- Public Consulting Group (Juneau, AK)
- …support the delivery of health-related services by helping schools access critical Medicaid reimbursement. The Consultant will take a client-centric view and ... Integrity, and other staff to execute contractual obligations. In addition, the Consultant will focus on growth and retention, ensuring that client relationships are… 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: Jan 2, 2026 Location:...people to make a difference with. **The opportunity** The Medicaid Claims Analyst is responsible for Medicaid … more
- OhioHealth (Columbus, OH)
- …Summary:** This position is responsible for preparing and reviewing the Medicare and Medicaid cost reports for all OhioHealth entities. * This position will be ... responsible for ensuring the appropriate governmental (Medicare and Medicaid ) reimbursement is received for OhioHealth. * This position is primarily responsible for… more
- MyFlorida (Orlando, FL)
- …Management Consultant II. 35% Create customized downloads from on-line Medicaid claims data warehouse as requested by investigators, attorneys, and multistate ... MEDICAID FRAUD ANALYST II - 41001293 Date: Jan...867678 Agency: Office of the Attorney General Working Title: MEDICAID FRAUD ANALYST II - 41001293 Pay Plan: Career… more
- New York State Civil Service (Syracuse, NY)
- …No Agency Attorney General, Office of the Title Legal Nurse: Investigate Medicaid Fraud/Patient Abuse (6417) Occupational Category Legal Salary Grade NS Bargaining ... NY Zip Code 13202 Duties Description Criminal Justice Division Medicaid Fraud Control Unit - Syracuse Medical AnalystReference No....managed care; * Prior experience as a legal nurse consultant ; and * Knowledge of state and federal rules… more
- 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
- 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
- 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 ... for company health plans including medical policies. + Serves as a resource and consultant to other areas of the company. + May interpret existing medical policy. +… 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
- MyFlorida (Orlando, FL)
- GOVERNMENT OPERATIONS CONSULTANT II - 60019554 Date: Jan 9, 2026 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... Requisition No: 867801 Agency: Children and Families Working Title: GOVERNMENT OPERATIONS CONSULTANT II - 60019554 Pay Plan: Career Service Position Number: 60019554… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …Blue Cross and Blue Shield of Minnesota Position Title: Senior Policy Consultant Location: Hybrid | Eagan, Minnesota Career Area: Corporate Affairs About Blue ... You Will Have Blue Cross Blue Shield MN is looking for a Senior Policy Consultant to join our team. This position is responsible for serving as the principal policy… more
- COARC (Hudson, NY)
- …Hourly | 70.00 per hour We are currently seeking a licensed Physical Therapist Consultant to provide services in a preschool special education program. This is a ... contractor role, not an employee position. | Part Time Physical Therapist Consultant - Preschool Special Education (1099) Location: Hudson, NY Position Type:… more
- MyFlorida (Tampa, FL)
- SOCIAL WORK SERVICES PROGRAM CONSULTANT - 64000844 Date: Jan 6, 2026 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... 861021 Agency: Department of Health Working Title: SOCIAL WORK SERVICES PROGRAM CONSULTANT - 64000844 Pay Plan: Career Service Position Number: 64000844 Salary:… more
- Molina Healthcare (Amery, WI)
- **IRIS Consultant ** **JOB DESCRIPTION** **Job Summary** Do you want a career where you build lasting relationships with the people you partner with? Do you want to ... in the Wisconsin IRIS Program and the TMG IRIS Consultant Agency. While your office will be home-based, you...most out of the Wisconsin IRIS program - a Medicaid long-term care option for older adults and people… more
- TEKsystems (Chula Vista, CA)
- I Consultant - Conversational AI (Healthcare) Contract Role | Conversational AI | Healthcare Technology About the Organization A mission-driven, nonprofit healthcare ... organization serving Medicaid and Medicare populations is investing heavily in next‑generation...ecosystem. Role Overview We are seeking an experienced AI Consultant specializing in Conversational AI to design, build, and… more
- COOLSOFT (Clemson, SC)
- JCL IDMS Consultant (Jobs in Clemson, SC) Requirement id 156506 Job title Consultant Job location in CLEMSON, SC Skills required Mainframe Programming, JCL, ... Status requirement Job interview type Email Recruiter:coolsoft Job Description Consultant : Mainframe Programming, JCL, COBOL Development, IDMS Start date :1/30/2026… more
- Nuvance Health (Fishkill, NY)
- …compassion. *Summary:* ** We areseekingan experienced and compassionate lactation consultant to provide breastfeeding support forbirthingpeople and their babies ... throughout the prenatal and postpartum period. The lactation consultant will see patients in our obstetric offices for prenatal and postpartum visits in… more