- Clever Care Health Plan (Arcadia, CA)
- …the healthcare space? We are one of Southern California's fastest-growing Medicare Advantage plans with an incredible 112% year-over-year membership growth. Who ... game-changing organization that celebrates diversity and innovation. Job Summary The Medicare Benefit Consultants (Field Sales) is responsible to generate Clever… more
- Health Care Service Corporation (Richardson, TX)
- …a purpose-driven company that will invest in your professional development. **Job Summary** The Medicare Senior Business Consultant is responsible for ... At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower...senior management. This position supports the prioritization of Medicare activities and tracks progress to goals. **Required Job… more
- Humana (Oviedo, FL)
- …of our caring community and help us put health first** The Nurse Senior Stars Improvement, Clinical Professional/ Consultant contributes to the development, ... implementation, and management of the company's Medicare /Medicaid Five-Star Quality Rating System. The Senior ...Set (HEDIS), Patient Safety, and Patient Experience. The Nurse Senior Stars Improvement, Clinical Professional / Consultant … more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …protected characteristic. Blue Cross and Blue Shield of Minnesota Position Title: Senior Policy Consultant Location: Hybrid | Eagan, Minnesota Career Area: ... Blue Cross Blue Shield MN is looking for a Senior Policy Consultant to join our team...., Medicaid, and government programs. Working closely with internal business partners and external stakeholders, the Policy Consultant… 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 ... an accommodation is granted as required by law. The **Provider Contract/Cost of Care Consultant Senior ** provides the highest level of analytical support to the… more
- Deloitte (Denver, CO)
- …policy, budget forecasting and fiscal analyses, and risk adjustment + Support business development efforts for Federal and State governments, employer groups, and ... ill-defined problems with strong technical and innovative approaches + Apply business -oriented strategies to enhance client outcomes and solutions + Collaborate with… more
- Elevance Health (Wallingford, CT)
- …The Care Consultant Sr. builds and owns trusting partnerships with senior and executive leadership at provider organizations to drive provider performance in ... Provider Success Consultant Sr. (Value-Based) JR167870 **Hybrid 1:** This role...experience. This individual works across all three lines of business ( Medicare , Medicaid, and Commercial), marrying quantitative… more
- ChenMed (St. Petersburg, FL)
- …We're rapidly expanding and we need great people to join our team. The Senior Membership Growth Consultant (MGC) is an outside healthcare sales representative ... qualified sales leads and memberships by nurturing productive relationships with senior citizens, key local community partners and senior -focused businesses… more
- ChenMed (Philadelphia, PA)
- …and we need great people to join our team. The Membership Growth Consultant (MGC) is an outside healthcare sales representative who's responsible for generating ... sales leads and membership by nurturing productive relationships with senior citizens, key local community partners and senior -focused businesses to enroll new… more
- Health Care Service Corporation (Chicago, IL)
- 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 ... the team to support divisional short and long-term initiatives related to Medicare provider network strategy and leverage analytics to drive provider network… more
- Health Care Service Corporation (Nashville, TN)
- 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 ... professional development. **Job Summary** This position is responsible for leading business analysis, ensuring alignment and integration across functional areas in… more
- Waystar (Atlanta, GA)
- **ABOUT THIS POSITION** This Senior Consultant , Enterprise Rule & Edits position reports to our Enterprise Rules & Edits Manager and has the responsibility for ... active involvement in scoping, project planning, implementation, and stabilization. The Consultant will leverage billing and coding subject matter expertise and… more
- PruittHealth (Fayetteville, NC)
- **JOB PURPOSE:** The Nurse Consultant collaborates with the Senior Vice President Clinical Services and the hospice regional team to provide compliance support ... services to hospice agencies. The consultant is responsible for providing program evaluation, education and monitoring functions to determine agency compliance with… more
- Health Care Service Corporation (Richardson, TX)
- …company that will invest in your professional development. **Job Summary** The Senior Analytics Consultant - Medical Economics role supports medical cost ... Business segment, with a primary focus on the Medicare Advantage business . This role is responsible...a matrixed environment and deliver high quality outputs to senior leadership on tight deadlines. **Preferred Job Qualifications:** +… more
- Humana (Arlington, VA)
- …Transformation Office team is a high-performing team that works closely with senior leaders to help chart the course for the company's future. Transformation ... but activities often include developing industry analysis, building high-level financial/ business models, conducting informational interviews, managing complex projects with… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …. Strong math aptitude. . Intermediate Microsoft Office skills, including Access. ** Senior Group Underwriter** . Bachelor's Degree in Business , Finance or ... and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. **Responsibilities** **Group… more
- CenterWell (Phoenix, AZ)
- …other providers to form a narrow network of quality service focused on senior population health + Responsible for medical interpretation, reviews, and decisions as ... **Preferred Qualifications** + Active and unrestricted DEA license + Medicare Provider Number + Medicaid Provider Number + Minimum...to appropriately share and use your knowledge to improve business results. + Problem Solving: You are a problem… 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...ability to leverage data and analytic skills to create business intelligence-identifying risks to be mitigated or opportunities to… more
- ChenMed (Miami Gardens, FL)
- …We're rapidly expanding and we need great people to join our team. The Senior Manager, Analytics actively leads and participates with a team to create and implement ... sophisticated analytics and provide support for strategic and business decision-making. He/She will work collaboratively with stakeholders from across the… more
- Humana (Olympia, WA)
- …caring community and help us put health first** Humana is seeking a Senior Responsible AI Data Scientist to champion the ethical development of artificial ... AI governance initiatives, policies, and standards. + Serve as an internal consultant and subject matter expert on Responsible AI topics such as fairness,… more
