• MITA ( Medicaid IT Architecture)…

    Public Consulting Group (FL)
    …personnel so classified.** **Qualifications:** Required Skills/Experience * Experience with Medicaid Infrastructure Technology Architecture (MITA) * 5+ years of ... within a large organization Desired Skills/Experience * Experience with Federal Certification guidelines and processes, such as Outcomes Based Certification more
    Public Consulting Group (05/07/25)
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  • Government Operations Consultant II

    MyFlorida (Tallahassee, FL)
    68020040 - GOVERNMENT OPERATIONS CONSULTANT II Date: Jul 23, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... for Health Care Administration Working Title: 68020040 - GOVERNMENT OPERATIONS CONSULTANT II Pay Plan: Career Service Position Number: 68020040 Salary: $1,733.08… more
    MyFlorida (07/24/25)
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  • Medical Director- Medicare and Medicaid

    Elevance Health (Costa Mesa, CA)
    **Medical Director- Medicare and Medicaid ** Location: This role enables associates to work virtually full-time, with the exception of required in-person training ... responsible for utilization review case management for Medicare and Medicaid in the California market while also assisting in...discuss review determinations. + Serves as a resource and consultant to other areas of the company. + May… more
    Elevance Health (07/18/25)
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  • Behavioral Health Medical Director - Psychiatrist…

    Elevance Health (Indianapolis, IN)
    **Behavioral Health Medical Director - Psychiatrist - Indiana Medicaid ** **Location:** This role enables associates to work virtually full-time, with the exception ... Medical Director** is responsible for reviewing cases for IN Medicaid members including child and substance use disorders, and...discuss review determinations. + Serves as a resource and consultant to other areas of the company. + May… more
    Elevance Health (07/12/25)
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  • IT Healthcare Curam Project Manager…

    US Tech Solutions (Columbia, SC)
    …IT projects. It is a multi-year effort to replace the aging Medicaid Eligibility Determination System and other member management applications with a multi-tier ... agency objectives. **Daily Duties / Responsibilities:** + The Senior Cúram Operations Consultant will serve as the on-sight technical resource for the Member… more
    US Tech Solutions (07/27/25)
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  • Physician 18 - Medical Consultant

    State of Michigan (Lansing, MI)
    Physician 18 - Medical Consultant Print (https://www.governmentjobs.com/careers/michigan/jobs/newprint/4989314) Apply  Physician 18 - Medical Consultant Salary ... visit MDHHS Diversity Equity and Inclusion . The Medical Consultant serves as an integral member of the Office...support, and consultation for programs and functions of Michigan Medicaid in MDHHS Health Services. Utilizing clinical expertise and… more
    State of Michigan (07/22/25)
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  • IRIS Consultant (Necedah, WI, Mauston, WI,…

    Molina Healthcare (Mauston, WI)
    …community who are enrolled in the Wisconsin IRIS Program and the TMG IRIS Consultant Agency. While your office will be home-based, you will have regularly scheduled ... participants in their home and community. As an IRIS Consultant (IC), you will build relationships with the people...most out of the Wisconsin IRIS program - a Medicaid long-term care option for older adults and people… more
    Molina Healthcare (07/25/25)
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  • Medical Consultant

    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
    City of New York (05/14/25)
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  • Home Health Nurse Consultant

    PruittHealth (Norcross, GA)
    **JOB PURPOSE:** The Home Health Consultant collaborates with the Home Health Agencies by evaluating and educating agencies/facility staff for compliance with all ... deficiencies. 19. Reviewing additional information requests from Medicare and Medicaid as requested. 20. Assists Operations with coordinating communication and… more
    PruittHealth (07/04/25)
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  • Patient Services Consultant

    UnityPoint Health (Des Moines, IA)
    …applying for, and submitting Polk County Applications and Presumptive Applications for Medicaid + Complete intake and follow up on USPP referrals per contracts ... peripheral devices. Previous experience in a medical setting desirable. License(s)/ Certification (s): Valid driver's license when driving any vehicle for work-related… more
    UnityPoint Health (07/31/25)
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  • Registered Nurse 2 Psychiatric (JL Norris ATC)

