• Medicaid State Data…

    Guidehouse (Mclean, VA)
    …seeking Consultants with experience and knowledge of validating, loading, processing and analyzing Medicaid data and detailed member data across various ... analyses will be leveraged to help inform work with state Medicaid , public health or state...stay abreast of states' healthcare transformation efforts + Perform data and qualitative research activities to address state… more
    Guidehouse (05/05/25)
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  • Data and Analytics Consultant

    CVS Health (Richmond, VA)
    …Medicare Enrollment experience with data reporting and analysis + 1-3 years of Medicaid Enrollment experience with data reporting and analysis + 1-3 years of ... support DSNP and MMP operations and BIM functions for Medicaid Enrollment. This includes creating and maintaining databases and...of information in reporting and processes to ensure enrollment data is processed accurately and timely in the most… more
    CVS Health (04/30/25)
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  • Business Information Consultant

    Elevance Health (Norfolk, VA)
    …files which meet ANSI X12 data criteria, are HIPAA compliant, and meet state Medicaid and federal Medicare guidelines as expressed in companion guides and ... **Business Information Consultant ** **Location:** Ideal candidates will live or be...Medicaid encounters submission to Ohio, Indiana and NJ state and reconcile the remits received from state… more
    Elevance Health (04/29/25)
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  • NetworX Consultant (Remote)

    Cognizant (Richmond, VA)
    **Healthcare Product Consulting - NetworX Consultant (Remote)** **Job Summary** : The NetworX Product Consultant is responsible for providing customers with ... key integration points with Facets agreements is preferred. + Good knowledge of NetworX data structures. + 10 years of healthcare experience, with 5 years of recent… more
    Cognizant (04/18/25)
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  • QNXT Product Consultant

    Cognizant (Richmond, VA)
    …See how at www.cognizant.com or @cognizant. **Job Title** **: QNXT Product Consultant ** **Location** **:** **Remote** **Job ID** **: SO# 00063631421** **The Role:** ... product and platform configurations + Experience with Healthcare IT, Medicaid and Payer systems is desired + Experience with...understanding of the **QNXT Framework** and its SQL Server data model. + QNXT product development experience + Highly… more
    Cognizant (04/18/25)
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  • Salesforce Architect

    CGI Technologies and Solutions, Inc. (Fairfax, VA)
    …this video you consent to Google/YouTube processing your data and using cookies -Learn more (xweb.asp?clid=21001&page=cookiespolicy#integrationofyoutube) . ... * Minimum Salesforce certified: * Administrator * Sales Cloud Consultant * Service Cloud Consultant * Platform...and Healthcare sectors, specifically the Centers for Medicare and Medicaid Services (CMS) CGI is required by law in… more
    CGI Technologies and Solutions, Inc. (04/12/25)
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  • RN, Utilization Review Flexi

    Chesapeake Regional Healthcare (Chesapeake, VA)
    …and the management of clinical/financial resources as a facilitator and consultant to the multidisciplinary patient care team. The Utilization Review Nurse ... responsible for review of clinical information documented from providers ensuring clinical data is substantial enough to meet medical necessity criteria and will… more
    Chesapeake Regional Healthcare (02/16/25)
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  • Clinical Pharmacist, Population Health - PGY1…

    ChenMed (Richmond, VA)
    … state and federal insurance programs formulary inclusions, programs for Medicare/ Medicaid . + Familiarity with appropriate local, state , and federal ... needed. **ESSENTIAL JOB DUTIES/RESPONSIBILITIES:** + Acts as a national pharmacy consultant for our physicians regarding patient case inquiries, drug interactions,… more
    ChenMed (03/11/25)
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