- City of New York (New York, NY)
- …is recruiting for one (1) Principal Administrative Associate II, to function as a Medicaid Consultant within the Central Intake Unit, who will: - Interpret ... TITLE. The Home Care Services Program (HCSP) is a Medicaid funded program that provides long term care to...Medicaid policies and procedures for assigned cases for individuals… more
- New York State Civil Service (New York, NY)
- …HELP No Agency Attorney General, Office of the Title Legal Nurse/Medical Analyst: Medicaid Fraud Control Unit (6388) Occupational Category Legal Salary Grade NS ... NY Zip Code 10005 Duties Description Criminal Justice Division Medicaid Fraud Control Unit - New York City Medical...managed care; * Prior experience as a legal nurse consultant ; and * Knowledge of state and federal rules… more
- Prime Therapeutics (Trenton, NJ)
- …every decision we make. **Job Posting Title** Senior Functional Business Consultant / Regulatory Compliance exp required- REMOTE **Job Description** The Functional ... Business Consultant serves as a business system or business process...process change and/or project management in supporting Compliance with Medicaid requirements. + Provide direct, or indirect leadership to… 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
- Cognizant (Trenton, NJ)
- Healthcare Product Consulting - NetworX Consultant (Remote) Job Summary: The NetworX Product Consultant is responsible for providing customers with application ... benefits configuration. + Knowledge of health plan operations for Medicare, Medicaid , Marketplace, LTSS, DSNP (duals) is highly preferred Preferred Qualifications: +… more
- Liberty Healthcare Corporation (Bala Cynwyd, PA)
- …public health experience. Liberty is certified by Centers for Medicare and Medicaid Services (CMS) as a Quality Improvement Organization-like (QIO-like) entity. To ... retainer. Thereafter you will be paid for each hour you work as a consultant for Liberty. Hourly compensation rates are negotiable and will be consistent with the… more
- Prime Therapeutics (Trenton, NJ)
- …management. Enforces teamwork across all internal departments, as well as with Medicaid Clients, and an in-depth understanding of all rebate programs, trends, and ... state laws and standards of practice which govern the Medicaid Drug Rebate Program. + Ensures compliance with each...discussion for these periodic meetings. + Acts as a consultant to Rebate Director for RFPs and implementations when… more
- Prime Therapeutics (Trenton, NJ)
- …solutions for designated business areas. This position serves as a consultant to internal stakeholders regarding the development, implementation and monitoring of ... the interests of key internal and external stakeholders + Serves as a consultant to management on major matters pertaining to policies, plans and objectives and… more
- Prime Therapeutics (Trenton, NJ)
- …of growth and retention strategies; support the development and execution of consultant engagement strategies necessary to grow the market. + Manage budgets and ... client services experience in healthcare or pharmacy benefit management, preferably in Medicaid . + 5 years of leadership / people management experience. + Must… more
- CenterWell (Trenton, NJ)
- …others in collaborative problem solving. Acting as both a broker and consultant regarding resources, you engage others in problem solving without taking over. ... practice residency or similar pharmacy practice experience** **Knowledge of Medicare and Medicaid as it relates to pharmacy** **Six Sigma and/or Project Management… more
- Humana (Trenton, NJ)
- …consumer experiences + Scaled Agile (SAFe) certification(s): RTE and/or Safe Program Consultant (SPC) + Scrum Master certification like CSP-SM, A-CSM, or PSM III ... are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal… more
- City of New York (New York, NY)
- …towards monitoring the performance and compliance of Cash Assistance, SNAP, and Medicaid programs. Ensure that all projects lead to improved efficiency, which result ... reduction, cost saving and avoidance of fiscal sanctions. - Act as internal consultant to the Agency's Senior Leadership Team regarding the following: identify and… more