- Public Consulting Group (Albany, NY)
- …(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
- Highmark Health (Albany, NY)
- …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
- HealthEdge Software Inc (Albany, NY)
- **Overview** **Overview:** The Business Consultant leads and mentors the Service Delivery team in all Tier 1 (Basic) and Tier 2 (Intermediate) consulting ... products (from basic to advanced features/functionality), payment methodologies/policies (Medicare, Medicaid , and commercial), payment integrity, and healthcare plan operations… more
- Softheon (Stony Brook, NY)
- Job Title: Senior Solutions Consultant Job Location: Remote About us: Softheon is a dynamic and forward-thinking Software as a Service (SaaS) organization that is ... tailored for government agencies overseeing Affordable Care Act (ACA) Marketplaces, Medicaid , Health & Human Services (HHS) and Government Health Benefits for… 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
- The Arc Erie County NY (Buffalo, NY)
- …license may be required for CFY candidates (directly billing Medicare). ASHA certification preferred. Full Job Description is listed below: Job Title: Speech ... agency, the Office for People With Developmental Disabilities OPWDD, Medicaid , Medicare, insurance companies, municipalities, Department of Health, school districts,… more
- Elevance Health (Latham, NY)
- …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
- Catholic Health Services (Roslyn, NY)
- …Island to receive a five-star rating from the Centers for Medicare & Medicaid Services for consistently high patient satisfaction scores. Job Details All phases of ... for the Physician Assistant. Physician Assistant's must have current NCCPA certification . Bachelor's Degree required. NYS licensed with certification . Masters… more
- Catholic Health Services (Roslyn, NY)
- …Island to receive a five-star rating from the Centers for Medicare & Medicaid Services for consistently high patient satisfaction scores. Job Details The St. Francis ... and measures. Serve as a clinical expert and leadership consultant to members of the healthcare team and to...- Current RN license and current AANP or ANCC certification Experience PA - Will consider new grad with… more
- Highmark Health (Guilderland, NY)
- …(DOH), Department of Financial Services (DFS), and the Centers for Medicare & Medicaid Services (CMS). + Oversee the orderly operation of the retail site. Includes ... the appropriate next steps, including assignment to an on-site benefit consultant . Performs assigned outreach activities to maximize membership growth and retention.… more