- Humana (Columbus, OH)
- …an emphasis on Medicare Advantage strategy development. As a Senior Medicare Strategy Consultant , you will deconstruct issues and challenges, perform ... to the largest US hospital corporation in the 80's, to a leading health benefits company beginning in the 90's. Today, Humana is a leader in consumer-focused health… more
- BlueCross BlueShield of North Carolina (NC)
- **Job Description** The Medicare Channel/Partner Sales Consultant is accountable for end-to end management of channel sales to include Electronic Marketing ... at Blue Cross NC goes far beyond your paycheck. We offer benefits and perks (https://careers.bluecrossnc.com/global/en/ benefits ) that help you thrive, such as… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …blue. Reporting to the SVP, Sales & Client Management, the Director, Group Medicare Sales, is an integral member of the leadership team-driving BCBSMA's purposeful ... re-entry into the Group Medicare Advantage Market. The role will have responsibility for...short-term objectives + Actively develops new business through the broker/ consultant channels + Partners and consults with senior leaders… more
- Stantec (Orlando, FL)
- …to the processes, performance and initiatives of benefit programs. The Consultant will collaborate with other Benefits colleagues, relevant stakeholders and ... Benefits Consultant - ( 240003FF )...support and guidance on Stantec's health, wellness and retirement benefit programs to employees. This position works on projects… more
- Plante Moran (Traverse City, MI)
- Healthcare Reimbursement Consultant - Acute Care + Location: United States, Michigan, Traverse City + Location: United States, Michigan, Southfield + Location: United ... wide array of services including the filing of their Medicare and Medicaid Cost Reports, Medicare DSH...We are pleased to offer eligible staff a robust benefits package. Eligibility and contribution requirements for some of… more
- Humana (Washington, DC)
- …and help us put health first** The Growth Strategy Program Management Consultant provides data-based strategic direction to identify and address business issues and ... segments or the company at large. The Growth Strategy Program Management Consultant work assignments involve moderately complex to complex issues where the analysis… more
- CVS Health (Austin, TX)
- …9- 5:30 EST or CST Normal work Hours 11:45 - 8:15 EST The WorkLife Consultant (WLC) is part of the WorkLife Team and provides education about community resources, ... communities. The Company offers a full range of medical, dental, and vision benefits . Eligible employees may enroll in the Company's 401(k) retirement savings plan,… more
- CVS Health (Phoenix, AZ)
- …or CST** **Work hours after training 10 - 6:30 pm EST** **The WorkLife Consultant (WLC) is part of the WorkLife Team and provides education about community ... communities. The Company offers a full range of medical, dental, and vision benefits . Eligible employees may enroll in the Company's 401(k) retirement savings plan,… more
- Elevance Health (Nashville, TN)
- **JR127301 Business Consultant Sr (Operational)** The Sr. Business Consultant will support the Advanced Primary Care risk adjustment team through vendor ... systems; minimum of 3 years experience as a Business Consultant with project management skills; or any combination of...risk adjustment and/or health insurance industry. + Experience in Medicare Advantage and Medicaid in a provider based or… more
- Elevance Health (Ashburn, VA)
- **Business Information Developer Consultant - HEDIS Analytics** **Location:** This position will work a hybrid model (remote and in office one to two days per week). ... Louis, MO, Wallingford, CT or Louisville, KY. The **Business Information Developer Consultant - HEDIS Analytics** is responsible for developing and executing more… more
- Signature Healthcare (Raleigh, NC)
- …facilities have achieved a 4 or 5-star overall rating from the Centers for Medicare & Medicaid Services. Additionally, we have been awarded as a certified Great ... to Work!" Overview Are you a skilled Business Office Consultant ? Join our team and share your expertise with...Administrator, FAB, and requirements set forth by Medicaid and Medicare . + Evaluate accuracy of billing under Medicaid and… more
- WellSense (Boston, MA)
- Sr. Provider Relations Consultant - (MA residents)-$5000 sign on bonus WellSense Health Plan is a nonprofit health insurance company serving members across ... Massachusetts and New Hampshire through Medicare , Individual and Family, and Medicaid plans. Founded 25 years ago as Boston Medical Center HealthNet Plan, we provide… more
- AbbVie (Cleveland, OH)
- …sales experience required + Experience selling in a "buy and bill" Medicare part B/Medical benefit environment and understanding of reimbursement challenges ... be hired at a level commensurate with experience. The Senior Account Consultant position manages sales processes for AbbVie's therapeutic products in accordance with… more
- Signature Healthcare (Columbus, OH)
- …Modern Healthcare's "Best Places to Work!" Overview The ideal Signature Clinical Care Consultant Candidate would have working knowledge of Medicare , Medicaid and ... facilities have achieved a 4 or 5-star overall rating from the Centers for Medicare & Medicaid Services. Additionally, we have been awarded as a certified Great… more
- BlueCross BlueShield of Tennessee (Chattanooga, TN)
- …The ideal candidate for this position will have extensive experience in Medicare claims processing in addition to significant coding expertise\. Strong analytic ... The position will review data and investigate claims payment processing and Medicare guidelines to insure the health plan is properly paying claims according… more
- CVS Health (Columbia, SC)
- …other enrollment related issues/requests involving member specific information -The eligibility Consultant must have a full understanding of Medicare Guidelines ... health care more personal, convenient and affordable. **Position Summary** - As an Eligibility Consultant you will respond, research, and resolve eligibility and… more
- MyFlorida (Tallahassee, FL)
- 68021778 - GOVERNMENT OPERATIONS CONSULTANT III Date: Sep 4, 2024 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... for Health Care Administration Working Title: 68021778 - GOVERNMENT OPERATIONS CONSULTANT III Pay Plan: Career Service Position Number: 68021778 Salary: $1,907.11… more
- Elevance Health (Lexington, KY)
- Care Consultant Sr. (Provider Success) - JR126256 **Location** : Prefer State of Kentucky residence. Those in bordering states will be considered. (Requires travel ... person and virtually up to 25% - 30% of the time.)** The **Care Consultant Sr.** for **Provider Success** is responsible for consulting with providers ( Medicare … more
- CVS Health (Hartford, CT)
- …This is a Scrum Team role that will be a member of the Medicare / Medicaid Transformers team tasked with developing purpose built capabilities for our NextGen ... the team to deliver purpose built configuration for the Medicare and IFP pharmacy business team. Generation Platform. +...offers a full range of medical, dental, and vision benefits . Eligible employees may enroll in the Company's 401(k)… more
- CVS Health (Columbus, OH)
- …time remote Utilization Management opportunity. As a Utilization Management Nurse Consultant , you will utilize clinical skills to coordinate, document and ... communicate all aspects of the utilization/ benefit management program. You would be responsible for ensuring the member is receiving the appropriate care at the… more