- 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
- Mathematica (Columbus, OH)
- …offer an anticipated base salary range of $150,000 - $200,000 annually (Principal Consultant ) and $180,000 - $220,000 annually ( Senior Fellow). Both positions ... Ideally, this person will have prior experience as a senior state health official or comparable role in public...projects supporting state and local health, human services, and Medicaid agencies in areas of their relevant expertise. *… more
- Public Consulting Group (Austin, TX)
- …the public sector. To learn more, visit www.publicconsultinggroup.com . **Responsibilities** ** Senior Consultant - Education (Texas)** The Public Consulting ... Group Education Team seeks a Senior Consultant - Education to serve as...+ Maintain a global understanding of client's key strategic business initiatives. + Oversee regional service delivery operations and… 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
- Deloitte (Chicago, IL)
- …8+ years of relevant industry experience * 4+ years experience as either a Business Analyst, Tester, PMO Analyst or Management Consultant * Experience or passion ... customers' interactions with the public sector. Work you'll do Senior Consultants will prepare for, participate in and take...to have a strong appetite to learn the clients' business from an operations perspective and will be given… 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
- Guidehouse (Hanover, MD)
- …tracking financial performance requirements in the participation agreement and analyzing business performance and market conditions + Provides periodic reports and ... To Have** **:** + Experience working with CMS (Centers for Medicare & Medicaid ) + Knowledge of financial instruments including surety bonds, escrow agreements, and… 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
- CVS Health (Tallahassee, FL)
- …care more personal, convenient and affordable. Position SummaryThe Purpose of the Manager, Business Consultation job is to monitor and manage day to day operations ... role will work independently and has an opportunity to impact critical business operations. Work with the ACA Commercial Stakeholders, ensure timely reconciliation… 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
- General Dynamics Information Technology (MD)
- …Seize your opportunity to make a personal impact as a Functional Analyst Consultant supporting the Center for Medicare and Medicaid Services (CMS) and ... in the form of briefings, reports, and other major documents provided to senior level client personnel. . Recognized as an industry leader in a specific… 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
- Humana (Columbus, OH)
- …financial impacts, and other key factors. The team's work directly informs business decisions and influences broader strategies. The Senior Behavioral Economics ... a part of our caring community and help us put health first** The Senior Behavioral Economics Professional, Primary Care (SBEP) is a core member of Humana's… 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
- Molina Healthcare (Flint, MI)
- …Position Must Reside In/Near The Flint, MI area Must have familiarity with Medicaid /Managed Care Are you passionate about serving and helping your community? Do you ... Public Health Aide, Connector, Sales, Marketing, Insurance Agent, Insurance Consultant , etc This role is community/ external facing and...There may be events that are outside of standard business hours (evenings or a weekend day). You would… more
- CVS Health (Richmond, VA)
- …convenient and affordable. Must reside in the Southwest Region of Virginia. Standard business hours: Monday-Friday. The BH Clinical Liaison is a clinical leader in ... the Medicaid plan focusing on utilization management, integrating member care,...and to ensure adherence to performance targets of the business area. Fundamental Components: + Clinically manage non-traditional mental… more