• Medicaid Certification

    Public Consulting Group (Albany, NY)
    …(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
    Public Consulting Group (01/15/25)
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  • Business Consultant

    HealthEdge Software Inc (Albany, NY)
    **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
    HealthEdge Software Inc (12/18/24)
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  • Utilization Management Nurse Consultant

    CVS Health (Albany, NY)
    …utilization experience preferred + Outpatient Clinical experience + Knowledge of Medicare/ Medicaid + Managed care experience + Med Compass Experience + CM/UM ... Certification **Education** Associates Degree in Nursing required BSN preferred **Pay Range** The typical pay range for this role is: $32.01 - $68.55 This pay range… more
    CVS Health (01/16/25)
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