- Mathematica (Columbus, OH)
- …prior experience as a senior state health official or comparable role in Medicaid program design and implementation at a public or private entity such as ... seasoned professional who are recognized experts with experience leading Medicaid and programs at the state level to join...base salary range of $150,000 - $200,000 annually (Principal Consultant ) and $180,000 - $220,000 annually ( Senior … more
- Guidehouse (Mclean, VA)
- …You Will Do** **:** Guidehouse is seeking a motivated, passionate, organized, and detail-oriented Medicaid Data Senior Consultant to support the analysis of ... team using data validation tools to identify issues and discrepancies with Medicaid -related business rules, finds root causes, identify resources, review… more
- CVS Health (Hartford, CT)
- …current business trends and best practices preparing analysis for senior management, stakeholders, and clients. + Authorizes processes for performance appraisals ... and delivery (planning, delivering, and supporting) skills + Adept at business intelligence Preferred Qualifications + Experience with Medicaid value-based… more
- Deloitte (Williamsville, NY)
- …Human Capital practice. Work you'll do As a Government Health Actuary - Senior Consultant in Deloitte's Human Capital Actuarial and Insurance Solutions Practice, ... you interested in helping clients drive alignment with their business , improve organizational and human resource performance and establish...you will assist Deloitte Managers, Senior Managers, and Partners in providing strategic and technical… more
- Blue Matter (San Francisco, CA)
- …We have offices in NY, San Francisco, Boston, London, Zurich, Mumbai & Gurgaon. As a Consultant / Senior Consultant , you will work across Blue Matter as a ... pharmaceutical Gross-to-Net models + Government pricing impact projections (ASP, 340b, Medicaid Best Price, etc.) + Financial projections pertaining to reimbursement… more
- Public Consulting Group (Columbus, OH)
- …change, improve access to health care, maximize program revenue, improve business processes, and achieve regulatory compliance. Using industry best practices, PCG's ... from our commitment to our staff. We focus our business endeavors on the public sector because we value...for public assistance programs including but not limited to Medicaid , the Supplemental Nutrition Assistance Program (SNAP), and Temporary… more
- CVS Health (Hartford, CT)
- …Position Summary Designs enterprise-wide and/or cross-functional solutions to address business problems, supporting Medicaid value based operational strategies. ... competitive in the marketplace and effectively serve its customers. Partners with business owners to optimize the achievement of strategic business objectives,… more
- Highmark Health (Columbus, OH)
- … and functional infrastructure of the underlying systems that support the respective business platforms for the Medicaid Business Unit market served ... statements. Uses functional and organizational knowledge to mentor Associate, Intermediate, and Senior Business Systems Analysts, as well as others outside of… more
- HCA Healthcare (Nashville, TN)
- …**Introduction** Do you have the career opportunities as a Standard Terminology Consultant WFH you want with your current employer? We have an exciting ... caring group of colleagues. Do you want to work as a Standard Terminology Consultant WFH where your passion for creating positive patient interactions are valued? If… more
- Humana (Frankfort, KY)
- …total revenue and the majority of its earnings. Team members partner with the senior leaders of the business unit, and more broadly with leaders throughout ... such as Dual Eligibles, Veterans, and other needs-based segments. The Medicare and Medicaid organization, Humana's largest, comprises over 80% of the company's… more
- Humana (Campbell, CA)
- …company's total revenue and the majority of its earnings. Team members partner with senior leaders of the business unit, and more broadly with leaders throughout ... Humana's businesses. The team has a strong dotted-line partnership with the Medicare and Medicaid organization, Humana's largest, which comprises over 80% of the… more
- Plante Moran (Cleveland, OH)
- Healthcare Reimbursement Consultant + Location: United States, Ohio, Cleveland Make your mark. Our senior care healthcare consulting team focuses on our clients' ... critical business needs. Our team works with post-acute providers including...in strategic engagements focused on preparation and analysis of Medicaid and Medicare cost reports for post-acute clients (Skilled… more
- MyFlorida (Gainesville, FL)
- GOVERNMENT OPERATIONS CONSULTANT I - 67013694 Date: May 24, 2024 Location: GAINESVILLE, FL, US, 32609 The State Personnel System is an E-Verify employer. For more ... 830065 Agency: Agency for Persons with Disabilities Working Title: GOVERNMENT OPERATIONS CONSULTANT I - 67013694 Pay Plan: Career Service Position Number: 67013694… more
- CVS Health (St. Paul, MN)
- …in our dynamic and growing C ustom Formulary Consultants ( CFC ) team ? The Senior Manager ( consultant ) role on the C FC team is a highly visible, client-facing ... with multiple customer market segments ( ie, Commercial, Managed Medicaid , Med D, Exchange formularies). The C FC team,...a key market differentiator that enables us to win business while insuring we meet our client rebate contract… more
- Guidehouse (Atlanta, GA)
- …into its provider/payer strategic consulting practice. Come join a dynamic senior actuary in launching this exciting new solution. Managing Consultants are ... will lead team meetings and guide, manage, and coach Consultants and Senior Consultants, providing constructive feedback on their project participation and overall… more
- CVS Health (Trenton, NJ)
- …Scrum Team role that will be a member of the Medicare / Medicaid Enrollment Configuration team tasked with developing purposebuilt capabilities for our NextGen ... Drug Coverage (MAPD) and stand-alone Prescription Drug Plans (PDP) and potentially Medicaid .* Able to write SQL / PLSQL at an intermediate to advanced… more
- Guidehouse (Mclean, VA)
- …a range of projects + Demonstrated ability to establish and maintain strong business relationships with senior executive clients + Well-rounded leadership skills ... you will be responsible for growing a book of business , building trusted client relationships, and delivering impactful project...impactful project results within the Centers for Medicare & Medicaid Services (CMS). You will own the delivery of… more
- Sutter Health (Sacramento, CA)
- …but not limited to, the California Knox-Keene Act and Centers for Medicare & Medicaid Services (CMS) alternative payment models. Works with and serves in the absence ... within a market/network/service line(s). May serve as a member of entity senior leadership team. Collaborates with entity senior leadership and organizational… more
- Fairview Health Services (Minneapolis, MN)
- **Overview** We at Fairview Health Services are seeking a driven Senior Financial Analyst to work in the Solid Organ Transplant specialty department! This position ... whom are non-MN residents are welcome to apply. The Senior Financial Analyst will serve as the Solid Organ...will serve as the Solid Organ Transplant primary internal consultant responsible for providing critical analytical support for regulatory… more
- Commonwealth Care Alliance (Boston, MA)
- …in multiple roles such as product owner, configuration lead, product management, and/or business consultant . + Experience in coaching agile best practices and ... and efficiently to deliver high-quality solutions. You will work closely with the business and IT teams to ensure that the work progresses on schedule, within… more