- MyFlorida (Fort Lauderdale, FL)
- 68048394 - GOVERNMENT OPERATIONS CONSULTANT II Date: Jan 9, 2026 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... for Health Care Administration Working Title: 68048394 - GOVERNMENT OPERATIONS CONSULTANT II Pay Plan: Career Service Position Number: 68048394 Salary: $1,864.08… more
- Elevance Health (Indianapolis, IN)
- **Utilization Management Medical Director - Indiana Medicaid ** **Location:** This role enables associates to work virtually full-time, with the exception of required ... **Medical Director** is responsible for reviewing cases for IN Medicaid members. Responsible for the administration of physical health...and external physicians. + Serves as a resource and consultant to other areas of the company. + May… more
- Elevance Health (Washington, DC)
- …Health Medical Director - Psychiatrist - District of Columbia (aka Washington DC) Medicaid ** **Location:** This role requires associates to be in-office 4 days per ... Medical Director** is responsible for reviewing cases for DC Medicaid members including pharmacy, child, and substance use disorders,...discuss review determinations. + Serves as a resource and consultant to other areas of the company. + May… more
- Elevance Health (Seven Fields, PA)
- **Medical Director Associate- Psychiatrist- Pennsylvania Medicaid ** **Location:** This role enables associates to work virtually full-time, with the exception of ... including medical policies. + 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
- Highmark Health (Buffalo, NY)
- …job is a highly skilled subject matter expert (SME) in Medicare STARS, Medicaid HEDIS and risk revenue streams and provides strategic, hands-on, office based support ... to PCPs for analysis of performance Medicare STARS, Medicaid HEDIS and risk revenue streams, identifies opportunities for improvement in value creation, cost control… more
- COOLSOFT (Raleigh, NC)
- APD Consultant (Jobs in Raleigh, NC) Requirement id 156481 Job title Consultant Job location in Raleigh, NC Skills required Written And Verbal Communication ... Status requirement Job interview type Email Recruiter:coolsoft Job Description Consultant : Written And Verbal Communication Skills, Project Management Experience,… more
- MyFlorida (Fort Myers, FL)
- GOVERNMENT OPERATIONS CONSULTANT II - 64082631 1 1 Date: Jan 6, 2026 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... . Requisition No: 867662 Agency: Department of Health Working Title: GOVERNMENT OPERATIONS CONSULTANT II - 64082631 1 1 Pay Plan: Career Service Position Number:… more
- Nuvance Health (Fishkill, NY)
- …** *Requirements and Qualifications:* ** * Active registered nurse license * IBCLC certification , or active certified lactation consultant (CRC) with interest in ... compassion. *Summary:* ** We areseekingan experienced and compassionate lactation consultant to provide breastfeeding support forbirthingpeople and their babies… more
- Nuvance Health (Rhinebeck, NY)
- …* * Active registered nurse license * Active international board-certified lactation consultant (IBCLC) certification * Must be eligible to be credentialed ... environment of open communication and unwavering compassion. *Title: *Lactation Consultant - NHMP Northern Ob/Gyn - Rhinebeck, NY. Full...with Medicaid /Medicare * Basic computer literacy * Excellent interpersonal, communication,… more
- HCA Healthcare (Overland Park, KS)
- …**Introduction** Do you have the career opportunities as a(an) PRN RN Lactation Consultant you want with your current employer? We have an exciting opportunity for ... preferred banking partnerships + Education assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time… more
- HCA Healthcare (Dallas, TX)
- …Medical City Dallas have the opportunity to make a real impact. As a(an) Lactation Consultant you can be a part of change. **Benefits** Medical City Dallas, offers a ... preferred banking partnerships + Education assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time… more
- Waystar (Atlanta, GA)
- **ABOUT THIS POSITION** The Clinical Product Consultant for Utilization Management is a member of the Customer Success Organization who will provide clinical insight ... delivery of the product, interacting with customer end users and managers. The Consultant will be responsible for ensuring that the complexity of our AI technology… more
- HCA Healthcare (Fort Walton Beach, FL)
- …about delivering patient-centered care?** Submit your application for Registered Nurse Lactation Consultant position and spend more time at the bedside with the ... preferred banking partnerships + Education assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time… more
- HCA Healthcare (Dallas, TX)
- …you passionate about delivering patient-centered care?** Submit your application for Lactation Consultant position and spend more time at the bedside with the ... preferred banking partnerships + Education assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time… more
- HCA Healthcare (Houston, TX)
- …you passionate about delivering patient-centered care?** Submit your application for Lactation Consultant RN PRN position and spend more time at the bedside with ... preferred banking partnerships + Education assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time… more
- CVS Health (Baton Rouge, LA)
- …each and every day. **Position Summary** The Utilization Management Nurse Consultant (UMNC) for NICU Concurrent Review conducts high-acuity, timely, and ... determinations align with contractual, regulatory, and accreditation standards (eg, Medicaid , CMS, NCQA). * Communicate clinical decisions to providers, member… more
- WellSense (NH)
- …for our members, no matter their circumstances. **Job Summary:** The Provider Relations Consultant - NH will act as the primary liaison between Provider Relations ... or healthcare environment is preferred . Experience with Medicare and Medicaid Reimbursement Methodologies . Understanding of provider coding and billing practices… more
- MyFlorida (Tallahassee, FL)
- 68059804 - SYSTEM PROJECT CONSULTANT Date: Dec 30, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... Agency for Health Care Administration Working Title: 68059804 - SYSTEM PROJECT CONSULTANT Pay Plan: Career Service Position Number: 68059804 Salary: $1,945.56 -… more
- State of Minnesota (St. Paul, MN)
- **Working Title: County Advisor** **Job Class: Human Services Program Consultant ** **Agency: Human Services Dept** + **Job ID** : 91205 + **Location** : St. Paul + ... owns oversight and responsibility of county policy and procedure for Medicaid collections. Specifically, this position is responsible for developing and supervising… more
- WellSense (MA)
- …activities and events** . **Ensures quality and compliance with state Medicaid regulations and NCQA requirements** . **Other responsibilities as assigned** ... . **Experience in the Medicare provider healthcare insurance industry preferred** ** Certification or Conditions of Employment:** . **Must have valid driver's license… more