- Careers Integrated Resources Inc (Albuquerque, NM)
- …providers. . Provide ongoing development of database, reports, and statistical analyses of managed care networks. Create, modify, and maintain new and existing ... Job Title: Provider Network Consultant Job Location: Albuquerque, NM 87113 Job Duration:...Assist with the review of provider directories for the managed care networks. . Develop and maintain… more
- Banner Health (Tucson, AZ)
- …employment settings by including remote and hybrid opportunities. In the role of Senior Managed Care Consultant , you will be responsible for negotiating ... objectives and strategies. This position mentors, leads and trains Managed Care Contracts Consultants. This...assignments in Managed Care , specific managed care contract experience is… more
- Elevance Health (Waukesha, WI)
- **Value Based Contract / Cost of Care Consultant ** The **Value Based Contract / Cost of Care Consultant ** will focus on Elevance Health's Value ... or related field; minimum of 5 years experience in broad-based analytical, managed care payor or provider environment; considerable experience in statistical… more
- Elevance Health (Norfolk, VA)
- **Provider Contract Cost of Care Consultant ** **Location** : This position will work a hybrid model (remote and in office one day per week). Ideal candidates ... Mason, OH, Tampa, FL or Chicago, IL. The **Provider Contract Cost of Care Consultant **...field; minimum of 5 years' experience in broad-based analytical, managed care payor or provider environment; considerable… more
- MyFlorida (Tallahassee, FL)
- … care report guide, Medicaid contracts and amendments; Dear Managed Care Plan letters, contract interpretations, policy transmittals, and provider ... home and community based waivers), administrative rules, coverage policies, managed care plan contracts , bill... Care (SMMC) Plan Communications (ie, Dear Managed Care Plan letters, contract … more
- MyFlorida (Fort Lauderdale, FL)
- …Medicaid managed care claim complaints and determining managed care compliance with the SMMC contract as it relates to claims processing. Examples ... Analyzes programmatic reports of claims and provider reimbursement issues/complaints to determine managed care plan compliance with contract provisions.… more
- Commonwealth of Pennsylvania (PA)
- …mental health and substance abuse, and mental retardation facilities, schools, physicians' offices, managed care plans, Behavior Health Managed Care ... Nursing Services Consultant Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/4655613) Apply Nursing Services Consultant Salary $66,250.00 -… more
- MyFlorida (Tallahassee, FL)
- …Plan Management Operations (PMO). PMO is responsible for the primary oversight of Medicaid's managed care programs, with a focus on the Statewide Medicaid ... Care Administration Working Title: 68064271 - GOVERNMENT OPERATIONS CONSULTANT III Pay Plan: Career Service Position Number: 68064271...Managed Care (SMMC) program. The bureau's primary… more
- MyFlorida (Tallahassee, FL)
- …Quality and Clinical Management Unit for the Office of Children's Medical Services Managed Care Plan. This position is responsible for promoting an integrated, ... Are: Florida Department of Health Children's Medical Services (CMS) Managed Care Plan is responsible for the...care coordination program. + Reviewing guidelines, statutes, and contract requirements related to enhanced care coordination… more
- Immigration and Customs Enforcement (IN)
- …Reviews Availability of Health Care (AHC) request summaries prepared by IHSC Managed Care Program Coordinators to determine if the care required ... Care Compliance. The incumbent reports directly to the Supervisory Healthcare Consultant within the Health Care Compliance Division and collaborate closely… more
- Elevance Health (Olathe, KS)
- …and provider utilization patterns. + Conducts seminars to support the understanding of managed care policies and procedures. + Identifies network access and ... **Network Relations Consultant , LTSS Provider Representative** **Location:** Kansas. This position...an impact:** + May be responsible for coordinating non-negotiated contracts for new and existing providers as needed. +… more
- Omnicell (Dallas, TX)
- …only apply if you are open to relocation after 1-2+ years.** **Sales Consultant ** This field sales development role involves working closely with Field Sales, Sales ... case to gain executive support, develop deal strategy options, negotiating contracts , and closing sales opportunities that result in profitable business. Support… more
- Robert Half (Seattle, WA)
- JOB REQUISITION Seattle Technology Audit & Advisory Senior Consultant LOCATION SEATTLE ADDITIONAL LOCATION(S) JOB DESCRIPTION Internal Audit & Financial Advisory ... Senior Consultant You Belong Here The Protiviti Career provides opportunity...is a passion. We lean into our mission: We Care . We Collaborate. We Deliver. At every level, we… more
- Elevance Health (FL)
- …and provider utilization patterns. + Conducts seminars to support the understanding of managed care policies and procedures. + Identifies network access and ... **Network Relations Consultant - Field Position** **Travel -** this position...prompt resolution. + May be responsible for coordinating non-negotiated contracts for new and existing providers as needed. +… more
- Elevance Health (Cerritos, CA)
- …and provider utilization patterns. + Conducts seminars to support the understanding of managed care policies and procedures. + Coordinates and conducts provider ... **Network Relations Consultant - CA** Location: **This position will work...and Experiences:** + Experience with Medi-Cal and Medicare (D-SNP) managed care plans preferred. For candidates working… more
- Robert Half (Austin, TX)
- …- Financial Crimes Compliance - Financial Services Industry - Senior Consultant 2 LOCATION AUSTIN ADDITIONAL LOCATION(S) CHARLOTTE, CHICAGO, DALLAS, DENVER, HOUSTON, ... is a passion. We lean into our mission: We Care . We Collaborate. We Deliver . At every level,...Protiviti is looking for a Risk and Compliance Senior Consultant to join our growing Financial Crime Compliance team.… more
- Robert Half (Seattle, WA)
- JOB REQUISITION Seattle Internal Audit & Financial Advisory Senior Consultant LOCATION SEATTLE ADDITIONAL LOCATION(S) JOB DESCRIPTION You Belong Here T he Protiviti ... is a passion. We lean into our mission: We Care . We Collaborate. We Deliver. At every level, we...is looking for a Technology Audit & Advisory Senior Consultant to join our grow ing team . What… more
- Robert Half (Los Angeles, CA)
- JOB REQUISITION Internal Audit Strategy & Technology Enablement Senior Consultant LOCATION LOS ANGELES ADDITIONAL LOCATION(S) NEW YORK CITY JOB DESCRIPTION You ... is a passion. We lean into our mission: We Care . We Collaborate. We Deliver. At every level, we...for an Internal Audit Strategy & Technology Enablement Senior Consultant to join our grow ing team . What… more
- Robert Half (Chicago, IL)
- JOB REQUISITION Adobe Analytics Senior Consultant - Protiviti Digital LOCATION CHICAGO ADDITIONAL LOCATION(S) ATLANTA - PEACHTREE RD, DALLAS, HOUSTON, WASHINGTON DC ... is a passion. We lean into our mission: We Care . We Collaborate. We Deliver . At every level,...Need You Protiviti Digital is seeking a Digital Analytics Consultant and Strategist to work with our amazing roster… more
- WSP USA (Atlanta, GA)
- …managed lanes studies, and other analyses. Day to day work will require contract management, client care , overseeing technical planning work, guiding a team ... the future! WSP is currently initiating a search for a **Lead Consultant /Transportation Planner** for our **Atlanta, Georgia** office. This individual will serve in… more
