- 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
- 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
- New York State Civil Service (Albany, 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 $96 billion Medicaid program by investigating...managed care; * Prior experience as a legal nurse consultant ; and * Knowledge of state and… more
- Teva Pharmaceuticals (North Wales, PA)
- …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
- MyFlorida (Fort Lauderdale, FL)
- 68064264 - GOVERNMENT OPERATIONS CONSULTANT II Date: Jul 15, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... for Health Care Administration Working Title: 68064264 - GOVERNMENT OPERATIONS CONSULTANT II Pay Plan: Career Service Position Number: 68064264 Salary: $1,864.08… more
- MyFlorida (Tallahassee, FL)
- 68024021 - GOVERNMENT OPERATIONS CONSULTANT III Date: Jul 1, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... for Health Care Administration Working Title: 68024021 - GOVERNMENT OPERATIONS CONSULTANT III Pay Plan: Career Service Position Number: 68024021 Salary: $2,128.47… more
- State of Indiana (Indianapolis, IN)
- …and personal responsibility. Role Overview: This role examines and analyzes individual Medicaid eligibility reviews to determine if state and federal policies ... Human Services Consultant Date Posted: Jul 10, 2025 Requisition ID:...Work for Indiana Begin a fulfilling career with the State of Indiana by joining one of the largest… more
- State of Minnesota (St. Paul, MN)
- …to both Fee-For-Service (FFS) and Managed Care, and an understanding of the State 's role in administering Medicaid to assure compliance with federal mandate. ... **Working Title: Managed Care Organization (MCO) Program Integrity Consultant ** **Job Class: Human Services Program Representative 2**...do is more than just a job.** At the State of Minnesota, employees play a critical role in… 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
- IQVIA (Durham, NC)
- …of public health, population health and high-quality research studies across Federal, State and Local government clients. A Senior Consultant supports ... **Senior Consultant , Epidemiology, Government Solutions** **About IQVIA Government Solutions**...public health leaders and practitioners by delivering health care data and by providing in-depth insights that can be… more
- Elevance Health (Mason, OH)
- Provider Success Consultant Sr. (Ohio Market) **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and ... a minimum of 50% of the time. **The Care Consultant Sr.** is responsible for fostering long-term partnerships with...drive the achievement of value-based care in the Medicare, Medicaid , and Commercial lines of business. The ideal candidate… more
- Molina Healthcare (Darlington, 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
- MyFlorida (Tallahassee, FL)
- 68061372 - HEALTH SERVICES & FACILITIES CONSULTANT Date: Jul 8, 2025 The State Personnel System is an E-Verify employer. For more information click on our ... Care Administration Working Title: 68061372 - HEALTH SERVICES & FACILITIES CONSULTANT Pay Plan: Career Service Position Number: 68061372 Salary: $1,794.92 Biweekly… 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
- MyFlorida (Tallahassee, FL)
- 68064225 - HEALTH SERVICES & FACILITIES CONSULTANT Date: Jul 8, 2025 The State Personnel System is an E-Verify employer. For more information click on our ... Health Care Administration Working Title: 68064225 - HEALTH SERVICES & FACILITIES CONSULTANT Pay Plan: Career Service Position Number: 68064225 Salary: $1,794.92 -… more
- PruittHealth (Norcross, GA)
- …Health Care to increase own knowledge and to keep current the fields of Medicare/ Medicaid /OSHA state rules and regulations, The Joint Commission and other types ... **JOB PURPOSE:** The Home Health Consultant collaborates with the Home Health Agencies by...recommendations and suggestions for improvement. Track, trends and reports data needed to monitor compliance and agency standing in… 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