- Public Consulting Group (FL)
- …personnel so classified.** **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
- MyFlorida (Tallahassee, FL)
- 68061963 - SYSTEM PROJECT CONSULTANT Date: Oct 28, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... Agency for Health Care Administration Working Title: 68061963 - SYSTEM PROJECT CONSULTANT Pay Plan: Career Service Position Number: 68061963 Salary: $1,945.56 -… more
- Highmark Health (Pittsburgh, PA)
- …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
- MyFlorida (Fort Myers, FL)
- GOVERNMENT OPERATIONS CONSULTANT II - 64082631 Date: Oct 31, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... Requisition No: 864381 Agency: Department of Health Working Title: GOVERNMENT OPERATIONS CONSULTANT II - 64082631 Pay Plan: Career Service Position Number: 64082631… more
- Elevance Health (Indianapolis, IN)
- **Behavioral Health Medical Director - Psychiatrist - Indiana Medicaid ** **Location:** This role enables associates to work virtually full-time, with the exception ... Medical Director** is responsible for reviewing cases for IN Medicaid members including child and substance use disorders, and...discuss review determinations. + Serves as a resource and consultant to other areas of the company. + May… more
- State of Connecticut, Department of Administrative Services (Hartford, CT)
- Nurse Consultant (General) (40 Hour) Hybrid Recruitment # 251021-5927FP-001 Location Hartford, CT Date Opened 10/27/2025 2:00:00 PM Salary $99,806 - $133,911/year ... you a passionate healthcare professional looking to make a tangible impact on Medicaid and Children's Health Insurance Programs (HUSKY Health)? We will empower you… more
- Elevance Health (Woodbridge, NJ)
- **Behavioral Health Medical Director- Psychiatrist- NJ Medicaid ** Location: The successful candidate will be a board-certified psychiatrist licensed and residing in ... discuss review determinations. + Serves as a resource and consultant to other areas of the company. + May...**Minimum Requirements:** + Requires MD or DO and Board certification approved by one of the following certifying boards… more
- Public Consulting Group (Trenton, NJ)
- …+ Business Enablement + Business Solutions + Project Assurance An OCM consultant will provide expert support and guidance to clients ensuring projects 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
- MyFlorida (North Fort Myers, FL)
- OPS GOVERNMENT OPERATIONS CONSULTANT II - 64856548 1 Date: Oct 27, 2025 The State Personnel System is an E-Verify employer. For more information click on our ... No: 864143 Agency: Department of Health Working Title: OPS GOVERNMENT OPERATIONS CONSULTANT II - 64856548 1 Pay Plan: Temp Position Number: 64856548 Salary:… more
- PruittHealth (Norcross, GA)
- **HomeHealth Quality Assurance QA Consultant position - Hybrid and Travel opportunity!** **JOB PURPOSE:** The Quality Assurance (QA) Consultant for Home Health ... deficiencies. 19. Reviewing additional information requests from Medicare and Medicaid as requested. 20. Assists Operations with coordinating communication and… more
- MyFlorida (Tallahassee, FL)
- GOVERNMENT OPERATIONS CONSULTANT II - 64002718 Date: Oct 28, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... Requisition No: 864116 Agency: Department of Health Working Title: GOVERNMENT OPERATIONS CONSULTANT II - 64002718 Pay Plan: Career Service Position Number: 64002718… more
- Molina Healthcare (Akron, OH)
- …potential problems. Ability to present alternatives to manage/overcome obstacles. + May consultant with higher level project management staff and may refer to ... **Preferred Education** Additional formal training in PM preferred. **Preferred License, Certification , Association** PMP or Six Sigma Green Belt Certification … more
- MyFlorida (Tallahassee, FL)
- …benchmark analysis, and plan financial analysis; shall develop cost estimates for Medicaid programs; shall serve as actuarial consultant regarding impact of ... and planning entity. The Agency is responsible for administering the Florida Medicaid program, the licensure and regulation of nearly 50,000 health care facilities,… more
- Penn Medicine (Lancaster, PA)
- …to nursing practice. + Fosters individual nurses professional development and growth. ** Consultant :** + Collaborates with all members of the health care team ... member, in a chair co-chair role, or as a consultant . + Partners with other regional and system CNS...issued by the PA Board of Nursing License + Certification as a Clinical Nurse Specialist from a National… more
- Molina Healthcare (Colton, 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
- Erie 2-Chautauqua-Cattaraugus BOCES (Williamsville, NY)
- …+ Current licensure (with the exception of CFY) within NY State + ASHA certification required + Applicants working in a school program must have a teaching ... agency, the Office for People With Developmental Disabilities OPWDD, Medicaid , Medicare, insurance companies, municipalities, Department of Health, school districts,… more
- The Arc Erie County NY (Buffalo, NY)
- …license may be required for CFY candidates (directly billing Medicare). ASHA certification preferred. See our full Job Description listed below: Job Description Job ... agency, the Office for People With Developmental Disabilities OPWDD, Medicaid , Medicare, insurance companies, municipalities, Department of Health, school districts,… more
- Molina Healthcare (Milwaukee, WI)
- …where you will partner with people in your community who use the TMG IRIS Consultant Agency. While this role is home-based, you will spend most days visiting IRIS ... for participants of the Wisconsin IRIS program - a Medicaid long-term care option for older adults and people...or pass the Wisconsin adult long-term care functional screen certification modules (80% or higher on each module) within… more
- City and County of San Francisco (San Francisco, CA)
- …and substance use treatment services. Duties Include + Experienced Specialist Representative/ Consultant of the specialty program or service including, but not ... 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
- Alameda Health System (Alameda, CA)
- …with requirements of The Joint Commission (TJC), Centers for Medicare and Medicaid Services (CMS) Center for Disease Control (CDC), Occupational Safety and Health ... communicates in all professional situations. + PROVIDES INFECTION CONTROL CONSULTANT SERVICE TO OTHER FACILITIES, AND PHYSICIAN OFFICES: Provides resource… more