- Health Care Service Corporation (Nashville, TN)
- …**Job Summary** This position is responsible for driving delivery, contingency planning, business results, and strategic planning for Medicare Part D Pharmacy ... At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth… more
- Elevance Health (FL)
- **Appeals Medical Director - Medicare ** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person training ... discuss review determinations. + Serves as a resource and consultant to other areas of the company. + May...vary depending on the above factors as well as market/ business considerations. No amount is considered to be wages… more
- Elevance Health (Atlanta, GA)
- ** Business Information Consultant - Health System Reimbursement** **Location:** This role requires associates to be in-office 1 day per week, fostering ... employment, unless an accommodation is granted as required by law. The ** Business Information Consultant - Health System Reimbursement** is responsible for… more
- CVS Health (Madison, WI)
- …process, pre-certification, and predetermination of covered benefits in the commercial, Medicare , and Medicaid environment. This Wheelchair DME consultant ... you will be responsible for providing clinical expertise and business direction in support of medical management programs to...consultant . ◾Demonstrate the ability to work within and lead as necessary teams comprised of a diverse group… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- … Medicare , Medicaid, and government programs. Working closely with internal business partners and external stakeholders, the Policy Consultant is responsible ... Blue Cross and Blue Shield of Minnesota Position Title: Senior Policy Consultant Location: Hybrid | Eagan, Minnesota Career Area: Corporate Affairs About Blue… more
- Elevance Health (Seattle, WA)
- …and patient experience. This individual works across all three lines of business ( Medicare , Medicaid, and Commercial), marrying quantitative analysis with ... Provider Success Consultant Sr. (Value-Based) **Hybrid 1:** This role requires...toward performance success. + **_Strategic Execution_** : Design and lead strategic plans and initiatives rooted in operational realities… more
- Health Care Service Corporation (Nashville, TN)
- …of client success and to ensure consistency and efficiency. As a Senior Business Consultant , you will support implementation of initiatives with high complexity ... At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth… more
- Waystar (Atlanta, GA)
- …+ Assume certain training responsibilities for the Client Adoption Team + Take a lead consultant role on projects that require more than one consultant ... **ABOUT THIS POSITION** The Sr. Solution Adoption Consultant role will act as the primary client...project issues, risks, and needs + Translate client and business feedback into actionable information + Identify, research, and… more
- Elevance Health (Richmond, VA)
- **Provider Contract/Cost of Care Consultant Senior** **Location:** This role requires associates to be in-office 1 day per week, fostering collaboration and ... as required by law. The **Provider Contract/Cost of Care Consultant Senior** provides the highest level of analytical support...complex, large scale enterprise-wide initiatives and acts as project lead . + Acts as a strategic partner to management.… more
- WellSense (MA)
- …between WellSense Health Plan ("Plan") and key provider organizations, taking the lead and promoting collaboration within Plan, as it relates to provider network ... clinician, community health center and hospital relationships through effective business interactions and outreach** + **Works collaboratively with Provider… more
- CareFirst (Baltimore, MD)
- …teams, ensuring strategic alignment and clarity. Leverages extensive expertise to lead and manage complex project requirements, introducing innovative tools and best ... needs of both internal and external clients, establishing and communicating the business value of their development and implementation. Offers strategic insights and… more
- CareFirst (Washington, DC)
- …IS REQUIRED.** **PURPOSE:** This position is responsible for renewing/growing a book business which includes more complex accounts with indemnity and managed care ... expected to assist in guiding and mentoring less experienced staff. May lead a team of matrixed resources. **QUALIFICATIONS:** **Education Level:** Bachelor's Degree… more
- CenterWell (Savannah, GA)
- …do. Our Clinics offer a team-based care model where our physicians lead a multi-disciplinary care team supporting patient's physical, emotional, and social wellness. ... those in the communities we serve, including our associates, lead their best lives. We support our associates in...**Preferred Qualifications** + Active and unrestricted DEA license + Medicare Provider Number + Medicaid Provider Number + Minimum… more
- CenterWell (Anderson, SC)
- …do. Our Clinics offer a team-based care model where our physicians lead a multi-disciplinary care team supporting patient's physical, emotional, and social wellness. ... those in the communities we serve, including our associates, lead their best lives. We support our associates in...**Preferred Qualifications** + Active and unrestricted DEA license + Medicare Provider Number + Medicaid Provider Number + Minimum… more
- Nuvance Health (Danbury, CT)
- …management of the physician advisor role within the organization. * Works to lead standardization of policy, procedure and approach to physician advisor roles in ... denial management issues, and potentially quality issues. * Functions as a consultant and resource to other Physician Advisors and primary (attending) physicians. *… more
- NTT America, Inc. (Baltimore, MD)
- …the APD Consultant will work collaboratively with the Centers for Medicare and Medicaid (CMS) and develop and present updates for the Maryland Department ... Medicaid Program. Working under the CIO, they will actively lead the delivery of tasks/activities and associated deliverables. This...**:** + Minimum of 6 years' experience as a business analyst with, or consultant to, State… more
- Penn Medicine (Lancaster, PA)
- …academic medical center means collaboration with top clinical, technical and business professionals across all disciplines. Today at Penn Medicine, someone will ... integrate evidence based practices, develop and implement standards of care and lead programs designed to achieve cost-effective, patient focused outcomes across the… more
- Deloitte (Los Angeles, CA)
- Healthcare Clinical Documentation Specialist - Senior Consultant Our Deloitte Regulatory, Risk & Forensic team helps client leaders translate multifaceted risk and ... Feb 28, 2026 Work you'll do As a Senior Consultant in our Regulatory, Risk, & Forensic Healthcare Practice,...You will help our clients embrace change, grow their business , accelerate performance, and navigate periods of crisis or… more
- CVS Health (Austin, TX)
- …and internal consultant . ◾Demonstrate the ability to work within and lead as necessary teams comprised of a diverse group of health delivery professionals ... & Operations) you will be responsible for providing clinical expertise and business direction in support of medical management programs to promote the delivery… more
- CareFirst (Baltimore, MD)
- …to effectively interface with all levels of staff, providers, vendors, and business -related associates. Ability to lead project teams towards goal attainment ... home and a portion of their week at a CareFirst location based on business needs and work activities/deliverables that week._ **PURPOSE:** This role will lead ,… more