- Public Consulting Group (Richmond, VA)
- …(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
- Elevance Health (Norfolk, VA)
- **Medical Director- Florida Medicaid ** Location: This position will work a hybrid model (remote and office). The Ideal candidate will must live within 50 miles of ... discuss review determinations. + Serves as a resource and consultant to other areas of the company. + May...**Minimum Requirements:** + Requires MD or DO and Board certification approved by one of the following certifying boards… more
- HealthEdge Software Inc (Richmond, VA)
- **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
- ChenMed (Richmond, VA)
- …needed. **ESSENTIAL JOB DUTIES/RESPONSIBILITIES:** + Acts as a national pharmacy consultant for our physicians regarding patient case inquiries, drug interactions, ... state and federal insurance programs formulary inclusions, programs for Medicare/ Medicaid . + Familiarity with appropriate local, state, and federal pharmacy-related… more
- Aveanna (Winchester, VA)
- …staff, health care team members, and family. + Serves as a resource consultant for clinical staff. + Provide physicians and Aveanna with written evaluation of ... practice in the state of practice + Current CPR certification + One (1) year of recent experience as...care setting preffered As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements… more
- Elevance Health (Roanoke, VA)
- …metrics to track performance and goal achievement. + Serves as internal consultant relative to continuous improvement initiatives. + Identifies and develops plans to ... and process improvement structure strongly preferred. + Six Sigma Black Belt certification preferred. + Certified Professional Coder (CPC) and or professional coding… more