- 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
- Cardinal Health (Trenton, NJ)
- …experience will be considered + Must possess an AAPC or AHIMA coding certification (CPC, CCS, CCS-P, COC, or RHIA, etc.). Auditing certification preferred. ... fee coding and auditing. + Working knowledge of Medicare and Medicaid documentation and coding rules and guidelines; ICD/CPT/HCPCS/DRG/APC documentation coding… more
- Molina Healthcare (New York, NY)
- …the organization's business and industry requirements. * Knowledgeable of State Medicaid contract Service Level Agreements. Demonstrates SME knowledge of MCO ... Experience** * 5 years of process improvement experience **Required License, Certification , Association** LEAN certification and/or Lean Six Sigma Green… 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 ... Belt PMI - Project Management Professional (PMP) Agile Product Owner Design Thinking Certification **PHY** **S** **I** **C** **AL DEM** **A** **N** **D** **S** **:**… more
- 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 ... nurses who have their MSCC certifidation or are enrolled in the MSCC certification program--if this is you please apply!** **PRIMARY PURPOSE** **:** To provide… 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