- 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
- Elevance Health (Woodbridge, NJ)
- …plans in support of market, sales and profitability objectives. + Acts as vision consultant for Medicaid medical teams and makes recommendations for growth and ... ** Medicaid Product Management Director for Vision** **Location:** Alternate...50 miles of one of our PulsePoint locations. The ** Medicaid Product Management Director for Vision** responsible for leading… 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
- 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
- Deloitte (New York, NY)
- …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
- Rising Ground (Brooklyn, NY)
- Overview Psychiatrist Consultant Per-Diem - Bilingual Spanish About Rising Ground Founded as an orphanage in 1831, Rising Ground has been at the forefront of ... controlled substance + New York Ordering/Prescribing/Referring/Attending status to prescribe to Medicaid population. + An active Health Commerce Account to execute… 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
- Molina Healthcare (New York, NY)
- …in support of business objectives. * Serves as a Provider Engagement internal consultant and subject matter expert; works collaboratively to ensure the PETs and ... familiarity with various managed healthcare provider compensation methodologies, primarily across Medicaid and Medicare lines of business, including but not limited… more