• Sr. Process Consultant (SQL coding…

    Molina Healthcare (Columbus, OH)
    …application of Lean/Six-Sigma. + Project management. + Process design & engineering. + Medicare . + Proven track record with results. + Process mapping tools - Visio, ... apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer… more
    Molina Healthcare (11/07/24)
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  • Consultant - Centers for Medicare

    Guidehouse (Hanover, MD)
    …technical competency, business development, client service and people development. As a Consultant , you will work with an experienced team to support the development ... comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and… more
    Guidehouse (11/15/24)
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  • Medicare Healthcare Internal…

    Vanderbilt University Medical Center (Nashville, TN)
    …audit results. Monitors new regulatory and/or billing requirement changes from Medicare Administrative Carriers and CMS websites and published guidance. Performs ... Large Healthcare Environment, hospital, physician practice, third party payer, Medicare intermediary, health insurer, or accounting/consulting firm. (Required) 10… more
    Vanderbilt University Medical Center (11/07/24)
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  • RN Senior Stars Improvement, Clinical…

    Humana (Nashville, TN)
    …and help us put health first** The RN Senior Stars Improvement, Clinical Consultant / Professional executes the overall Medicare Stars Improvement Program within ... working relationship with the health plan. The RN Senior Stars Improvement Consultant / Professional: + Builds and maintains strong relationships with assigned… more
    Humana (11/13/24)
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  • Medicare Medical Director

    Elevance Health (Atlanta, GA)
    ** Medicare Medical Director** Location: This position will work a hybrid model (remote and office). The ideal candidate will **must live** within 50 miles of one of ... our Elevance Health PulsePoint locations. The ** Medicare Medical Director** is responsible for the administration of...discuss review determinations. + Serves as a resource and consultant to other areas of the company. + May… more
    Elevance Health (11/12/24)
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  • Health Services & Facilities Consultant

    MyFlorida (Tallahassee, FL)
    68064188 - HEALTH SERVICES & FACILITIES CONSULTANT Date: Nov 20, 2024 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... Care Administration Working Title: 68064188 - HEALTH SERVICES & FACILITIES CONSULTANT Pay Plan: Career Service Position Number: 68064188 Salary: $1,794.92 Biweekly… more
    MyFlorida (11/21/24)
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  • Clinical Financial Consultant

    Trinity Health (Muskegon, MI)
    …reside in the West Michigan region. ​ **What the Clinical Financial Consultant will need:** **Minimum: Bachelor's degree in finance, business, counseling, social ... medical field working with the financial needs of patients. Experience with Medicare health plans, COBRA regulations, Affordable Care Act Marketplace Plans, Medicaid… more
    Trinity Health (11/26/24)
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  • Hospice Care Consultant

    AccentCare, Inc. (Tampa, FL)
    …patient care. Salary: Schedule: Offer Based on Years of Experience Hospice Care Consultant Hospice Care Consultant Hospice Care Consultant Hospice Care ... Consultant Hospice Care Consultant Hospice Care Consultant Hospice Care Consultant Hospice Care ...Investment in You We are committed to offering comprehensive benefits and rewards to full-time employees who work over… more
    AccentCare, Inc. (11/23/24)
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  • Insurance Strategy Consultant

    Humana (Columbus, OH)
    …on Medicare Advantage strategy development. As a Insurance Strategy Consultant , you will deconstruct issues and challenges, perform targeted research and ... hospital corporation in the 80's, to a leading health benefits company beginning in the 90's. Today, Humana is...in the country. The Healthcare Strategy team supports Humana's Medicare and Medicaid business unit. This business unit, Humana's… more
    Humana (11/05/24)
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  • Coding Operations Education and Appeals…

    HCA Healthcare (Nashville, TN)
    …**Job Summary and Qualifications** The Coding Operations Education and Appeals Consultant is responsible for assisting in the efficient and effective design, ... to understand, meet, and exceed customer expectations and needs. The Education Consultant is responsible for assisting in the development of the Quality Assessment… more
    HCA Healthcare (11/23/24)
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  • Risk and Compliance - Healthcare Industry, Senior…

    Robert Half (Boston, MA)
    …variety of rewards we offer at Protiviti at https://www.protiviti.com/sites/default/files/2023-12/2024- benefit -highlights.pdf . Any benefits outlined are part ... JOB REQUISITION Risk and Compliance - Healthcare Industry, Senior Consultant 2 LOCATION BOSTON ADDITIONAL LOCATION(S) NEW YORK CITY, SAN FRANCISCO, SEATTLE JOB… more
    Robert Half (10/22/24)
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  • Business Consultant Sr (Operational)

    Elevance Health (Seven Fields, PA)
    **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 (11/21/24)
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  • Business Information Developer Consultant

    Elevance Health (St. Louis, MO)
    **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
    Elevance Health (10/29/24)
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  • Senior Compensation Consultant

    Medical Mutual of Ohio (Brooklyn, OH)
    …fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. We are seeking an ... shopping with our customers. + Business casual attire, including jeans. Excellent Benefits and Compensation: + Employee bonus program. + 401(k) with company match… more
    Medical Mutual of Ohio (11/10/24)
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  • Sr. Provider Relations Consultant - (MA…

    WellSense (Boston, MA)
    Sr. Provider Relations Consultant - (MA residents)-$5,000 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
    WellSense (09/12/24)
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  • Medical Policy Consultant (US)

    Elevance Health (Independence, OH)
    **Medical Policy Consultant ** National Government Services is a proud member of Elevance Health Companies, Inc. family of brands. We administer government contracts ... for Medicare and partner with the Centers for ...8 am - 4:30 pm EST.** The **Medical Policy Consultant ** is responsible for researching and drafting NGS Medical… more
    Elevance Health (11/07/24)
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  • Operations & Mgmt Consultant Mgr - SES - 1

    MyFlorida (Tallahassee, FL)
    OPERATIONS & MGMT CONSULTANT MGR - SES - 65000081 1 Date: Nov 21, 2024 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... 841846 Agency: Elder Affairs Working Title: OPERATIONS & MGMT CONSULTANT MGR - SES - 65000081 1 Pay Plan:...please contact the FRS to determine if your current benefits may be affected if you are reemployed with… more
    MyFlorida (11/23/24)
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  • Senior Pharmacy Business Consultant

    CareFirst (Baltimore, MD)
    …into the local offices on occasion.** **PURPOSE:** The Sr. Pharmacy Business Consultant provides expertise in tailored, strategic, and critical work to help design, ... pharmacy programs that support initiatives related to Government Programs (Medicaid and Medicare ) with a focus in Quality and Cost of Care. **ESSENTIAL FUNCTIONS:**… more
    CareFirst (11/15/24)
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  • Signature Clinical Care Consultant - RN…

    Signature Healthcare (Louisville, KY)
    …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
    Signature Healthcare (11/06/24)
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  • Healthcare Sales Consultant

    ChenMed (Winter Park, FL)
    …and we need great people to join our team. The Membership Growth Consultant (MGC) is an outside healthcare sales representative who's responsible for generating ... talks, etc.) to help reach our ideal patients (ie, medically underserved, Medicare -eligible seniors, age 55 and older). + Start cultivateing strong relationships… more
    ChenMed (11/23/24)
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