• Senior Business Consultant

    CareFirst (Baltimore, MD)
    **Resp & Qualifications** **PURPOSE:** The Sr. Business Consultant , Medicaid Revenue Operations provides expertise in tailored, strategic, and critical work to ... launch, and execute programs that support initiatives for CareFirst BlueCross BlueShield Medicaid line of business. This is an exciting opportunity to help optimize… more
    CareFirst (03/13/24)
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  • Senior Business Consultant

    CareFirst (Washington, DC)
    **Resp & Qualifications** **PURPOSE:** The Sr. Business Consultant for Medicaid Growth provides expertise in tailored, strategic, and critical work to help ... design, launch, and execute programs that support initiatives for CareFirst BlueCross BlueShield Medicaid line of business. This is an exciting opportunity to join a… more
    CareFirst (03/13/24)
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  • Medicaid Certification Consultant

    Public Consulting Group (Columbus, OH)
    …is 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 ... modular certification (SMC) and outcomes-based certification (OBC). Our ideal Medicaid Consultant will provide oversight and direction...to 15%. In addition, PCG provides a range of benefits for this role, including medical and dental care… more
    Public Consulting Group (03/21/24)
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  • MITA ( Medicaid IT Architecture)…

    Public Consulting Group (Sacramento, CA)
    …with proposal development **Qualifications** Required Skills/Experience * Experience with Medicaid Infrastructure Technology Architecture (MITA) * 5+ years of ... to 15%. In addition, PCG provides a range of benefits for this role, including medical and dental care... for this role, including medical and dental care benefits , 401k, PTO, parental leave, bereavement leave. **EEO Statement**… more
    Public Consulting Group (03/21/24)
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  • Actuarial Services Manager - Medicaid

    CareOregon (Portland, OR)
    …Nevada, Texas, Montana, or Wisconsin. Job Title Actuarial Services Manager - Medicaid and Medicare Exemption Status Exempt Department Finance Manager Title Director, ... Direct Reports Actuarial Staff Requisition # 24102 Pay and Benefits Estimated hiring range $149,090 - $180,400 / year,...position is responsible for managing actuarial analysis related to Medicaid and Medicare Advantage lines of business with a… more
    CareOregon (02/16/24)
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  • System Project Consultant

    MyFlorida (Tallahassee, FL)
    68020401 - SYSTEM PROJECT CONSULTANT Date: Apr 11, 2024 Location: TALLAHASSEE, FL, US, 32308 The State Personnel System is an E-Verify employer. For more information ... for Health Care Administration Working Title: 68020401 - SYSTEM PROJECT CONSULTANT Pay Plan: Career Service Position Number: 68020401 Salary: $1,851.56 biweekly… more
    MyFlorida (04/12/24)
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  • IT Project Manager - Public Sector/…

    Public Consulting Group (Sacramento, CA)
    …public sector. To learn more, visit www.publicconsultinggroup.com. **Responsibilities** The Consultant will provide Project Management services to our internal team ... and risk and recommendation strategies to our clients. The Consultant will work with project team to provide overall...Management Professional * QA / IV&V experience preferred * Medicaid experience preferred * Ability to understand both the… more
    Public Consulting Group (03/23/24)
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  • Health Policy Senior Project Consultant

    Serco (Washington, DC)
    **Position Description** Serco is seekinga motivated Senior Project Consultant /Advisor to join our talented and fast-paced Public Sector Solutions team in supporting ... of the Payment Error Rate Measurement (PERM) Program to produce national Medicaid and Children's Health Insurance Program (CHIP) improper payment estimates as… more
    Serco (04/17/24)
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  • Human Services Senior Consultant

    Public Consulting Group (Columbus, OH)
    …learn more, visit http://www.publicconsultinggroup.com/humanservices/ . The Human Services team **Senior Consultant ** will work on a range of projects related to ... a wide range of audiences, both clients and internal to PCG. The senior consultant will work in a deadline-oriented, fast-paced environment, and will need to be able… more
    Public Consulting Group (02/17/24)
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  • State Eligibility Consultant

    State of Indiana (Noblesville, IN)
    State Eligibility Consultant Date Posted: Apr 15, 2024 Requisition ID: 442010 Location: Noblesville, IN, US, 46060 Work for Indiana B egin a fulfilling career with ... At the state, you'll find competitive compensation, a robust benefits package, and a commitment to work-life balance. Most...Indiana are here! Be sure to review our expanded benefit package offerings below. About the Family & Social… more
    State of Indiana (04/16/24)
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  • Clinical Services Consultant

