- Humana (Columbus, OH)
- …with an emphasis on Medicare Advantage strategy development. As a Senior Medicare Strategy Consultant , you will deconstruct issues and ... benefits organizations in the country. **Location:** remote The Healthcare Strategy team supports Humana's Medicare and Medicaid...total revenue and earnings. Team members partner with the senior leaders of the business unit, and more broadly… more
- Guidehouse (Hanover, MD)
- **Job Family** **:** Finance & Accounting Consulting, Operational Effectiveness Consulting, Strategy & Transformation Consulting **Travel Required** **:** Up to 25% ... are provided the opportunity to interact with our clients' senior management and enhance their skills in the areas...business development, client service and people development. As a Consultant , you will work with an experienced team to… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …long, medium and short-term objectives + Actively develops new business through the broker/ consultant channels + Partners and consults with senior leaders (eg ... the Medicare and Product/Customer Solutions teams to develop and execute optimal Medicare strategies + Influences the corporate sales strategy as a member of… more
- Humana (Columbus, OH)
- …the Corporate Development and Strategy Operations teams. **Job Description** The Corporate Strategy Consultant - Strategy Planning is modeled after those ... caring community and help us put health first** Humana's Strategy Planning team is a small, high-performing group that...is a small, high-performing group that works closely with senior leadership to establish the future course for the… more
- Deloitte (Pittsburgh, PA)
- …and organizational performance. Work you'll do As a Government Health Actuary - Senior Consultant in Deloitte's Human Capital Actuarial and Insurance Solutions ... Practice, you will assist Deloitte Managers, Senior Managers, and Partners in providing strategic and technical consulting services to Federal and State governments,… more
- Vanderbilt University Medical Center (Nashville, TN)
- …analysis of strategic and financial matters related to Revenue and Reimbursement Strategy . This role will be responsible for projects which involve both hospital ... Reimbursement Analytics . **Key Functions and Expected Performances:** **Reimbursement Strategy :** + Provides recommendations and leadership for operational/strategic changes… more
- CGI Technologies and Solutions, Inc. (Atlanta, GA)
- **Payment Integrity Consultant ** **Category:** Analytics and Emerging Digital Technologies **Main location:** United States, Georgia, Atlanta **Position ID:** ... (xweb.asp?clid=21001&page=cookiespolicy#integrationofyoutube) . **Position Description:** CGI is seeking Payment Integrity Consultant for our Emerging Technology team. As a Payment… more
- Highmark Health (Harrisburg, PA)
- …The incumbent influences VBR integration into the overall Enterprise strategy through collaboration with Senior -level internal/external stakeholders. Ensures ... programs and results to key provider partners. + Collaborate with and support the senior Strategic Partners Consultant role as needed + Other duties as assigned… more
- Point32Health (MA)
- …**Job Summary** Under the administrative direction of the Director of Care Management Strategy and Clinical Programs, the Senior Manager of the Advanced Clinical ... improve quality and outcomes while simultaneously lowering costs. The Senior Manager of the Advanced Clinical Care team will...Manager may be asked to act as a clinical consultant to the various members of the internal care… more
- Humana (Columbus, OH)
- …and help us put health first** The Behavioral Economics Professional, Healthcare Strategy (BEP) is a core member of Humana's industry-leading Behavioral Economics ... as appropriate; overseeing implementation; analyzing data; and interpreting results for senior executives and other key decision-makers. Our services are flexible,… more
- ChenMed (Miami Gardens, FL)
- …consultant to our departments across the organization and will make data-driven strategy recommendations in the Medicare Advantage and health care industry. ... we need great people to join our team. The Senior Business Intelligence Analyst is responsible for providing actionable...With the right mix of strategy and technical abilities, he/she will lead primary research… more
- ChenMed (Miami, FL)
- …Care leadership and will make data-driven strategy recommendations in the Medicare Advantage and healthcare industry. This senior -level analyst position has ... rapidly expanding and we need great people to join our team. The Senior Health Economics Analyst is responsible for identifying and delivering data-driven insights… more
- Medical Mutual of Ohio (OH)
- …and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. **Responsibilities** **Provider ... peer review and training. . Performs other duties as assigned. ** Senior Provider Analyst** Provides analytical support during contract negotiation process. Assists… more
- Humana (Columbus, OH)
- …Enterprise Data Governance & Protection is to lead Humana's data strategy including investments in acquisition and protection of data assets, enterprise-wide ... data literacy and data quality. This individual will collaborate with senior stakeholders across Technology and all business units to influence enterprise-wide… more
- Scripps Health (San Diego, CA)
- …programs and provider partnership strategies for all lines of business (including commercial, senior , fee for service and value based). This role serves as the face ... through contract negotiations with Commercial HMO/PPO payers, California Medi-Cal, Medicare Advantage Plans, County Medical Services, TriCare, and other purchasers.… more
- Cleveland Clinic (Cleveland, OH)
- …standard practice has occurred. + Analyzes performance data and participates in improvement strategy development. + Acts as a consultant in educating and ... quality improvement. + Builds relationships with project teams, middle management, and senior sponsors. + Coach smaller improvement teams to success with their… more
- HCA Healthcare (Nashville, TN)
- …operational standards requiring facility compliance. Role is critical to HCA Healthcare strategy of quality and patient safety as a differentiator of hospital and ... TRAVEL REQUIRED Major Responsibilities * Individual serves as the expert consultant to hospital and ASC clinical performance improvement. Position requires expertise… more
- Point32Health (Canton, MA)
- … Data Analyst. A key role in the Corporate Data and Analytics organization, the Senior Data Analyst is a strategic consultant who can deliver meaningful insight ... trends, and market position across business lines and products (Commercial, Medicare , Medicaid, Exchange) + Utilize extensive knowledge of managed care financing… more
- Wells Fargo (Scottsdale, AZ)
- **About this role:** Wells Fargo is seeking a Retirement Planning Senior Growth Specialist with demonstrated experience in retirement savings strategies, income ... Wells Fargo employees. **Required Qualifications:** + 7+ years of Business Growth Strategy experience, or equivalent demonstrated through one or a combination of the… more