- Staffing Solutions Organization (Albany, NY)
- …diverse workforce, which is a reflection of our clients and the people they serve. ** Medicaid Program Advisor in Albany, NY** **Division of Health Plan ... Contracting & Oversight (DHPCO) Item 1014** ** Medicaid Managed Care and Managed Long -Term Care...(MLTC) Cost Reporting** **50% Remote 50% Onsite** **Summary:** The Medicaid Program Advisor will support… more
- Abt Global Inc. (Durham, NC)
- …the Health Technology Solutions Principal focused on the Centers for Medicare and Medicaid Services (CMS), you will be responsible for developing a market strategy ... cutting-edge tools while shaping Abt's digital health strategy, client engagement, and long -term portfolio. This role sits at the intersection of health, government… more
- Staffing Solutions Organization (Albany, NY)
- …a diverse workforce, which is a reflection of our clients and the people they serve. ** Medicaid Program Advisor (Level 2 or 3) in Albany, NY** **Division of ... Eligibility & Marketplace Integration** **Bureau of Long Term Care and SSI-Related Populations** **Training will be...and will move to a 50% Remote Schedule.** The Medicaid Program Advisor (level 2… more
- Staffing Solutions Organization (Albany, NY)
- …a diverse workforce, which is a reflection of our clients and the people they serve. ** Medicaid Program Advisor 1 in Albany, NY** **Division of Program ... Development and Management (DPDM) Item 1225** ** Medicaid Long Term Care Policy (BMLTCP)** **50% Remote 50% Onsite**...knowledge and implementation. The BMLTCP is seeking a passionate Medicaid Program Advisor to support… more
- Virginia Mason Franciscan Health (Tacoma, WA)
- …are seeking a physician with leadership experience interested in our new Physician Advisor position. 1. The Physician Advisor serves the Hospital through ... the over and under-utilization of resources. 2. The Physician Advisor should be a key member of the medical...the segmentation of concurrent review offerings into Medicare / Medicaid / Commercial Payors, as needed * Reviews medical… more
- Elevance Health (Durham, NC)
- **Utilization Management Medical Director- NC Medicaid ** Location: This role enables associates to work virtually full-time, with the exception of required in-person ... will be responsible for utilization review case management for North Carolina Medicaid . May be responsible for developing and implementing programs to improve… more
- Atria Wealth Solutions (Marion, IN)
- …relationship with CUSO Financial Services, LP (CFS) Via Credit Union is seeking a Financial Advisor to join their team in the Marion, IN area. Are you interested in ... a positive impact? Do you enjoy educating others? The Licensed Financial Advisor provides expertise on products and services to members and non-members regarding… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …and plans they need for healthy living. JOB SUMMARY : The Medicare MAP Advisor - Will promote and sale MAP and Medicare Line of Business, maintains relationships, ... will be responsible for educating and enrolling potential beneficiaries by explaining program benefits in a manner that is compliant with Center for Medicare… more
- Elevance Health (Hickory, NC)
- \#HealthyBlueCareTogetherCFSP **Clinical Care Advisor - Complex Medical** **$3,500 SIGN ON BONUS** _We are partnering with North Carolina DHHS to operationalize a ... statewide Medicaid Plan designed to support Medicaid -enrolled infants, children, youth, young adults, and families served by the child welfare system so that… more
- Sutter Health (Oakland, CA)
- …Health! **Organization:** SHSO-Sutter Health System Office-Bay **Position Overview:** The Physician Advisor (PA) is a key member of the hospital's leadership team ... and the hospital to appropriately optimize the use of Sutter Health Internal Physician Advisor Services (IPAS). The physician Advisor will work closely with the… more
- Lifespan (Rochester, NY)
- …Aging or Disability. *Must have knowledge of public benefits and community-based long -term supports and services (eg Medicaid , SNAP, Social Security). PHYSICAL ... Advisor -NY Connects Rochester, NY (http://maps.google.com/maps?q=1900+South+Clinton+Ave+Rochester+NY+USA+14618) Description Lifespan is a trusted, mission-driven,… more
- Molina Healthcare (Hidalgo, TX)
- …is an Equal Opportunity Employer (EOE) M/F/D/V. Key Words: CHIP, STAR, Medicare, Medicaid , Star Plus, health coach, community health advisor , family advocate, ... membership growth and retention for Molina Healthcare of Texas Medicaid . + Build and maintain relationships with community-based organizations...+ Must be able to sit and stand for long periods. + Must be able to drive up… more
- Genesis Healthcare (PA)
- …payer-specific trends; develop and execute corrective action plans. + Supervise Market Medicaid Advisor , Market Eligibility Advisor , Market Business Office ... of high-quality care and exceptional service. As a leading provider in the long -term care industry, we believe in fostering a collaborative, inclusive and supportive… more
- Molina Healthcare (Los Angeles, CA)
- …Employer (EOE) M/F/D/V. Key Words: health care, insurance, health insurance, Medicaid , Medicare, health coach, community health advisor , family advocate, ... Works collaboratively with other key departments to increase the Medicaid assignment percentage for Molina. + Works closely with...+ Must be able to sit and stand for long periods. + Must be able to drive up… more
- Iowa Department of Administrative Services (Des Moines, IA)
- …Medicaid , Hawki, State Supplementary Assistance, Refugee Cash and Medical Assistance, HIPP Program , Long Term Care Services and Supports Programs, Child Care ... and Rent Reimbursement. The Economic Assistance Contract Manager provides the requisite program oversight and coordination for all aspects of assigned contracts in… more
- Northwell Health (Bay Shore, NY)
- …all patients and share all problematic cases with the Supervisor and Physician Advisor . + * Determines and makes appropriate referrals concerning alternate level of ... care. + * Processes adverse determination decision to Physician Advisor and distributes notification, as appropriate. + * Identifies problematic care patterns or… more
- University of Rochester (Rochester, NY)
- …GENERAL PURPOSE Provide day-to-day information and direction to the Program Administrator, Chief Financial Officer and Clinical Administrators. Function with ... utilizing EPIC/Tableau. Communicate direction and financial data to guide new program development. Provide payer data needed for business plans and/or budget… more
- Guidehouse (Chicago, IL)
- …Guidehouse has teamed up with the Department of Defense (DoD) SkillBridge Program to provide career opportunities supporting clients within the following segments: + ... **What You Will Do** **:** The Guidehouse SkillBridge Internship Program staffs interns on real world projects, showcasing the...+ Utilize previous experience to help set and achieve long term goals + Perform accurate analysis and design… more
- General Dynamics Information Technology (Fairfax, VA)
- …Description:** GDIT is under contract to the Centers for Medicare & Medicaid Services (CMS) to design, develop, engineer, implement, enhance, maintain algorithms to ... prevent potential fraud, waste or abuse in the Medicare, Medicaid and Marketplace programs. We are currently seeking a...Marketplace programs. We are currently seeking a Data Scientist Advisor to join our team. Responsibilities: + Design, develop,… more
- Ascendis Pharma (Princeton, NJ)
- …Oversee the administration of rebate programs, including government rebates (eg, Medicaid , Medicare), managed care rebates, and commercial rebates. Ensure accurate ... access, finance, procurement, legal, and contracting partners. Serve as a trusted advisor on contracting and pricing matters, providing guidance and support as… more
