- Elevance Health (Cincinnati, OH)
- Provider Success Consultant Sr . (Ohio Market) **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and ... a minimum of 50% of the time. **The Care Consultant Sr .** is responsible for fostering long-term...and drive the achievement of value-based care in the Medicare , Medicaid, and Commercial lines of business. The ideal… more
- Waystar (Atlanta, GA)
- **ABOUT THIS POSITION** The Sr . Solution Adoption Consultant role will act as the primary client contact for Waystar solution-specific set-up and design issues ... and complex client problems + Develop detailed technical and process -related documentation related to environment-specific product design and configuration +… more
- CVS Health (Hartford, CT)
- …but a willingness to learn is essential. Responsibilities of the Wheelchair DME consultant include support of the appeal process , clinical claim review ... , pre-certification, and predetermination of covered benefits in the commercial, Medicare , and Medicaid environment. This Wheelchair DME consultant provides… more
- Covenant Health Inc. (Lenoir City, TN)
- Overview Senior Risk Manager Full Time,80 Hours Per Pay Period, Day Shifts Fort Loudoun Medical Center is equipped with a team of more than 200 doctors in more than ... care to every patient, every time. Position Summary: The senior risk manager is responsible for the facility's risk...affect risk management programs and participates in the legislative process . + Leads and/or participates in the Risk Management… more
- Humana (Charleston, WV)
- …of situations or data requires an in-depth evaluation of variable factors. The Group Medicare Senior Account Executive is the primary contact for their book of ... caring community and help us put health first** The Senior Account Executive - Group Medicare is...group's renewal strategy. + Deliver renewal information to customer/ consultant / broker, lead negotiations and confirm final renewal action… more
- Humana (Frankfort, KY)
- …our caring community and help us put health first** The CenterWell Strategy Senior Consultant provides data-based strategic direction to support broader team and ... for business segments or the company at large. The Senior Consultant works on problems of diverse...and synthesis of strategic options for annual strategic planning process + Creating executive-level presentations and deliverables that clearly… more
- AdventHealth (Altamonte Springs, FL)
- ** Consultant , Actuarial Services AdventHealth PHSO** **All the benefits and perks you need for you and your family:** Benefits from Day One Paid Days Off from Day ... Health Services (PHSO) at AdventHealth is seeking an Actuarial Consultant to expand Actuarial Services housed in the Finance...ACOs, is also desired but not essential. Experience with Medicare Advantage is also relevant but isnt a significant… more
- OhioHealth (Columbus, OH)
- …and in our communities. **Job Description Summary:** The Research Finance Consultant will perform specialized technical fiscal activities and financial reporting for ... study or grant closeout. Provide feedback on post-awards billing process to affect the budget and contracts. Prepares financial...and departmental policies and procedures when Vice President or Senior Director or service line review / approval of… more
- Humana (Indianapolis, IN)
- …Insurance segment's highest priority projects and initiatives, with an emphasis on Medicare Advantage strategy development. As a Senior Strategy Advancement ... company's total revenue and earnings. Team members partner with senior leaders of the business unit, and more broadly...initiatives and business areas, evolving key facets of the Medicare Advantage growth strategy, leading the development of the… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. **Responsibilities** **Group ... and final underwriting of individuals and group business. Makes recommendations on process for managing exceptions. . Performs other duties as assigned. **Group… more
- City and County of San Francisco (San Francisco, CA)
- …and substance use treatment services. Duties Include + Experienced Specialist Representative/ Consultant of the specialty program or service including, but not ... reviews detailed and complex medical and technical records and reports. + Senior Family Physician, Internist or Medical Subspecialist + Evaluates patient signs and… 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 ... we need great people to join our team. The Senior Health Economics Analyst is responsible for identifying and...+ Supports finance in the annual and multi-year planning process including development of medical cost targets, key metrics,… more
- CenterWell (St. Paul, MN)
- …of our caring community and help us put health first** The Senior Professional collaborates with healthcare professionals, pharmacists, and other business functions ... latitude in determining objectives and approaches to assignments. The Senior Formulary Operations Management Professional collaborates with healthcare professionals,… more
- Takeda Pharmaceuticals (Boston, MA)
- …Sr . Director frames strategicissues and defines the decision-making process for both high-level strategyand individual contract proposals. Committee ... the "Apply" button, I understand that my employment application process with Takeda will commence and that the information...deliver your best. In this highly visible role, the Sr . Director will lead the strategic and analytic aspects… more
- Sysco (Broussard, LA)
- …within the Healthcare Segment including Acute Care, Long Ten Care and Senior Living; with the expectation of achieving assigned business goals (now business, ... and sales team members to champion a team selling process . + Track activities and results, collaborate on opportunities,...needed basis, provide nutritional system tools and referrals to consultant RDs to help customers meet federal and state… more
- New York State Civil Service (Rochester, NY)
- …NY Zip Code 14620 Duties Description The Registered Nurse 2 Psychiatric is a senior member of a multidisciplinary treatment team whose duties include, but are not ... and evaluate nursing care aspects for individuals in treatment.* Serve as a consultant to other nurses and direct care staff in the implementation of treatment… more
- CVS Health (Helena, MT)
- …and maintaining a deep understanding of PBM financial levers within Commercial, Medicaid, Medicare Part D, and Public Exchange lines of business. + Conduct market ... times, and client satisfaction. Provide regular reports and insights to senior management to inform strategic decision-making and drive continuous improvement in… more
- The Joint Commission (Oakbrook Terrace, IL)
- …experience in orthopedics, and 2 years of accreditation or certification leadership or senior management experience. Recent experience as a consultant to health ... and collegial style. They must possess sound understanding of High Reliability, Robust Process Improvement and Culture of Safety. They must be able to utilize their… more
- Cleveland Clinic (Mayfield Heights, OH)
- …data and participate in improvement strategy development. + Act as a consultant in educating and evaluating clinical and support department staff regarding quality ... the organization. + Build relationships with project teams, middle management, and senior sponsors. + Coach smaller improvement teams to success with their quality… more
- Cleveland Clinic (Garfield Heights, OH)
- …data and participate in improvement strategy development. + Act as a consultant in educating and evaluating clinical and support department staff regarding quality ... + Build relationships with project teams, middle management, and senior sponsors, as well as collaborate closely with emergency...in working with Joint Commission, HFAP, CMS (Centers for Medicare and Medicaid + In-depth knowledge of patient safety… more