    CVS Health (Austin, TX)
    …audit, compliance, data analytics and reporting and experience in Pharmacy Benefits Management (especially Medicaid , Exchanges, Commercial, Aetna, Appeals, ... audit, compliance, data analytics and reporting and experience in Pharmacy Benefits Management (especially Medicaid , Exchanges, Commercial, Aetna, Appeals,… more
    CVS Health (03/08/24)
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  • Human Services Consultant

    Public Consulting Group (Columbus, OH)
    …sector. To learn more, visit_ _www.publicconsultinggroup.com_ _._ The Human Services team Consultant will work on a range of projects related to helping states ... with a wide range of audiences, both clients and internal to PCG. The consultant will work in a deadline-oriented, fast-paced environment, and will need to be able… more
    Public Consulting Group (02/05/24)
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  • IRIS Consultant - TMG ( Douglas County, WI)…

    Molina Healthcare (Superior, WI)
    **IRIS Consultant ** **JOB DESCRIPTION** **Job Summary** Do you want a career where you build lasting relationships with the people you partner with? Do you want to ... in the Wisconsin IRIS Program and the TMG IRIS Consultant Agency. While your office will be home-based, you...most out of the Wisconsin IRIS program - a Medicaid long-term care option for older adults and people… more
    Molina Healthcare (04/05/24)
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  • Social Work Services Program Consultant

    MyFlorida (Miami, FL)
    SOCIAL WORK SERVICES PROGRAM CONSULTANT - 64000844 Date: Apr 12, 2024 Location: MIAMI, FL, US, 33128 The State Personnel System is an E-Verify employer. For more ... 826186 Agency: Department of Health Working Title: SOCIAL WORK SERVICES PROGRAM CONSULTANT - 64000844 Pay Plan: Career Service Position Number: 64000844 Salary:… more
    MyFlorida (04/13/24)
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  • Senior Consultant

    Robert Half Finance & Accounting (Delaware County, PA)
    …Big 4 or other National audit firm) to join their dynamic team! The successful consultant and/or senior consultant (depending on experience), will be part of a ... as complex pricing and contracting matters. Responsibilities of the successful consultant /senior consultant will include: Assist clients with developing their… more
    Robert Half Finance & Accounting (03/08/24)
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  • Provider Relations Consultant

    WellSense (Boston, MA)
    Provider Relations Consultant (Boston/Northeast MA) - $5000 sign on bonus! WellSense Health Plan is a nonprofit health insurance company serving members across ... Massachusetts and New Hampshire through Medicare, Individual and Family, and Medicaid plans. Founded 25 years ago as Boston Medical Center HealthNet Plan, we provide… more
    WellSense (03/07/24)
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  • Public Health Nutrition Consultant

    MyFlorida (Miami, FL)
    68064398 - PUBLIC HEALTH NUTRITION CONSULTANT Date: Apr 5, 2024 Location: MIAMI, FL, US, 33166 MIAMI, FL, US, 33161 MIAMI, FL, US, 33186 MIAMI, FL, US, 33174 MIAMI ... Health Care Administration Working Title: 68064398 - PUBLIC HEALTH NUTRITION CONSULTANT Position Number: 68064398 Salary: $1,793.52 - $2,079.58 biweekly Posting… more
    MyFlorida (04/18/24)
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  • Nurse Consultant

    State of Indiana (Indianapolis, IN)
    Nurse Consultant Date Posted: Apr 4, 2024 Requisition ID: 441769 Location: Indianapolis, IN, US, 46204 Work for Indiana Begin a fulfilling career with the State of ... At the state, you'll find competitive compensation, a robust benefits package and a commitment to work-life balance. Most...learn, work, or play. Role Overview: As a Nurse Consultant you will determine medical eligibility of applicants and… more
    State of Indiana (04/05/24)
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  • Government Operations Consultant I

    MyFlorida (Gainesville, FL)
    GOVERNMENT OPERATIONS CONSULTANT I - 67013647 Date: Apr 8, 2024 Location: GAINESVILLE, FL, US, 32609 The State Personnel System is an E-Verify employer. For more ... Agency: Agency for Persons with Disabilities Working Title: GOVERNMENT OPERATIONS CONSULTANT I - 67013647 Position Number: 67013647 Salary: $1,680.00 - $1,848.00… more
    MyFlorida (04/09/24)
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  • OCM Consultant

    Public Consulting Group (Jacksonville, FL)
    …sector. To learn more, visit www.publicconsultinggroup.com. **Responsibilities** An OCM consultant will provide expert support and guidance to clients ensuring ... meet objectives by increasing stakeholder adoption and usage. This consultant will focus on the people side of change,...training activities related to MEMS Modules, MMIS Core Solutions, Medicaid DSS/DW and SI. * Prepare change impact assessments,… more
    Public Consulting Group (04/13/24)
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