• Managing Consultant

    Mathematica (Columbus, OH)
    …solving clients' pressing problems and improving operations, and a strong interest in our Medicaid project area. Managing consultants often work on more than one ... align with their interests and skills. Projects in the Medicaid area provide technical assistance to federal and state...of tasks at Mathematica, from overseeing small teams or managing projects, to developing solutions for some… more
    Mathematica (06/06/24)
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  • Value Based Solutions -Business…

    CVS Health (Hartford, CT)
    …convenient and affordable. Position Summary Designs enterprise-wide and/or cross-functional solutions to address business problems, supporting Medicaid value ... include profitable growth and improved organizational effectiveness. + Assists in managing the day-to-day complex business consultation services to support the… more
    CVS Health (06/06/24)
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  • Sr. Business Solutions Consultant

    Molina Healthcare (Owensboro, KY)
    **Job Description** **Job Summary** Business Strategy Leader managing relationships and providing process expertise with Molina health plan leadership, corporate ... process analysis and re-engineering, with a deep understanding of technical problems and solutions as they relate to the current and future business environment. *… more
    Molina Healthcare (06/25/24)
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  • State Eligibility Consultant

    State of Indiana (Greenfield, IN)
    State Eligibility Consultant Date Posted: Jun 27, 2024 Requisition ID: 445766 Location: Greenfield, IN, US, 46140 Work for Indiana Begin a fulfilling career with the ... Services Administration (FSSA) is responsible for establishing eligibility for Medicaid , Supplemental Nutrition Assistance Program and Temporary Assistance for Needy… more
    State of Indiana (06/28/24)
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  • State Eligibility Consultant

    State of Indiana (Plainfield, IN)
    State Eligibility Consultant Date Posted: May 30, 2024 Requisition ID: 442623 Location: Plainfield, IN, US, 46168 Work for Indiana Grow your career with the State of ... Services Administration (FSSA) is responsible for establishing eligibility for Medicaid , Supplemental Nutrition Assistance Program and Temporary Assistance for Needy… more
    State of Indiana (06/25/24)
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  • National Director, Consultant Relations…

    Walgreens (Deerfield, IL)
    …disability/veterans". \#LI-TO1 **Job ID:** 1414700BR **Title:** National Director, Consultant Relations Remote **Company Indicator:** Walgreens **Employment Type:** ... various other providers, etc), the various lines of business (Commerical, Medicare, Medicaid , etc) and the various healthcare services provided in the overall… more
    Walgreens (06/12/24)
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  • Health Senior Consultant

    Public Consulting Group (Columbus, OH)
    …Group** Public Consulting Group, Inc. (PCG) is a leading public sector solutions implementation and operations improvement firm that partners with health, education, ... allocation for public assistance programs including but not limited to Medicaid , the Supplemental Nutrition Assistance Program (SNAP), and Temporary Assistance for… more
    Public Consulting Group (06/16/24)
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  • Clinical Program Consultant

    CVS Health (Irving, TX)
    …transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. This position ... Health or Aetna office. Core duties: + Partner with Medicaid Care Management, NCQA, Compliance and Audit leads to...candidate's residence. + 3+ years of demonstrated experience in managing large initiatives and projects + 3+ years of… more
    CVS Health (06/11/24)
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  • Ethics & Compliance Consultant IV

    Sutter Health (Sacramento, CA)
    …but not limited to, the California Knox-Keene Act and Centers for Medicare & Medicaid Services (CMS) alternative payment models. Works with and serves in the absence ... investigation coordination, data quality assurance, training, and education, and managing any confidential reporting received via mailbox or phone messaging.… more
    Sutter Health (06/01/24)
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  • Payroll Manager/Director

