- Public Consulting Group (Sacramento, CA)
- …(CMS) and the new streamlined modular certification (SMC) and outcomes-based certification (OBC). Our ideal Medicaid Consultant will provide oversight ... changing, and PCG is at the forefront. We are looking for an experienced Medicaid Consultant to join our team and help lead our growth efforts. Deep Medicaid… more
- Public Consulting Group (Sacramento, CA)
- …with proposal development **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
- Sutter Health (Sacramento, CA)
- …but not limited to, the California Knox-Keene Act and Centers for Medicare & Medicaid Services (CMS) alternative payment models. Works with and serves in the absence ... or diploma Bachelor's in Business Administration or related field ** CERTIFICATION & LICENSURE:** CHC -Certified in Healthcare Compliance **TYPICAL EXPERIENCE:**… more
- Molina Healthcare (San Bernardino, 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
- Elevance Health (Los Angeles, CA)
- …Amerigroup, is a proud member of Elevance Health's family of brands, offering Medicaid and Medicare plans in several states. We also provide administrative services ... to Medicaid plans in partnership with blue cross blue shield...discuss review determinations. + Serves as a resource and consultant to other areas of the company. + May… more
- City and County of San Francisco (San Francisco, CA)
- …clinics within the Health Network. Duties Include + Experienced Specialist Representative/ Consultant of the specialty program or service including, but not limited ... 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 (San Francisco, CA)
- …complex cases, and institutes treatments as appropriate. May serve as a consultant to other physicians, including specialists in other fields. + Surgical specialist ... cancellation of an employment offer: + Be eligible to participate in Medicare, Medicaid and/or other federal health care programs; + Possess a National Provider… more
- Sutter Health (San Francisco, CA)
- …interpretations and code assignments + Works with the EPIC Technical Consultant to update provider note templates, dot phrases, documentation drop-down menus, ... Bachelors degree **TYPICAL EXPERIENCE:** 3 years IP Coding experience. ** CERTIFICATION & LICENSURE:** Certified Clinical Documentation Specialist (CCDS) or Certified… more
- Elevance Health (Rancho Cordova, CA)
- …member of the Elevance Health's family of companies offering Medicare plans, Medicaid , individual and family plans, and group insurance plans in California. Our ... discuss review determinations. + Serves as a resource and consultant to other areas of the company. + Represents...**Minimum Requirements:** + Requires MD or DO and Board certification approved by one of the following certifying boards… more
- Sutter Health (San Francisco, CA)
- …needs of patient's and alternative levels of care. The PA acts as consultant to and resource for attending physicians regarding their decisions relative to ... : **EDUCATION:** + Doctorate: Graduate of an accredited medical school ** CERTIFICATION & LICENSURE:** + MD-Doctor of Medicine OR DO-Doctor of Osteopathy… more