- Public Consulting Group (Columbus, OH)
- …(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 (Sacramento, CA)
- …with proposal development **Qualifications** Required Skills/Experience * Experience with Medicaid Infrastructure Technology Architecture (MITA) * 5+ years of ... within a large organization Desired Skills/Experience * Experience with Federal Certification guidelines and processes, such as Outcomes Based Certification … more
- MyFlorida (Tallahassee, FL)
- 68064843 - GOVERNMENT OPERATIONS CONSULTANT III Date: May 31, 2024 Location: TALLAHASSEE, FL, US, 32308 The State Personnel System is an E-Verify employer. For more ... for Health Care Administration Working Title: 68064843 - GOVERNMENT OPERATIONS CONSULTANT III Pay Plan: Career Service Position Number: 68064843 Salary: $1,851.56… more
- MyFlorida (Tallahassee, FL)
- 68019180 - GOVERNMENT OPERATIONS CONSULTANT I Date: Jun 7, 2024 Location: TALLAHASSEE, FL, US, 32308 The State Personnel System is an E-Verify employer. For more ... for Health Care Administration Working Title: 68019180 - GOVERNMENT OPERATIONS CONSULTANT I Pay Plan: Career Service Position Number: 68019180 Salary: $1,468.29… more
- MyFlorida (Tallahassee, FL)
- 68900169 - OPS OPERATIONS & MGMT CONSULTANT I Date: Jun 4, 2024 Location: TALLAHASSEE, FL, US, 32308 The State Personnel System is an E-Verify employer. For more ... for Health Care Administration Working Title: 68900169 - OPS OPERATIONS & MGMT CONSULTANT I Pay Plan: Temp Position Number: 68900169 Salary: $22.60 Hourly Posting… more
- MyFlorida (Tampa, FL)
- 68048421 - GOVERNMENT OPERATIONS CONSULTANT II Date: May 30, 2024 Location: TAMPA, FL, US, 33614 The State Personnel System is an E-Verify employer. For more ... for Health Care Administration Working Title: 68048421 - GOVERNMENT OPERATIONS CONSULTANT II Pay Plan: Career Service Position Number: 68048421 Salary: $1,645.27… 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
- State of Michigan (Lansing, MI)
- Physician 18 - BPHASA Medical Consultant Print (https://www.governmentjobs.com/careers/michigan/jobs/newprint/4420106) Apply Physician 18 - BPHASA Medical ... Consultant Salary $85.17 - $119.73 Hourly Location Lansing, MI...Children's Special Health Care Services Program (CSHCS) and Michigan Medicaid in the MDHHS Behavioral and Physical Health and… 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
- WellSense (Boston, MA)
- Provider Relations Consultant (Boston/Northeast MA) - $5,000 sign on bonus! WellSense Health Plan is a nonprofit health insurance company serving members across ... Massachusetts and New Hampshire through Medicare, Individual and Family, and Medicaid plans. Founded 25 years ago as Boston Medical Center HealthNet Plan, we provide… 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 ... Massachusetts and New Hampshire through Medicare, Individual and Family, and Medicaid plans. Founded 25 years ago as Boston Medical Center HealthNet Plan, we provide… more
- MyFlorida (West Palm Beach, FL)
- HUMAN SERVICES PROGRAM CONSULTANT III - 64003349 Date: Jun 4, 2024 Location: WEST PALM BEACH, FL, US, 33407 The State Personnel System is an E-Verify employer. For ... No: 828726 Agency: Department of Health Working Title: HUMAN SERVICES PROGRAM CONSULTANT III - 64003349 Pay Plan: Career Service Position Number: 64003349 Salary:… more
- Humana (Washington, DC)
- …Management, Strategy Alignment, Strategy Reporting and Change Management. The Corporate Strategy Consultant will work with company leaders at all levels of the ... and, at times, lead enterprise-wide strategic initiatives. The Corporate Strategy Consultant will also report progress to strategy leadership and the executive… more
- City of New York (New York, NY)
- …with essential benefits such as Cash, Food and Rental Assistance as well as Medicaid . The Office of the Medical Director aims to improve the health and well-being ... one (1) City Medical Specialist (Per Diem) to function as a Medical Consultant who will: - Indirectly supervise contracted clinical staff, share policies and… more
- CVS Health (Columbus, OH)
- …care more personal, convenient and affordable. This Utilization Management (UM) Nurse Consultant role is fully remote and employee can live in any state.Normal ... Holiday rotation 1-2 per year. Position Summary CCR - Duals UM Nurse Consultant Utilizes clinical experience and skills in a collaborative process to assess, plan,… more
- VHC Health (Arlington, VA)
- Senior Quality Consultant Job Description Purpose & Scope: The Quality Team is responsible for supporting the organization in four essential domains which include ... & safety improvement initiatives. Key functions of the Senior Quality Consultant include collaborating with quality taskforce and committees to achieve… more
- MyFlorida (Fort Pierce, FL)
- OPERATIONS & MGMT CONSULTANT II - SES - 64004774 Date: May 29, 2024 Location: FORT PIERCE, FL, US, 34950 The State Personnel System is an E-Verify employer. For more ... Agency: Department of Health Working Title: OPERATIONS & MGMT CONSULTANT II - SES - 64004774 Pay Plan: SES...for timely submission and approval of time sheets and certification of employee activity reports. Responsible for submission of… more
- CVS Health (Lansing, MI)
- …more personal, convenient and affordable. Position Summary This Utilization Management (UM) Nurse Consultant role is fully remote and employee can live in any state. ... CCR - Duals UM Nurse Consultant Utilizes clinical experience and skills in a collaborative process to assess, plan, implement, coordinate, monitor and evaluate… more
- Centers for Independence (Fond Du Lac, WI)
- **IRIS Consultant Case Manager - Sheboygan county** **Job Details** **Job Location** MCFI Main Campus - Milwaukee, WI **Position Type** Full Time **Education Level** ... in the IRIS program. The role of the IRIS Consultant (IC) is to assist participants in self-directing services...for completing the Long Term Care Functional Screen (LTCFS) certification and completing annual and rescreens for their participant… more
- CVS Health (Columbus, OH)
- …Medicare/ Medicaid populations* MCG experience* Managed care experience* UM Certification * MedCompass Education * Minimum of an Associate's Degree in Nursing* ... personal, convenient and affordable. Position Summary This Utilization Management (UM) Nurse Consultant role is fully remote and employee can live in any… more