- 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
- 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 ... new streamlined modular certification (SMC) and outcomes-based certification (OBC). Our ideal Medicaid Consultant will provide oversight and direction for scope,… more
- Guidehouse (Mclean, VA)
- …Will Do** **:** Guidehouse is seeking a motivated, passionate, organized, and detail-oriented Medicaid Data Senior Consultant to support the analysis of State ... background, demonstrates flexibility, acute attention to detail, experience with Medicaid data, and experience performing technical assistance, coaching, or… more
- Deloitte (Portland, OR)
- …practices and manage their most important projects. Work you'll do + Medicaid Home and Community-Based Services (HCBS) or Long-Term Services and Supports (LTSS) ... + Project Management + Medicaid Policy and Operations Qualifications Required: + Bachelor's degree...and the clients and industries/sectors you serve Preferred: + Medicaid Home and Community-Based Services (HCBS) or Long-Term Services… more
- Mathematica (Columbus, OH)
- …successfully improving state Home- and community-based services within the state's Medicaid or HCBS administrative agencies such as health, human services, area ... workforce, and quality monitoring is also preferred. Understanding of dual Medicare- Medicaid eligibility and coordination is preferred, but not required. * Duties… more
- Mathematica (Columbus, OH)
- …clients' pressing problems and improving operations, and a strong interest in our Medicaid project area. Managing consultants often work on more than one project at ... align with their interests and skills. Projects in the Medicaid area provide technical assistance to federal and state...any number of areas related to monitoring and improving Medicaid programs such as: eligibility and enrollment, health equity,… more
- Public Consulting Group (Sacramento, CA)
- …with proposal development **Qualifications** Required Skills/Experience * Experience with Medicaid Infrastructure Technology Architecture (MITA) * 5+ years of ... overall IT industry experience * 5+ years of experience performing project oversight and assessment for large enterprise grade information technology systems * 5+ years of experience aligning IT systems with organizational business processes. At least three… more
- Mathematica (Columbus, OH)
- …searching for several seasoned professional who are recognized experts with experience leading Medicaid and programs at the state level to join our growing state ... focused on one or several of the following areas: Medicaid , CHIP, Home- and community-based services, Medicaid ...base salary range of $150,000 - $200,000 annually (Principal Consultant ) and $180,000 - $220,000 annually (Senior Fellow). Both… more
- Highmark Health (Charleston, WV)
- …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
- Northern Light Health (Brewer, ME)
- …Care Contracting department and all Northern Light Health Organizations. The Contract Consultant serves as an analytical and process improvement leader. It is ... of this role is to serve as an internal consultant with strong financial and healthcare business acumen as...be responsible for all NLH Medicare Advantage or Managed Medicaid and Exchange products. This responsibility will include understanding… more
- Molina Healthcare (Milwaukee, WI)
- …community who are enrolled in the Wisconsin IRIS Program and the TMG IRIS Consultant Agency. While your office will be home-based, you will have regularly scheduled ... participants in their home and community. As an IRIS Consultant (IC), you will build relationships with the people...most out of the Wisconsin IRIS program - a Medicaid long-term care option for older adults and people… more
- 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
- WellSense (Boston, MA)
- Sr. Provider Relations Consultant - (MA residents)-$5000 sign on bonus WellSense Health Plan is a nonprofit health insurance company serving members across ... and New Hampshire through Medicare, Individual and Family, and Medicaid plans. Founded 25 years ago as Boston Medical...and events + Ensures quality and compliance with state Medicaid regulations and NCQA requirements + Other responsibilities as… more
- MyFlorida (Tallahassee, FL)
- GOVERNMENT OPERATIONS CONSULTANT II - 60061311 - ESS Policy & Programs Date: Jun 10, 2024 Location: TALLAHASSEE, FL, US, 32303 TALLAHASSEE, FL, US, 32304 ... . Requisition No: 830980 Agency: Children and Families Working Title: GOVERNMENT OPERATIONS CONSULTANT II - 60061311 - ESS Policy & Programs Pay Plan: Career Service… more
- State of Minnesota (St. Paul, MN)
- **Working Title: Behavioral Health Rates Specialist** **Job Class: Human Services Program Consultant ** **Agency: Human Services Dept** + **Job ID** : 76193 + ... and communicating behavioral health payment policy for the State's Medical Assistance ( Medicaid ) programs. The incumbent will serve as the State's technical lead and… more
- Plante Moran (Cleveland, OH)
- Healthcare Reimbursement Consultant + Location: United States, Ohio, Cleveland Make your mark. Our senior care healthcare consulting team focuses on our clients' ... in strategic engagements focused on preparation and analysis of Medicaid and Medicare cost reports for post-acute clients (Skilled...Providers ) + Prepare, review and analyze Medicare and Medicaid cost reports in accordance with Federal and State… more
- Humana (Frankfort, KY)
- …as Dual Eligibles, Veterans, and other needs-based segments. The Medicare and Medicaid organization, Humana's largest, comprises over 80% of the company's total ... Consumer Segment's highest priority strategy projects and initiatives. As a Consultant , you will deconstruct issues and challenges, perform targeted research and… more
- HCA Healthcare (Nashville, TN)
- …**Introduction** Do you have the career opportunities as a Standard Terminology Consultant WFH you want with your current employer? We have an exciting ... Do you want to work as a Standard Terminology Consultant WFH where your passion for creating positive patient...cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Parallon… more
- Intermountain Health (Murray, UT)
- **Job Description:** The Provider Quality and Practice Transformation Consultant Registered Nurse is responsible for working directly with providers and care teams ... structures and processes in alignment with population health management models. The Consultant will familiarize providers and their care teams with tools, reporting,… more
- State of Indiana (Indianapolis, IN)
- Nurse Consultant Date Posted: Jun 7, 2024 Requisition ID: 441769 Location: Indianapolis, IN, US, 46204 Work for Indiana Begin a fulfilling career with the State of ... learn, work, or play. Role Overview: As a Nurse Consultant you will determine medical eligibility of applicants and...pediatric RN experience. + Specialized knowledge of the Indiana Medicaid Program including federal and state laws. + Specialized… more