- 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
- Teva Pharmaceuticals (Parsippany, NJ)
- …a Pharmaceutical and/or med Device company , state and/or state agency or as Medicaid consultant or equivalent work experience Experience Preferred: + Minimum of ... Medicaid Claims Analyst Date: Feb 20, 2025 Location:...our journey of growth! **The opportunity** **Position Summary:** The Medicaid Claims Analyst is responsible for Medicaid … more
- 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
- Deloitte (Jersey City, NJ)
- …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
- 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
- IQVIA (Parsippany, NJ)
- …Matter Expert (SME) within a functional or technical workstream (eg, Medicaid , Master Data Management, Chargebacks, Government Pricing, Testing, Managed Care ... * Expertise in one or more of (but not limited to) the following: + Medicaid + Master Data Management + Chargebacks + Government Pricing + Testing + Managed Care… more
- Atlantic Health System (Morristown, NJ)
- …- its highest - twelve consecutive times, and the Centers for Medicare and Medicaid Services awarded us again with its highest five-start rating in 2020. Morristown ... Medical Center is a Magnet Hospital for Excellence in Nursing Service, the highest level of recognition achievable from the American Nurses Credentialing Center for facilities that provide acute care services. Our nonprofit hospital was also designated a Level… more
- Atlantic Health System (Morristown, NJ)
- …- its highest - twelve consecutive times, and the Centers for Medicare and Medicaid Services awarded us again with its highest five-start rating in 2020. Morristown ... Medical Center is a Magnet Hospital for Excellence in Nursing Service, the highest level of recognition achievable from the American Nurses Credentialing Center for facilities that provide acute care services. Our nonprofit hospital was also designated a Level… more
- 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
- The Cigna Group (Morris Plains, NJ)
- …Management provides strategic, financial, relationship, and organizational leadership for the Medicaid line of business within the Sales & Account Management Centene ... upsells, and education of teams and enterprise of ever-changing Medicaid market requirements and dynamics. + Manage a diverse...best practices within the division. + Act as a consultant in ongoing client relationships to ensure client growth… more
- Daiichi Sankyo Inc. (Basking Ridge, NJ)
- …not limited to, areas of GPO/PBM and trade/distribution agreements, Medicare, Medicaid , product pricing, and government price reporting. Coordination with, and ... **Responsibilities** - Lead drafting and negotiating contracts for commercial, Medicaid and Medicare coverage, as well as other government...support functions in an in-house capacity, as a legal consultant , and/or at a law firm in a practice… 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 ... Investigation Unit on issues related to Fraud, Waste, and Abuse of Medicare/ Medicaid services. + Collaborates with pharmacy services to review PBM activities and… more
- Atlantic Health System (Morristown, NJ)
- …crisis intervention and community resource knowledge and skill. 4. Serves as consultant to emergency department staff in identifying patient problems and disposition ... - its highest - twelve consecutive times, and the Centers for Medicare and Medicaid Services awarded us again with its highest five-start rating in 2020. Morristown… more
- Atlantic Health System (Morristown, NJ)
- …activities and clinical research. + Serve as a clinical expert and leadership consultant to nursing, healthcare team members, and the larger community. Benefits + ... - its highest - twelve consecutive times, and the Centers for Medicare and Medicaid Services awarded us again with its highest five-start rating in 2020. Morristown… more