- Public Consulting Group (Juneau, AK)
- …support the delivery of health-related services by helping schools access critical Medicaid reimbursement. The Consultant will take a client-centric view and ... Integrity, and other staff to execute contractual obligations. In addition, the Consultant will focus on growth and retention, ensuring that client relationships are… more
- Teva Pharmaceuticals (Parsippany, NJ)
- …a Pharmaceutical and/or med Device company , state and/or state agency or as Medicaid consultant or equivalent work experience Experience Preferred: + Minimum of ... Medicaid Claims Analyst Date: Jan 2, 2026 Location:...people to make a difference with. **The opportunity** The Medicaid Claims Analyst is responsible for Medicaid … more
- OhioHealth (Columbus, OH)
- …Summary:** This position is responsible for preparing and reviewing the Medicare and Medicaid cost reports for all OhioHealth entities. * This position will be ... responsible for ensuring the appropriate governmental (Medicare and Medicaid ) reimbursement is received for OhioHealth. * This position is primarily responsible for… more
- MyFlorida (Orlando, FL)
- …Management Consultant II. 35% Create customized downloads from on-line Medicaid claims data warehouse as requested by investigators, attorneys, and multistate ... MEDICAID FRAUD ANALYST II - 41001293 Date: Jan...867678 Agency: Office of the Attorney General Working Title: MEDICAID FRAUD ANALYST II - 41001293 Pay Plan: Career… more
- New York State Civil Service (Syracuse, NY)
- …No Agency Attorney General, Office of the Title Legal Nurse: Investigate Medicaid Fraud/Patient Abuse (6417) Occupational Category Legal Salary Grade NS Bargaining ... NY Zip Code 13202 Duties Description Criminal Justice Division Medicaid Fraud Control Unit - Syracuse Medical AnalystReference No....managed care; * Prior experience as a legal nurse consultant ; and * Knowledge of state and federal rules… more
- MyFlorida (Fort Lauderdale, FL)
- 68048394 - GOVERNMENT OPERATIONS CONSULTANT II Date: Jan 9, 2026 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... for Health Care Administration Working Title: 68048394 - GOVERNMENT OPERATIONS CONSULTANT II Pay Plan: Career Service Position Number: 68048394 Salary: $1,864.08… more
- Elevance Health (Indianapolis, IN)
- **Utilization Management Medical Director - Indiana Medicaid ** **Location:** This role enables associates to work virtually full-time, with the exception of required ... **Medical Director** is responsible for reviewing cases for IN Medicaid members. Responsible for the administration of physical health...and external physicians. + Serves as a resource and consultant to other areas of the company. + May… more
- Elevance Health (Washington, DC)
- …Health Medical Director - Psychiatrist - District of Columbia (aka Washington DC) Medicaid ** **Location:** This role requires associates to be in-office 4 days per ... Medical Director** is responsible for reviewing cases for DC Medicaid members including pharmacy, child, and substance use disorders,...discuss review determinations. + Serves as a resource and consultant to other areas of the company. + May… more
- Highmark Health (Buffalo, NY)
- …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
- Elevance Health (Seven Fields, PA)
- **Medical Director Associate- Psychiatrist- Pennsylvania Medicaid ** **Location:** This role enables associates to work virtually full-time, with the exception of ... for company health plans including medical policies. + Serves as a resource and consultant to other areas of the company. + May interpret existing medical policy. +… more