- Elevance Health (Indianapolis, IN)
- …Position Title: Behavioral Health Medical Director - Psychiatrist - Indiana Medicaid Job Description: Behavioral Health Medical Director - Psychiatrist - Indiana ... Medicaid Location: This role enables associates to work virtually...to discuss review determinations. Serves as a resource and consultant to other areas of the company. May be… more
- The Denver Hospice (Aurora, CO)
- …Career & Logo wear Education Reimbursement Program Clinical Career Ladders Certification Pay Generous Discover-a-Star Team Member Referral Program Team Member ... develop and expand the awareness and availability of services. Acts as a consultant to referring primary physicians. Educates health care personnel and lay public… more
- Regional One Health (Memphis, TN)
- …options for continued care of the patient. *Maintains working knowledge of Medicaid , Medicare, and commercial insurance coverage for referred products and services. ... Discharge Coordination: *Serves as a consultant and educator regarding status, placement, ambulatory care, payor requirements, and utilization of resources.… more
- 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)
- 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 (Fort Lauderdale, FL)
- 68064264 - GOVERNMENT OPERATIONS CONSULTANT II Date: Jul 15, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... for Health Care Administration Working Title: 68064264 - GOVERNMENT OPERATIONS CONSULTANT II Pay Plan: Career Service Position Number: 68064264 Salary: $1,864.08… more
- 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 (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
- 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
- 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
- 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
- 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
- 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
- US Tech Solutions (Columbia, SC)
- Seeking an expert Lead IT Network Architect- Consultant to work directly with the IT Infrastructure and Operations networking team, I/O project manager, and project ... operations on infrastructure management. **Program Experience:** Current experience with Medicaid , Social Services, or similar public benefit programs is strongly… 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
- 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
- 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
- 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
- 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
- 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
