- CVS Health (New York, NY)
- …and communicate areas of opportunity. Must have strong knowledge of claim coding (CPT/DRG, etc.), provider networks, benefit designs, healthcare products/funding, ... medical management programs and financial acumen. + **Relationship management:** Demonstrated relationship management skills at the senior level; capacity to quickly build and maintain credible relationships at varying levels of the organization… more
- HUB International (Frisco, TX)
- **MANAGING CONSULTANT - BUSINESS DEVELOPMENT MANAGER ** **About Specialty Program Group:** Our goal is to **partner with industry-leading** specialty businesses ... DRS is a full-service consulting firm that delivers commercial insurance claim preparation, FEMA Public Assistance recovery, hazard mitigation assistance, disaster… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Medicaid Claims Analyst Date: Jan 22, 2025 Location: Parsippany, United States, New Jersey, 07054 Company: Teva Pharmaceuticals Job Id: 60414 **Who we are** Teva is ... journey of growth! **The opportunity** **Position Summary:** The Medicaid Claims Analyst is responsible for Medicaid Drug Rebate process...to get Medicaid Summary invoice, summary data file and Claim Level Invoice each quarter and review to ensure… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Medicaid Claims Analyst Date: Jan 6, 2025 Location: Parsippany, United States, New Jersey, 07054 Company: Teva Pharmaceuticals Job Id: 59984 **Who we are** Teva is a ... journey of growth! **The opportunity** **Position Summary:** The Medicaid Claims Analyst is responsible for Medicaid Drug Rebate process...to get Medicaid Summary invoice, summary data file and Claim Level Invoice each quarter and review to ensure… more
- AON (TN)
- …benchmarks for compliance both with company programs and DOT requirements (25%) + Analyze claim data and develop programs to prevent claims from occurring. (10%) ... Aon is looking a candidate to fill our Safety/Risk Consultant role Hybrid in Brentwood, TN! **This hybrid position...with company programs and DOT requirements (25%) + Analyze claim data and develop programs to prevent claims… more
- The Hartford (Alpharetta, GA)
- …work as requested. + Works independently under minimum supervision and support from manager . + Ensure proper implementation and claims adjudication of Group ... Consultant Ext Partnerships - WC08BEAD Ext Partnerships -...Benefit contracts with business partners to optimize Group Benefit claims results to best position our claims … more
- Elevance Health (Overland Park, KS)
- **Network Relations Consultant , LTSS Provider Representative** **Location:** Kansas. This is a field based position servicing providers. The **Network Relations ... Consultant , LTSS Provider Representative** develops and maintains positive provider...Researches, analyzes and recommends resolution for contract dispute, non-routine claim issues, billing questions and other practices. + May… more
- Elevance Health (Indianapolis, IN)
- **Provider Contract Cost of Care Consultant Senior** **Location:** This position will work a hybrid model (remote and office). The Ideal candidate will live within ... of our Elevance Health PulsePoint locations The **Provider Contract Cost of Care Consultant Senior** provides the highest level of analytical support to the Cost of… more
- Elevance Health (Columbus, OH)
- **Provider Contract/Cost of Care Consultant ** **We are offering a $5,000 sign-on bonus for this position.** **Location:** This position will work a hybrid I model ... our Pulse Point locations. The **Provider Contract/Cost of Care Consultant ** will provide analytical support to the Cost of...will make an impact:** * Focuses efforts on lowering claims costs, improving the quality of care, and increasing… more
- Zurich NA (New York, NY)
- AVP, Senior Organizational Strategy Consultant (International) 119837 Zurich North America is hiring an experienced AVP, Senior Organizational Strategy Consultant ... delivery of results. + In the capacity of 'portfolio manager ', demonstrate an awareness of all BU/SSU initiatives, understand...and 7 or more years of experience in the Claims , Consulting, Risk Engineering or Underwriting area OR *… more
- Prime Therapeutics (Eagan, MN)
- …drives every decision we make. **Job Posting Title** Senior Functional Implementation Consultant - Remote **Job Description** The Functional Business Consultant ... experience in at least one of the specific areas for position (eg, claims , eligibility, product, benefits, payment and billing, implementations or related area) +… more
- MyFlorida (Tallahassee, FL)
- Systems Project Consultant - 79011398 Date: Jan 16, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... 844977 Agency: Business and Professional Regulations Working Title: Systems Project Consultant - 79011398 Pay Plan: Career Service Position Number: 79011398 Salary:… more
- New York State Civil Service (New York, NY)
- …project schedule; report observations and make related recommendations to Project Manager .* Review consultant and contractor progress payments.* Prepare, ... Manager related to change order proposals.* Assist in the evaluation of claims and make recommendations to Project Manager .* Develop and maintain records for… more
- Grifols Shared Services North America, Inc (Clayton, NC)
- …HMS Manager . The RTW Case Manager RN consults with the HMS Manager and medical consultant physicians as needed, but is expected to make decisions based ... medical treatment to promote early return to work and claims resolution. The nurse will facilitate communication and action...to employees. **Additional responsibilities:** The Return to Work Case Manager RN will serve as lead in managing all… more
- Prime Therapeutics (Columbus, OH)
- …decision we make. **Job Posting Title** PBM Sr Business Intelligence Data Visual Consultant - Remote **Job Description** The Senior Data Visualization Consultant ... new product development. **Responsibilities** + Analyze or produce reports of varied claims data to assess Prime's products and/or programs; utilize analytics to… more
- MyFlorida (Largo, FL)
- PUBLIC HEALTH NUTRITION CONSULTANT - 50458002 1 Date: Jan 23, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... Requisition No: 842201 Agency: Veterans Affairs Working Title: PUBLIC HEALTH NUTRITION CONSULTANT - 50458002 1 Pay Plan: Career Service Position Number: 50458002… more
- HUB International (Cincinnati, OH)
- **POSITION SUMMARY:** HUB International is seeking to add an experienced Financial Consultant to our growing Data Analytics team in our Cincinnati office! The ... Financial Consultant will be responsible for leading and making recommendations...recommendations based on in-depth analysis on medical and pharmacy claims and utilization to identify trends and key indicators… more
- WTW (Hartford, CT)
- …personal lines insurance experience in the US market to join as a Senior Consultant in our Insurance Consulting and Technology (ICT) practice. In this role, you will ... collaborate with our team of pricing, portfolio management, underwriting, finance and claims experts to deliver consulting and technology solutions to our personal… more
- Travelers Insurance Company (Hartford, CT)
- …- $144,400.00 **Target Openings** 1 **What Is the Opportunity?** The Sr. Consultant , Actuarial and Analytics is an analytic role that encompasses the personal ... providing analytical insights to leadership and Business unit partners. The Sr. Consultant , Actuarial and Analytics will work on assignments requiring knowledge and… more
- Covr Financial Technologies (Hartford, CT)
- Regional Insurance Consultant REPORTS TO: Head of National Sales DEPARTMENT: Sales, National Sales Team FLSA STATUS: Exempt WORK SCHEDULE: M-F, hours subject to ... plus uncapped monthly incentive bonus INTERNAL JOB TITLE REFERENCE: Insurance Sales Consultant (ISC) LOCATION: This position is located in our Hartford, CT office/… more