- 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
- 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
- HealthEdge Software Inc (Trenton, NJ)
- **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
- 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
- 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 (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
- Elevance Health (Morristown, NJ)
- …metrics to track performance and goal achievement. + Serves as internal consultant relative to continuous improvement initiatives. + Identifies and develops plans to ... and process improvement structure strongly preferred. + Six Sigma Black Belt certification preferred. + Certified Professional Coder (CPC) and or professional coding… more