    New York State Civil Service (Rochester, NY)
    …in the Medicaid and Medicare programs. Failure to maintain licensure, certification and/or Medicaid /Medicare eligibility will result in the termination of ... care aspects for individuals in treatment.* Serve as a consultant to other nurses and direct care staff in...Medicaid and Medicare programs. Failure to maintain licensure, certification and Medicaid /Medicare eligibility will result in… more
    New York State Civil Service (07/19/25)
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  • Community Engagement & Growth Specialist (Hesperia…

    Molina Healthcare (Muscoy, CA)
    …Health Interpreter, Public Health Aide, Connector, Sales, Marketing, Insurance Agent, Insurance Consultant , etc This role is community/ external facing and is in ... "choice" rate. Works collaboratively with other key departments to increase Medicaid assignment percentage for Molina. + Responsible for achieving monthly,… more
    Molina Healthcare (07/23/25)
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  • Preschool Speech Pathologist (SLP) (w/ Retention…

    Erie 2-Chautauqua-Cattaraugus BOCES (Williamsville, NY)
    …+ Current licensure (with the exception of CFY) within NY State + ASHA certification required + Applicants working in a school program must have a teaching ... agency, the Office for People With Developmental Disabilities OPWDD, Medicaid , Medicare, insurance companies, municipalities, Department of Health, school districts,… more
    Erie 2-Chautauqua-Cattaraugus BOCES (06/13/25)
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  • Director, Operations- Surgical Oncology

    UPMC (Pittsburgh, PA)
    …and supplies. May act as liaison to outside vendors. + Act as a consultant to physicians in developing new strategic business opportunities and develop new outreach ... regulatory agencies or accrediting bodies (ie JCAHO, PA Department of Health, Medicaid ). + Work closely with Clinical, Administration and Information Services staff… more
    UPMC (07/02/25)
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  • Cfsp - I/DD and TBI Clinical Director

    Elevance Health (Durham, NC)
    …are partnering with North Carolina DHHS to operationalize the single, statewide Medicaid Plan designed to support Medicaid -enrolled infants, children, youth, ... guidance for programs. + Serves as a resource and consultant to other areas of the company. + Prepare...and clinical guidelines within scope of license. + Conducts pre- certification , concurrent review, and appeals of Behavioral Health OP… more
    Elevance Health (07/15/25)
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  • Eligibility Screener (Milwaukee, WI & Waukesha, WI…

    Molina Healthcare (Waukesha, WI)
    …where you will partner with people in your community who use the TMG IRIS Consultant Agency. While this role is home-based, you will spend most days visiting IRIS ... Functional Screens (LTC-FS) for participants of the Wisconsin IRIS program - a Medicaid long-term care option for older adults and people with disabilities. The job… more
    Molina Healthcare (07/25/25)
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  • Senior Physician Specialist - All Specialties

    City and County of San Francisco (San Francisco, CA)
    …and substance use treatment services. Duties Include + Experienced Specialist Representative/ Consultant of the specialty program or service including, but not ... cases, and institutes treatments as appropriate; serves as a consultant to physician specialists on difficult and complex cases....Board of California* AND + Possession of valid Board Certification in the appropriate medical specialty area for the… more
    City and County of San Francisco (05/21/25)
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  • Pharmacist (Antimicrobial-Stewardship)-DHA

    Indian Health Service (Gallup, NM)
    …Service Chapter 39 and The Joint Commission(TJC)/Centers for Medicare & Medicaid Services (CMS) standards. Responsibilities Total Compensation Package - Check out ... Stewardship Program, Pathology and Laboratory Service and Pharmacy Service Serves as consultant in planning, monitoring and evaluating drug programs or regimens by… more
    Indian Health Service (07/28/25)
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  • Occupational Therapist

    Greece Central School District (North Greece, NY)
    …students with disabilities and understanding of child development preferred; Certification in CPI and/or TCI preferred. Position Summary/Responsibilities: Conducting ... by a physician, physician's assistant, or nurse practitioner that are Medicaid compliant; Delivering evidence based treatment and interventions to students district… more
    Greece Central School District (07/15/25)
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  • Rehab Supervisor (Fulltime)

    Penn Medicine (Elizabethtown, PA)
    …to the departmental and LG policies and procedures. + Serves as a clinical consultant to rehab leaders and other staff members. + Responsible for completing the ... Department of Health. + Lancaster General Hospital requires CPR certification for this position. + Five (5) years of...A health care provider in good standing with Medicare, Medicaid , and other federal and state health insurance programs,… more
    Penn Medicine (07/11/25)
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