• Medicaid Certification

    Public Consulting Group (Nashville, TN)
    …(CMS) and the new streamlined modular certification (SMC) and outcomes-based certification (OBC). Our ideal Medicaid Consultant will provide oversight ... 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 Medicaid more
    Public Consulting Group (03/21/24)
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  • Business Consultant

    HealthEdge Software Inc (Nashville, TN)
    **Overview** **Overview:** The Business Consultant leads and mentors the Service Delivery team in all Tier 1 (Basic) and Tier 2 (Intermediate) consulting ... products (from basic to advanced features/functionality), payment methodologies/policies (Medicare, Medicaid , and commercial), payment integrity, and healthcare plan operations… more
    HealthEdge Software Inc (05/04/24)
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  • Standard Terminology Consultant WFH

    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 ... preferred banking partnerships + Education assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time… more
    HCA Healthcare (05/07/24)
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  • AVP Payor Initiatives

    HCA Healthcare (Brentwood, TN)
    …limited to: MACRA/MIPS, 21st Century CURES, Centers for Medicare and Medicaid Innovation (CMMI) projects; Accountable Care Organizations (ACO); Advanced Alternative ... engagements at least annually + Serves as a value-based payer programs consultant to HCA Physician Services Group task forces, committees, and projects relating… more
    HCA Healthcare (04/25/24)
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  • UM Medical Director - Child & Adolescent…

    Elevance Health (Nashville, TN)
    …Amerigroup, is a proud member of Elevance Health's family of brands, offering Medicaid and Medicare plans in several states. We also provide administrative services ... to Medicaid plans in partnership with blue cross blue shield...discuss review determinations. + Serves as a resource and consultant to other areas of the company. + May… more
    Elevance Health (05/08/24)
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