- 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
- Elevance Health (Morristown, NJ)
- **Behavioral Health Medical Director- Psychiatrist- NJ Medicaid ** Location: The successful candidate will be a board-certified psychiatrist licensed and residing in ... or other ordering providers to discuss review determinations. + Serves as a resource and consultant to other areas of the company. + May be required to represent the… 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
- Elevance Health (Woodbridge, NJ)
- **Business Information Consultant (Health Economics)** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and ... Iselin, NJ: Mason, OH; Cincinnati, OH and Norfolk, VA. The **Business Information Consultant (Health Economics)** is responsible for serving as an expert in both… more
- Humana (New York, NY)
- …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal ... Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information,… more
- Atlantic Health System (Morristown, NJ)
- …activities and clinical research. + Serve as a clinical expert and leadership consultant to nursing, healthcare team members, and the larger community. Benefits + ... - its highest - twelve consecutive times, and the Centers for Medicare and Medicaid Services awarded us again with its highest five-start rating in 2020. Morristown… more
- Insight Global (Florham Park, NJ)
- Job Description Insight Global is looking for a GTN Consultant for a pharmaceutical client to sit in NJ. Gross-to-Net Accruals & Analysis, including supporting the ... and booking GTN accruals (eg, chargebacks, rebates, admin fees, returns, and Medicaid ). Reconcile GTN accounts to actuals and identify variances or trends. Assist… 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