- CenterWell (Albany, NY)
- …a part of our caring community and help us put health first** The Medicaid Drug Strategy Pharmacist Lead requires a broad understanding of pharmacy, managed care, ... drug strategies to mitigate cost trend and improve health outcomes. The Medicaid Drug Strategy Pharmacist Lead work assignments involve moderately complex to complex… more
- Public Consulting Group (Albany, NY)
- …+ Business Enablement + Business Solutions + Project Assurance An OCM consultant will provide expert support and guidance to clients ensuring projects meet ... objectives by increasing stakeholder adoption and usage. This consultant will focus on the people side of change,...training activities related to MEMS Modules, MMIS Core Solutions, Medicaid DSS/DW and SI. * Prepare change impact assessments,… 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
- Humana (Albany, NY)
- …and other business functions to implement formulary and medical strategies for the Medicaid line of business. Makes decisions on moderately complex to complex issues ... other business functions to implement formulary and medical strategies for the Medicaid line of business. + Utilizes broad understanding of pharmacy, managed care,… more
- Erie 2-Chautauqua-Cattaraugus BOCES (Williamsville, NY)
- …+ Current licensure (with the exception of CFY) within NY State + ASHA certification required + Applicants working in a school program must have a teaching ... agency, the Office for People With Developmental Disabilities OPWDD, Medicaid , Medicare, insurance companies, municipalities, Department of Health, school districts,… more
- The Arc Erie County NY (Buffalo, NY)
- …license may be required for CFY candidates (directly billing Medicare). ASHA certification preferred. See our full Job Description listed below: Job Description Job ... agency, the Office for People With Developmental Disabilities OPWDD, Medicaid , Medicare, insurance companies, municipalities, Department of Health, school districts,… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …and divisional meetings, including in person meetings. + Serves as a resource and consultant to other areas of the company. + May be required to represent the ... policies and procedures. + Serves as a resource and consultant to other areas of the company. + Assists...DO from an accredited institution required. + Active board certification in Professional Medical Specialty. + Active unrestricted medical… more
- Catholic Health Services (West Islip, NY)
- …most advantageous clinical and financial outcomes. Supports all CH and consultant initiatives addressing activities relative to Care Management and Denials. ... by promoting department iCare values and behaviors. Pursues continuing education, certification and self-development to remain current with industry standards and… more
- Arnot Health (Elmira, NY)
- …Description MAIN FUNCTION: The Clinical Accreditation Specialist acts as a consultant on interpretation of regulatory standards, including The Joint Commission and ... Centers for Medicare and Medicaid Services (CMS); ensures a constant state of readiness;...license required. Bachelor's/master's degree in healthcare-related field preferred . Certification is preferred - may include CPHA (Certified Specialist… more