- 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 2+ ... Medicaid Claims Analyst Date: Sep 22, 2024 Location:...us on our journey of growth! **The opportunity** The Medicaid Claims Analyst is responsible for Medicaid … more
- 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
- Deloitte (Jersey City, NJ)
- …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
- 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
- Rising Ground (Brooklyn, NY)
- Overview Psychiatrist Consultant Per-Diem About Rising Ground Founded as an orphanage in 1831, Rising Ground has been at the forefront of evolving community needs. ... controlled substance + New York Ordering/Prescribing/Referring/Attending status to prescribe to Medicaid population. + An active Health Commerce Account to execute… 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 $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
- 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 ... compliance requirements that impact processes. * Facilitates and leads processes and activities to complete deliverables impacting assigned healthplans including, but not limited to, RFP Responses, audit response/coordination, and evaluation of new contract… more
- Atlantic Health System (Morristown, NJ)
- …- 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 ... Medical Center is a Magnet Hospital for Excellence in Nursing Service, the highest level of recognition achievable from the American Nurses Credentialing Center for facilities that provide acute care services. Our nonprofit hospital was also designated a Level… more
- Kedrion Biopharma, Inc. (Fort Lee, NJ)
- …be the key business partner to external third-party pricing and rebate consultant . He/she will deliver high quality Net Sales financial planning (including ... through pricing changes, Early Pay Discounts, Chargebacks, Government pricing ( Medicaid , Medicare, Tricare programs), Distributor Fees, Rebates, Data Fees and… more
- 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
- Aveanna (Roselle, NJ)
- …Speech Therapy needs, goals and expected outcomes. + Serves as a resource consultant for clinical staff. Requirements + Masters' Degree from accredited university or ... and move equipment without assistance. As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all… 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
- 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