• Sr. Process Consultant ( Medicare

    Molina Healthcare (Long Beach, CA)
    …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 (10/25/24)
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  • Senior Medicare Compliance…

    Banner Health (AR)
    …8:00 AM - 5:00 PM (AZ Time). In this position you will be monitoring Medicare Advantage Parts C & D operational control measures ensuring appropriate oversight is in ... is in place for accurate, complete, and compliant for Medicare Advantage Parts C & D. + Identifying and...all compliance and noncompliance related activities. Your pay and benefits are important components of your journey at Banner… more
    Banner Health (10/11/24)
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  • Senior STARS Improvement Consultant

    Humana (Montgomery, AL)
    …caring community and help us put health first** The Senior Stars Improvement Consultant / Professional executes the overall Medicare Stars Improvement Program ... with physician groups and internal partners.. The Senior Stars Improvement Consultant / Professional works via virtual and in-person collaboration with providers… more
    Humana (10/31/24)
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  • Benefits Consultant

    Stantec (Denver, CO)
    …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
    Stantec (09/14/24)
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  • Nurse Senior Stars Improvement Consultant

    Humana (Spring Hill, FL)
    …put health first** The Nurse Senior Stars Improvement, Clinical Professional/ Consultant contributes to the development, implementation, and management of the ... company's Medicare /Medicaid Five-Star Quality Rating System. The Senior Stars Improvement,...Experience. The Nurse Senior Stars Improvement, Clinical Professional / Consultant focuses on areas of clinical emphasis related to… more
    Humana (10/29/24)
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  • Healthcare Reimbursement Consultant - Acute…

    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
    Plante Moran (09/26/24)
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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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  • Healthcare Review/Audit Senior Consultant

    Guidehouse (Philadelphia, PA)
    …Obtain Public Trust **What You Will Do** **:** Guidehouse is looking for a Senior Consultant to work on a Centers for Medicare and Medicaid Services (CMS) ... programs, specific to the Affordable Care Act. The Senior Consultant will work with a team of reviewers to...Insurance Exchanges preferred, but not required + Knowledge of Medicare , Medicaid, Medicare Advantage preferred, but not… more
    Guidehouse (10/19/24)
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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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  • Business Information Developer Consultant

    Elevance Health (Tampa, FL)
    **Be Part of an Extraordinary Team** **Title** : Business Information Developer Consultant - HEDIS Analytics **Location:** Candidates must reside within 50 miles or ... the Possibilities. Make an Extraordinary Impact.** The **Business Information Developer Consultant ** is responsible for developing and executing more complex data… more
    Elevance Health (10/17/24)
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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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  • Nurse Consultant

    State of Colorado (Denver, CO)
    …rewarding and meaningful work, we offer: + Strong, secure, yet flexible retirement benefits including a PERA Defined Benefit Plan or PERA Defined Contribution ... NURSE CONSULTANT Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4715738) Apply  NURSE CONSULTANT...the closing date and time listed. + Description + Benefits + Questions Department Information This position is open… more
    State of Colorado (11/02/24)
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  • Operations & Mgmt Consultant Mgr - SES

    MyFlorida (Tallahassee, FL)
    OPERATIONS & MGMT CONSULTANT MGR - SES - 65000081 Date: Oct 25, 2024 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... 840128 Agency: Elder Affairs Working Title: OPERATIONS & MGMT CONSULTANT MGR - SES - 65000081 Pay Plan: SES...please contact the FRS to determine if your current benefits may be affected if you are reemployed with… more
    MyFlorida (10/26/24)
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  • Signature Clinical Care Consultant

    Signature Healthcare (Indianapolis, IN)
    …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 (10/25/24)
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  • Care Consultant Sr, - Provider Success

    Elevance Health (Costa Mesa, CA)
    Care Consultant Sr. (California Provider Success) - JR133276 **Location** : Must reside **in the state of California** , and within 50 miles (1 hour commute) of one ... the 4 offices listed above, at least 1 day per week. The **Care Consultant Sr.** for **Provider Success** is responsible for consulting with providers (Commercial, … more
    Elevance Health (10/27/24)
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  • Project Manager/Fire & EMS Consultant

    Public Consulting Group (Columbus, OH)
    …www.publicconsultinggroup.com . PCG is seeking candidates for a Project Manager (Fire & EMS Consultant ) position who will work as an integral part of a dynamic team ... along with peers and senior staff. The Fire/EMS Consultant will be responsible for carrying out the day-to-day...public safety consulting business line, and other Medicaid and Medicare related projects. This role will use knowledge of… more
    Public Consulting Group (10/11/24)
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  • Care Consultant Sr.

    Elevance Health (Manchester, NH)
    **Care Consultant Sr.** **Location** : Must reside in the state of **Maine** or **New Hampshire, and be within** 50 miles (1 hour commute) of our South Portland, ME ... working in the local office 1- 2 days per week. The **Care Consultant Sr.** for **Provider Success** is responsible for consulting with providers ( Medicare more
    Elevance Health (11/02/24)
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  • Quality Management Nurse Consultant

    CVS Health (Phoenix, AZ)
    …and affordable. **Position Summary** This is a fulltime Quality Management Nurse Consultant opportunity within Arizona. The working schedule is Monday- Friday 7:00am ... miles) about 25-50% of the time. The QM Nurse Consultant is a work at home role. Experienced HEDIS...knowledge of NCQA HEDIS and STARS Measures for both Medicare and Medicaid, with recent experience in the annual… more
    CVS Health (10/26/24)
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  • Medicaid Certification Consultant

    Public Consulting Group (Columbus, OH)
    …and PCG is at the forefront. We are looking for an experienced Medicaid Consultant to join our team and help lead our growth efforts. Deep Medicaid experience ... is critical, as well as experience working with the Centers for Medicare and Medicaid Services (CMS) and the new streamlined modular certification (SMC) and… more
    Public Consulting Group (10/16/24)
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  • Clinical Documentation Specialist-…

    Intermountain Health (Las Vegas, NV)
    **Job Description:** The goal of the Clinical Documentation Specialist- Consultant is to educate leaders, physicians, advanced practice providers (APP), and other ... education plans, interventions, and training. + Acts as an education leader, consultant , and mentor to leaders, physicians, APP's, and other staff about… more
    Intermountain Health (10/18/24)
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