title Legal Nurse/Medical Analyst: Medicaid Fraud Control Unit (6368) Occupational Category Legal Salary Grade NS ... NY Zip Code 10005 Duties Description Criminal Justice Division Medicaid Fraud Control Unit - New York City Medical...managed care; * Prior experience as a legal nurse consultant ; and * Knowledge of state and federal rules… 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
- 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 e-xperience + 1 + years' experience with Medicaid managed care capitation rate development and/or fee-for-service rate development +… more
- IQVIA (Parsippany, NJ)
- …Matter Expert (SME) within a functional or technical workstream (eg, Medicaid , Master Data Management, Chargebacks, Government Pricing, Testing, Managed Care ... * Expertise in one or more of (but not limited to) the following: + Medicaid + Master Data Management + Chargebacks + Government Pricing + Testing + Managed Care… more
- 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 $81,000.00-$135,000.00. Compensation decisions depend on a wide range of factors, including but not limited to skill sets, experience and training, security… more
- The Cigna Group (Morris Plains, NJ)
- …Management provides strategic, financial, relationship, and organizational leadership for the Medicaid line of business within the Sales & Account Management Centene ... upsells, and education of teams and enterprise of ever-changing Medicaid market requirements and dynamics. + Manage a diverse...best practices within the division. + Act as a consultant in ongoing client relationships to ensure client growth… 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
- Atlantic Health System (Morristown, NJ)
- …crisis intervention and community resource knowledge and skill. 4. Serves as consultant to emergency department staff in identifying patient problems and disposition ... - its highest - twelve consecutive times, and the Centers for Medicare and Medicaid Services awarded us again with its highest five-start rating in 2020. Morristown… more
- Atlantic Health System (Morristown, NJ)
- …activities and clinical research. + Serve as a clinical expert and leadership consultant to nursing, healthcare team members, and the larger community. Benefits + ... - its highest - twelve consecutive times, and the Centers for Medicare and Medicaid Services awarded us again with its highest five-start rating in 2020. Morristown… more