- PA Consulting (New York, NY)
- …Description We're looking for experienced professionals to join our dynamic team, spanning Consultant to Principal Consultant levels. Our mission is to help ... on the US market dynamics, including knowledge of IRA, Medicare, Medicaid . Proven experience in primary research, conducting interviews, and managing quantitative… more
- Medisolv (Columbia, MD)
- …and safety measures, including those required by the Centers for Medicare and Medicaid , The Joint Commission, private payers, and state agencies. Medisolv now ... programs and reporting requirements, including CMS, The Joint Commission, and state -based initiatives. The Consultant leads quality improvement engagements,… more
- Marsh & McLennan Companies, Inc. (Irvine, CA)
- …coverage to low-income individuals and families. As a consulting firm specializing in Medicaid , Mercer's GHSC team assists state governments in optimizing their ... team plays a vital role in managing and analyzing Medicaid claims data to enhance patient access...and analytical problem-solving skills What makes you stand out? Medicaid actuarial experience (any state program) or… more
- IQVIA, Inc. (Falls Church, VA)
- …of public health, population health and high-quality research studies across Federal, State and Local government clients. A Senior Consultant supports ... Senior Consultant , Epidemiology, Government Solutions About IQVIA Government Solutions...public health leaders and practitioners by delivering health care data and by providing in-depth insights that can be… more
- FC Compassus LLC (Chippewa Falls, WI)
- …Registered Nurse Preceptor functions as an educator, mentor, facilitator, change agent, consultant , leader, and respected expert resource to new hires and all team ... needs and potential solutions to supervisor. Stays informed of current Medicare/ Medicaid regulations. Evaluates to ensure the effectiveness of educational content… more
- Guidehouse (Mclean, VA)
- …seeking Consultants with experience and knowledge of validating, loading, processing and analyzing Medicaid data and detailed member data across various ... analyses will be leveraged to help inform work with state Medicaid , public health or state...stay abreast of states' healthcare transformation efforts + Perform data and qualitative research activities to address state… more
- MSys Inc. (Columbia, SC)
- Job summary: Title: Medicaid /APD Consultant - Hybrid Location: Columbia, SC, United States Length and terms: Long term - W2 Only Position created on 07/18/2025 ... Advanced Planning Documents (APD) and maintaining documentation elating to State and/or Federal reporting, policies/procedures, and/or IT system requirements. This… more
- Public Consulting Group (FL)
- …better. We provide the full spectrum of technology consulting services to help state and local agencies meet operational and program needs that enhance the lives ... personnel so classified.** **Qualifications:** Required Skills/Experience * Experience with Medicaid Infrastructure Technology Architecture (MITA) * 5+ years of… more
- New York State Civil Service (New York, NY)
- …a complete application online at ag.ny.gov/job-postings/otherThe Office of the New York State Attorney General's (OAG) Medicaid Fraud Control Unit (MFCU) is ... charged with ensuring the financial integrity of New York state 's $94 billion Medicaid program by investigating...managed care; * Prior experience as a legal nurse consultant ; and * Knowledge of state and… more
- New York State Civil Service (Albany, NY)
- …a complete application online at ag.ny.gov/job-postings/otherThe Office of the New York State Attorney General's (OAG) Medicaid Fraud Control Unit (MFCU) is ... charged with ensuring the financial integrity of New York state 's $96 billion Medicaid program by investigating...managed care; * Prior experience as a legal nurse consultant ; and * Knowledge of state and… more
- Teva Pharmaceuticals (North Wales, PA)
- …processing experience with a Pharmaceutical and/or med Device company , state and/or state agency or as Medicaid consultant or equivalent work experience ... verifying, disputing when necessary, and remitting payment for assigned state Medicaid agencies, SPAPs and Supplemental Rebates....& Responsibilities** + Work with assigned states to get Medicaid Summary invoice, summary data file and… more
- NTT DATA North America (Albany, NY)
- …of the Medicaid Transformation program. The incumbent is expected to manage state and consultant resources and set priorities for these resources. Specific ... evaluate risk and ensure the security and privacy of data and applications in scope for the Medicaid...or local level as well as experience working with Medicaid programs in New York State . +… 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
- State of Indiana (Indianapolis, IN)
- State Eligibility Consultant Date Posted: Jul 21, 2025 Requisition ID: 462486 Location: Indianapolis, IN, US, 46219 Work for Indiana Begin a fulfilling career ... families by emphasizing self-sufficiency and personal responsibility. Role Overview: The State Eligibility Consultant meets with clients, explains programs and… more
- State of Indiana (Indianapolis, IN)
- State Eligibility Consultant Date Posted: Jul 21, 2025 Requisition ID: 462507 Location: Indianapolis, IN, US, 46219 Work for Indiana Begin a fulfilling career ... families by emphasizing self-sufficiency and personal responsibility. Role Overview: The State Eligibility Consultant meets with clients, explains programs and… more
- State of Indiana (Indianapolis, IN)
- …and personal responsibility. Role Overview: This role examines and analyzes individual Medicaid eligibility reviews to determine if state and federal policies ... Human Services Consultant Date Posted: Jul 10, 2025 Requisition ID:...Work for Indiana Begin a fulfilling career with the State of Indiana by joining one of the largest… more
- State of Minnesota (St. Paul, MN)
- …to both Fee-For-Service (FFS) and Managed Care, and an understanding of the State 's role in administering Medicaid to assure compliance with federal mandate. ... **Working Title: Managed Care Organization (MCO) Program Integrity Consultant ** **Job Class: Human Services Program Representative 2**...do is more than just a job.** At the State of Minnesota, employees play a critical role in… more
- COOLSOFT (Columbia, SC)
- Curam Waterfall Agile Problem Solving Skills Bachelors Degree Consultant (Jobs in Requirement id 154323 Job title Consultant Job location in Columbia, SC Skills ... DOE Status requirement Job interview type Email Recruiter:coolsoft Job Description Consultant : Curam, Waterfall, Agile, Problem Solving Skills Bachelors Degree Start… more
- Wipfli LLP (Spokane, WA)
- … Medicaid enrollment applications and handling communication between client, intermediaries, State , and Medicaid departments. + Participate in the planning, ... offers a career-defining opportunity. Responsibilities Purpose Under the direction of a Senior Consultant /Manager, the primary purpose of the Consultant I is to… more
- IQVIA (Durham, NC)
- …of public health, population health and high-quality research studies across Federal, State and Local government clients. A Senior Consultant supports ... **Senior Consultant , Epidemiology, Government Solutions** **About IQVIA Government Solutions**...public health leaders and practitioners by delivering health care data and by providing in-depth insights that can be… more
