- 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
- MyFlorida (Tallahassee, FL)
- 68019476 - GOVERNMENT OPERATIONS CONSULTANT I Date: Sep 22, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... for Health Care Administration Working Title: 68019476 - GOVERNMENT OPERATIONS CONSULTANT I Pay Plan: Career Service Position Number: 68019476 Salary: $1,550.80… more
- MyFlorida (Tallahassee, FL)
- 68039489 - GOVERNMENT OPERATIONS CONSULTANT I Date: Sep 9, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... Health Care Administration Working Title: 68039489 - GOVERNMENT OPERATIONS CONSULTANT I Pay Plan: Career Service Position Number: 68039489...report to work daily and on time. The Florida Medicaid program is one of the five largest in… more
- Highmark Health (Charleston, WV)
- …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 (Winston Salem, NC)
- **Utilization Management Medical Director- NC Medicaid ** Location: This role enables associates to work virtually full-time, with the exception of required in-person ... responsible for utilization review case management for North Carolina Medicaid . May be responsible for developing and implementing programs...discuss review determinations. + Serves as a resource and consultant to other areas of the company. + May… more
- CVS Health (Hartford, CT)
- …, and predetermination of covered benefits in the commercial, Medicare, and Medicaid environment. This Wheelchair DME consultant provides subject matter ... Summary:** Aetna, a CVS Health company has an outstanding opportunity for a Wheelchair DME consultant . Ready to take your career to the next level with a Fortune 4… more
- Elevance Health (Woodbridge, NJ)
- **Behavioral Health Medical Director- Psychiatrist- NJ Medicaid ** Location: The successful candidate will be a board-certified psychiatrist licensed and residing in ... discuss review determinations. + 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
- Molina Healthcare (Mequon, 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
- MyFlorida (Orlando, FL)
- …evaluation of health care facilities for state licensure and federal certification requirements for participation under Medicare/ Medicaid . The incumbent will ... 68026217 - PUBLIC HEALTH NUTRITION CONSULTANT Date: Aug 28, 2025 The State Personnel...of Field Operations is responsible for the survey and certification process of health care facilities across the State… more
- PruittHealth (Fayetteville, NC)
- **JOB PURPOSE:** The Nurse Consultant collaborates with the Senior Vice President Clinical Services and the hospice regional team to provide compliance support ... services to hospice agencies. The consultant is responsible for providing program evaluation, education and...own knowledge and to keep current the fields of Medicare/ Medicaid /OSHA state rules and regulations, JCAHO and other types… more
- PruittHealth (Norcross, GA)
- **HomeHealth Consultant position - Hybrid and Travel opportunity!** **JOB PURPOSE:** The Home Health Consultant collaborates with the Home Health Agencies by ... deficiencies. 19. Reviewing additional information requests from Medicare and Medicaid as requested. 20. Assists Operations with coordinating communication and… more
- MyFlorida (Tallahassee, FL)
- 68064785 - GOVERNMENT OPERATIONS CONSULTANT II Date: Sep 22, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... for Health Care Administration Working Title: 68064785 - GOVERNMENT OPERATIONS CONSULTANT II Pay Plan: Career Service Position Number: 68064785 Salary: $1,733.08… 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
- MyFlorida (Tallahassee, FL)
- 68059804 - SYSTEM PROJECT CONSULTANT Date: Sep 19, 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
- MyFlorida (Tallahassee, FL)
- …and planning entity. The Agency is responsible for administering the Florida Medicaid program, the licensure and regulation of nearly 50,000 health care facilities, ... requiring substantial financial, administrative and operational knowledge of the Agency's Medicaid State and Local Administration Program for Medicaid 's Medical… more
- 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
- 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
- Penn Medicine (Lancaster, PA)
- …to nursing practice. + Fosters individual nurses professional development and growth. ** Consultant :** + Collaborates with all members of the health care team ... member, in a chair co-chair role, or as a consultant . + Partners with other regional and system CNS...issued by the PA Board of Nursing License + Certification as a Clinical Nurse Specialist from a National… more
- The Arc Erie County NY (Buffalo, NY)
- …license may be required for CFY candidates (directly billing Medicare). ASHA certification preferred. See our full Job Description listed below: Job Description Job ... agency, the Office for People With Developmental Disabilities OPWDD, Medicaid , Medicare, insurance companies, municipalities, Department of Health, school districts,… more
- Molina Healthcare (Eau Claire, 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