• Senior Medicare Strategy

    Humana (Columbus, OH)
    …with an emphasis on Medicare Advantage strategy development. As a Senior Medicare Strategy Consultant , you will deconstruct issues and ... benefits organizations in the country. **Location:** remote The Healthcare Strategy team supports Humana's Medicare and Medicaid...total revenue and earnings. Team members partner with the senior leaders of the business unit, and more broadly… more
    Humana (09/12/24)
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  • Associate Director, Group Medicare Sales

    Blue Cross Blue Shield of Massachusetts (Boston, MA)
    …long, medium and short-term objectives + Actively develops new business through the broker/ consultant channels + Partners and consults with senior leaders (eg ... the Medicare and Product/Customer Solutions teams to develop and execute optimal Medicare strategies + Influences the corporate sales strategy as a member of… more
    Blue Cross Blue Shield of Massachusetts (07/21/24)
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  • Government Health Actuary Senior

    Deloitte (Pittsburgh, PA)
    …and organizational performance. Work you'll do As a Government Health Actuary - Senior Consultant in Deloitte's Human Capital Actuarial and Insurance Solutions ... Practice, you will assist Deloitte Managers, Senior Managers, and Partners in providing strategic and technical consulting services to Federal and State governments,… more
    Deloitte (08/08/24)
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  • Payment Integrity Consultant

    CGI Technologies and Solutions, Inc. (Atlanta, GA)
    **Payment Integrity Consultant ** **Category:** Analytics and Emerging Digital Technologies **Main location:** United States, Georgia, Atlanta **Position ID:** ... (xweb.asp?clid=21001&page=cookiespolicy#integrationofyoutube) . **Position Description:** CGI is seeking Payment Integrity Consultant for our Emerging Technology team. As a Payment… more
    CGI Technologies and Solutions, Inc. (08/01/24)
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  • Value-Based Reimbursement Strategic Partners…

    Highmark Health (Harrisburg, PA)
    …The incumbent influences VBR integration into the overall Enterprise strategy through collaboration with Senior -level internal/external stakeholders. Ensures ... programs and results to key provider partners. + Collaborate with and support the senior Strategic Partners Consultant role as needed + Other duties as assigned… more
    Highmark Health (07/13/24)
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  • Senior Healthcare Business Intelligence…

    ChenMed (Miami Gardens, FL)
    consultant to our departments across the organization and will make data-driven strategy recommendations in the Medicare Advantage and health care industry. ... we need great people to join our team. The Senior Business Intelligence Analyst is responsible for providing actionable...With the right mix of strategy and technical abilities, he/she will lead primary research… more
    ChenMed (07/31/24)
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  • Senior Health Economics Analyst

    ChenMed (Miami, FL)
    …Care leadership and will make data-driven strategy recommendations in the Medicare Advantage and healthcare industry. This senior -level analyst position has ... rapidly expanding and we need great people to join our team. The Senior Health Economics Analyst is responsible for identifying and delivering data-driven insights… more
    ChenMed (09/17/24)
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  • Senior Communications Professional, Social…

    Humana (Columbus, OH)
    …put health first** Humana's Corporate Communications organization is seeking a Senior Corporate Communications Professional, Enterprise Social Media, to join the ... channels across multiple key audiences. This content is directly tied to company strategy and business priorities, often bringing human care to life and illustrating… more
    Humana (09/17/24)
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  • Provider Analyst

    Medical Mutual of Ohio (OH)
    …and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. **Responsibilities** **Provider ... peer review and training. . Performs other duties as assigned. ** Senior Provider Analyst** Provides analytical support during contract negotiation process. Assists… more
    Medical Mutual of Ohio (09/11/24)
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  • VP, Enterprise Data Governance & Protection.

    Humana (Columbus, OH)
    …Enterprise Data Governance & Protection is to lead Humana's data strategy including investments in acquisition and protection of data assets, enterprise-wide ... data literacy and data quality. This individual will collaborate with senior stakeholders across Technology and all business units to influence enterprise-wide… more
    Humana (08/21/24)
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  • VP, Payer Relations

    Scripps Health (San Diego, CA)
    …programs and provider partnership strategies for all lines of business (including commercial, senior , fee for service and value based). This role serves as the face ... through contract negotiations with Commercial HMO/PPO payers, California Medi-Cal, Medicare Advantage Plans, County Medical Services, TriCare, and other purchasers.… more
    Scripps Health (06/26/24)
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  • RN Sqpe Specialist II - Patient Safety Focus

    Cleveland Clinic (Cleveland, OH)
    …standard practice has occurred. + Analyzes performance data and participates in improvement strategy development. + Acts as a consultant in educating and ... work a hybrid schedule and work toward becoming a Senior Specialist. At Cleveland Clinic, we know what matters...in working with Joint Commission, HFAP, CMS (Centers for Medicare and Medicaid: Government agency that provides reimbursement for… more
    Cleveland Clinic (09/18/24)
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  • RN-Safety Quality and Patient Experience

    Cleveland Clinic (Cleveland, OH)
    …standard practice has occurred. + Analyzes performance data and participates in improvement strategy development. + Acts as a consultant in educating and ... quality improvement. + Builds relationships with project teams, middle management, and senior sponsors. + Coach smaller improvement teams to success with their… more
    Cleveland Clinic (09/12/24)
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  • Director Regulatory and Accreditation

    HCA Healthcare (Nashville, TN)
    …operational standards requiring facility compliance. Role is critical to HCA Healthcare strategy of quality and patient safety as a differentiator of hospital and ... TRAVEL REQUIRED Major Responsibilities * Individual serves as the expert consultant to hospital and ASC clinical performance improvement. Position requires expertise… more
    HCA Healthcare (09/10/24)
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