- Guidehouse (Mclean, VA)
- …seeking Consultants with experience and knowledge of validating, loading, processing and analyzing Medicaid data and detailed member data across various ... analyses will be leveraged to help inform work with state Medicaid , public health or state...stay abreast of states' healthcare transformation efforts + Perform data and qualitative research activities to address state… more
- Elevance Health (Atlanta, GA)
- **Business Information Consultant - Vendor Medicare/ Medicaid Encounter Data ** **Location:** Norfolk, VA; Atlanta, GA; Tampa, FL; Indianapolis, IN; ... dynamic and adaptable workplace. Alternate locations may be considered. The **Business Information Consultant ** is responsible for serving as an expert in data … more
- Public Consulting Group (FL)
- …better. We provide the full spectrum of technology consulting services to help state and local agencies meet operational and program needs that enhance the lives ... personnel so classified.** **Qualifications:** Required Skills/Experience * Experience with Medicaid Infrastructure Technology Architecture (MITA) * 5+ years of… more
- New York State Civil Service (New York, NY)
- …a complete application online at ag.ny.gov/job-postings/otherThe Office of the New York State Attorney General's (OAG) Medicaid Fraud Control Unit (MFCU) is ... charged with ensuring the financial integrity of New York state 's $94 billion Medicaid program by investigating...managed care; * Prior experience as a legal nurse consultant ; and * Knowledge of state and… more
- Teva Pharmaceuticals (Parsippany, NJ)
- …processing experience with a Pharmaceutical and/or med Device company , state and/or state agency or as Medicaid consultant or equivalent work experience ... verifying, disputing when necessary, and remitting payment for assigned state Medicaid agencies, SPAPs and Supplemental Rebates....& Responsibilities** + Work with assigned states to get Medicaid Summary invoice, summary data file and… more
- Teva Pharmaceuticals (Parsippany, NJ)
- …processing experience with a Pharmaceutical and/or med Device company , state and/or state agency or as Medicaid consultant or equivalent work experience ... verifying, disputing when necessary, and remitting payment for assigned state Medicaid agencies, SPAPs and Supplemental Rebates....& Responsibilities** + Work with assigned states to get Medicaid Summary invoice, summary data file and… more
- NTT DATA North America (Albany, NY)
- …of the Medicaid Transformation program. The incumbent is expected to manage state and consultant resources and set priorities for these resources. Specific ... evaluate risk and ensure the security and privacy of data and applications in scope for the Medicaid...or local level as well as experience working with Medicaid programs in New York State . +… more
- NTT America, Inc. (Tallahassee, FL)
- …project governance frameworks and best practices. + Familiarity with federal and state regulatory requirements and compliance in the Medicaid or healthcare ... **Req ID:** 324054 NTT DATA strives to hire exceptional, innovative and passionate...now. We are currently seeking a IV&V PMO Senior Consultant to join our team in Tallahassee, Florida (US-FL),… more
- Wipfli LLP (Spokane, WA)
- … Medicaid enrollment applications and handling communication between client, intermediaries, State , and Medicaid departments. + Participate in the planning, ... offers a career-defining opportunity. Responsibilities Purpose Under the direction of a Senior Consultant /Manager, the primary purpose of the Consultant I is to… more
- WellSense (Boston, MA)
- …and clinical) and their staff** + **Ensures quality and compliance with state Medicaid /Medicare regulations and NCQA requirements** + **Conducts analysis of ... Senior Provider Relations Consultant , BH Network Strategy WellSense Health Plan is...and New Hampshire through Medicare, Individual and Family, and Medicaid plans. Founded 25 years ago as Boston Medical… more
- Elevance Health (Norfolk, VA)
- …files which meet ANSI X12 data criteria, are HIPAA compliant, and meet state Medicaid and federal Medicare guidelines as expressed in companion guides and ... **Business Information Consultant ** **Location:** Ideal candidates will live or be...Medicaid encounters submission to Ohio, Indiana and NJ state and reconcile the remits received from state… 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
- Humana (Nashville, TN)
- …our caring community and help us put health first** The Growth Strategy Consultant (Distribution) provides data -based strategic direction to identify and address ... support for the Enterprise Growth vertical. The Long-term Growth Strategy Consultant 's work involves moderately complex assignments performed with limited direction… more
- MyFlorida (Delray Beach, FL)
- 68058480 - PUBLIC HEALTH NUTRITION CONSULTANT Date: May 27, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... for Health Care Administration Working Title: 68058480 - PUBLIC HEALTH NUTRITION CONSULTANT Pay Plan: Career Service Position Number: 68058480 Salary: $1,938.35 -… more
- Saint Luke's (Kansas City, MO)
- …care, graduate medical education, organ transplants, wage index, bad debts, and state Medicaid provider tax programs. Under the direction and guidance ... inquiries and clearly articulate defensible positions utilizing the appropriate federal and state regulations. - Prepares state Medicaid disproportionate… more
- Waystar (Atlanta, GA)
- **ABOUT THIS POSITION** The Sr. Solution Adoption Consultant role will act as the primary client contact for Waystar solution-specific set-up and design issues ... RCM and product knowledge. + Design and execute on work/ data analysis + Drive next steps and priorities +...for the Client Adoption Team + Take a lead consultant role on projects that require more than one… more
- Walgreens (Deerfield, IL)
- …collaborations with national consulting firms and leading an overall external consultant market approach for Walgreens. Guides the development and implementation of ... Leads internal cross functional team(s) that brings value to the consultant market, enhances Walgreens brand and competitiveness while improving our business.… more
- City of New York (New York, NY)
- …with DHS contract requirements and standards. - Review literature, incident reports, DHS, Medicaid and SPARCS data to identify key health issues among the ... as Cash, Food and Rental Assistance as well as Medicaid . The Office of the Medical Director aims to...Medical Specialist (Per Diem) to function as a Medical Consultant who will: - Indirectly supervise contracted clinical staff,… more
- Waystar (Atlanta, GA)
- **ABOUT THIS POSITION** The Solution Adoption Consultant role will act as the primary client contact for Waystar solution-specific set-up and design issues during ... + Strong software/technology acumen and understanding, including basic database principles, data exchange formats, etc. + Strong process orientation, problem solving… more
- CVS Health (St. Paul, MN)
- …each and every day. **Position Summary** The Senior Manager, Dental Business Consultant is an individual contributor role with the following responsibilities: * ... to, database management and contract coordination. * Performing statistical analysis of data . * Preparing statistical analysis and dashboard reports to present to… more