• 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 (02/12/25)
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  • Legal Nurse/Medical Analyst: Medicaid Fraud…

    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
    New York State Civil Service (02/12/25)
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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 (02/12/25)
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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 e-xperience + 1 + years' experience with Medicaid managed care capitation rate development and/or fee-for-service rate development +… more
    Deloitte (02/07/25)
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  • Psychiatrist Consultant - Per Diem

    Rising Ground (Brooklyn, NY)
    Overview Psychiatrist Consultant Per-Diem - Bilingual Spanish About Rising Ground Founded as an orphanage in 1831, Rising Ground has been at the forefront of ... controlled substance + New York Ordering/Prescribing/Referring/Attending status to prescribe to Medicaid population. + An active Health Commerce Account to execute… more
    Rising Ground (03/04/25)
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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 $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
    Guidehouse (02/13/25)
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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 ... Investigation Unit on issues related to Fraud, Waste, and Abuse of Medicare/ Medicaid services. + Collaborates with pharmacy services to review PBM activities and… more
    VNS Health (02/19/25)
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