- Staffing Solutions Organization (Albany, NY)
- …Long-Term Care (MLTC) Cost Reporting** **50% Remote 50% Onsite** **Summary:** The Medicaid Program Advisor will support the New York Department of ... reflection of our clients and the people they serve. ** Medicaid Program Advisor in Albany,...managed care, or government fiscal oversight. + Experience with Medicaid cost reporting, managed care financial analysis,… more
- Staffing Solutions Organization (Albany, NY)
- …a diverse workforce, which is a reflection of our clients and the people they serve. ** Medicaid Program Advisor 1 in Albany, NY** **Division of Program ... knowledge and implementation. The BASP is seeking a passionate Medicaid Program Advisor to support...performance metrics to inform the development or modification of program operations and/or policy development such as cost… more
- Virginia Mason Franciscan Health (Tacoma, WA)
- …requirements while ensuring high levels of healthcare quality and acceptable levels for the cost of care. 3. The Physician Advisor will conduct clinical reviews ... **Job Summary and Responsibilities** 1. The Physician Advisor serves the Hospital through collaborating with, advising,...the segmentation of concurrent review offerings into Medicare / Medicaid / Commercial Payors, as needed * Reviews medical… more
- Elevance Health (Indianapolis, IN)
- …cost , and outcomes. May provide clinical consultation and serve as clinical/strategic advisor to enhance clinical operations. May identify cost of care ... **Behavioral Health Medical Director - Psychiatrist - Indiana Medicaid ** **Location:** This role enables associates to work virtually full-time, with the exception… more
- Elevance Health (Woodbridge, NJ)
- …cost , and outcomes. May provide clinical consultation and serve as clinical/strategic advisor to enhance clinical operations. May identify cost of care ... **Behavioral Health Medical Director- Psychiatrist- NJ Medicaid ** Location: The successful candidate will be a...health medical services, to ensure the appropriate and most cost -effective medical care is received. May be responsible for… more
- Humana (Tallahassee, FL)
- …provider performance in value-based programs. + Identify opportunities for new clinical program initiatives by assessing cost and utilization drivers, inclusive ... and help us put health first** As Regional Clinical Advisor , you serve as a key member of the...monitoring, and continuous quality improvement within the Medicare Advantage program to support improving the health of members. The… more
- HCA Healthcare (Reston, VA)
- …you want to join an organization that invests in you as a Patient Customer Advisor ? At Parallon, you come first. HCA Healthcare has committed up to $300 million in ... medical coverage that covers many common services at no cost or for a low copay. Plans include prescription...student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program … more
- Elevance Health (Hickory, NC)
- \#HealthyBlueCareTogetherCFSP **Clinical Care Advisor - Complex Medical** **$3,500 SIGN ON BONUS** _We are partnering with North Carolina DHHS to operationalize a ... statewide Medicaid Plan designed to support Medicaid -enrolled infants,...role with the field care managers for the CFSP program with the advisors supporting the care managers with… more
- Independent Health (Buffalo, NY)
- …play an integral role in the rebates and drug manufacturer contracts program . This will include assisting in the administration, analysis, pricing, and optimization ... + Proven examples of displaying the PBD values: Trusted Advisor , Innovative, Excellence, Guardianship, Dedication and Caring. **Essential Accountabilities** +… more
- Molina Healthcare (Snohomish, WA)
- …Community Engagement, CHW, Public Health, Healthcare, Health Care, Managed Care, MCO, Medicaid , Medicare, HEDIS, CAPHS, equity community health advisor , family ... with Health Risk screenings. + Assisting with reviewing additional program and special projects as needed and other duties...community resources. (Bonus, but not required in Managed Care, Medicaid , Health Plan or Health Insurance etc..) + Previous… more
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