- 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
- Teva Pharmaceuticals (Parsippany, NJ)
- …a Pharmaceutical and/or med Device company , state and/or state agency or as Medicaid consultant or equivalent work experience Experience Preferred: + Minimum of ... Medicaid Claims Analyst Date: May 18, 2025 Location:...our journey of growth! **The opportunity** **Position Summary:** The Medicaid Claims Analyst is responsible for Medicaid … more
- Teva Pharmaceuticals (Parsippany, NJ)
- …a Pharmaceutical and/or med Device company , state and/or state agency or as Medicaid consultant or equivalent work experience Experience Preferred: + Minimum of ... Medicaid Claims Analyst Date: May 15, 2025 Location:...make a difference with. **The opportunity** **Position Summary:** The Medicaid Claims Analyst is responsible for Medicaid … 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
- AON (New York, NY)
- National Healthcare Professional Liability -Senior Claims Consultant - Remote United States Job Responsibilities: Understanding client needs and programs + Identify ... + Claim settlements + Claims coding taxonomy + Compliance with Medicare/ Medicaid case reporting regulations Business and Administrative + Participate in periodic… 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
- 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
- Atlantic Health System (Morristown, NJ)
- …crisis intervention and community resource knowledge and skill. 4. Serves as consultant to emergency department staff in identifying patient problems and disposition ... - 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
- Atlantic Health System (Morristown, NJ)
- …as a Registered Nurse. 3. BLS certification 4. International Board-Certified Lactation Consultant or working toward Preferred: 1. Bachelor's degree in nursing. 2. ... - 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
- 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
- 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
- NJ Sharing Network (New Providence, NJ)
- …Summary: The Hospital Development Specialist (HDS) performs as a donation consultant to hospitals. Responsible to develop, market, monitor and implement policies, ... (ie Department of Health and Human Services (HHS), Center for Medicare and Medicaid Services (CMS), Food and Drug Administration (FDA) and New Jersey State… more
- Molina Healthcare (Yonkers, NY)
- …often assuming technical and project leadership roles. + May function as a technical consultant or researcher. + Highly proficient in SQL, Power BI, and Excel + ... + 3-plus years managed care experience, preferably working with the Medicare/ Medicaid product + Knowledge of state encounter submission process. + Knowledge… more