    Robert Half Finance & Accounting (St. Paul, MN)
    …for a Payroll Supervisor/Manager/Director in St. Paul, Minnesota. This role involves managing a shared services team responsible for payroll processing for our ... is not a necessity * Collaborate with an internal consultant to facilitate transitions and implement new processes Skills:...processing * Knowledge of Billing software * Experience with Medicaid Billing Requirements * Minimum of 2 years of… more
    Robert Half Finance & Accounting (06/11/24)
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  • Utilization Reviewer - Part Time - Remote and Must…

    Kepro (Los Angeles, CA)
    …by management. Required Qualifications/Experience: + Minimum 2 to 3 years of experience managing or working with Medicaid , government health plans, or hospital ... through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact. Lead the Way is our rallying… more
    Kepro (05/18/24)
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  • Utilization Clinical Reviewer (Remote) Must Reside…

    Kepro (Los Angeles, CA)
    …may deem necessary. Required Qualifications/Experience: + Minimum 2 years of experience managing or working with Medicaid , government health plans, or hospital ... through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact. Lead the Way is our rallying… more
    Kepro (05/11/24)
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  • Senior Scrum Master (Remote)

    Commonwealth Care Alliance (Boston, MA)
    …experience driving business solutions and configuration utilizing 8+ years managing solutions implementations **Required Knowledge, Skills & Abilities (must ... ensuring the company can work collaboratively and efficiently to deliver high-quality solutions . You will work closely with the business and IT teams to… more
    Commonwealth Care Alliance (06/16/24)
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  • Support Broker - Bergen County

    Public Partnerships LLC (Hackensack, NJ)
    …and most experienced Financial Management Service provider is to assist those eligible Medicaid recipients to choose and pay for their own support workers and ... the New Jersey Department of Human Services. As a consultant , you will provide information and assistance to help...and supervising employees + Purchasing goods and services; + Managing a monthly budget to pay for their direct… more
    Public Partnerships LLC (06/28/24)
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  • Maternal Fetal Medicine/Perinatology

    Lancaster General Health (Lancaster, PA)
    …safety, environmental and infection control standards. + Assist administration with managing costs and optimizing revenue for the perinatology service. **SECONDARY ... the primary duties listed above:** + Serve as a consultant for physicians regarding decisions in patient care which...A health care provider in good standing with Medicare, Medicaid , and other federal and state health insurance programs,… more
    Lancaster General Health (04/16/24)
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  • Associate Director of Laboratory Finance

    Vanderbilt University Medical Center (Nashville, TN)
    …tools or other electronic health record tools. + Acts as an internal consultant for VUMC Hospital and Clinic Finance Officers analyzing lab activity including ... need to remain current in changes proposed by Centers of Medicare and Medicaid Services or other agencies with regulatory oversite and ability to evaluate changes… more
    Vanderbilt University Medical Center (05/24/24)
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  • Director of Research and Compliance

    Trinity Health (Ann Arbor, MI)
    …as well as directives from senior executives/institutional officials. This will include managing four Institutional Review Boards, that also act as the Privacy Board ... program for adherence to the Centers for Medicare & Medicaid Services (CMS) regulations for billing of research. The...procedures related to research compliance. + Serves as a consultant to the IRB committees and investigators regarding current… more
    Trinity Health (05/03/24)
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  • Organ Procurement Surg Cord

    AdventHealth (Orlando, FL)
    …role you'll contribute:** OurLegacy is designated by the Centers for Medicare and Medicaid Services (CMS) as the only organ procurement organization (OPO) in east ... responsible for the intraoperative leadership of a team of clinical professionals while managing the recovery and preservation of all solid organs. The SSC must have… more
    AdventHealth (04/12/24)
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  • Quality Assurance RN

    Providence (Portland, OR)
    …to performance improvement. Authorizes and makes decisions on recommendations and innovative solutions . Serves as a resource and consultant for Quality ... all quality initiatives within PHS Oregon. Provides concurrent and retrospective support managing initiatives to comply and in accordance with Center for Medicare… more
    Providence (06/22/24)
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