- Elevance Health (Columbus, OH)
- …a check, or ask you for payment as part of consideration for employment. **Marketing Manager - Medicare Strategy Consultant ** + Job Family: MKT > Marketing, ... and 1-2 days in office per week. The **Marketing Manager - Medicare Strategy Consultant **...and/or 5+ years' work experience. + Proven experience in Medicare related to either strategic planning, business … more
- Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
- …manages administrative elements of the Companies' (LHSIC, HMOLA, and VHP) Medicare Advantage Compliance Program, including development and maintenance of program and ... role does not manage people + This role reports to this job: Director, Medicare Advantage Compliance & Medicare Compliance Officer + Necessary Contacts: In order… more
- CareOregon (Portland, OR)
- …Idaho, Arizona, Nevada, Texas, Montana, or Wisconsin. Job Title Actuarial Services Manager - Medicaid and Medicare Exemption Status Exempt Department Finance ... responsible for managing actuarial analysis related to Medicaid and Medicare Advantage lines of business with a...to impact rates. + Oversee and coordinate external actuarial consultant 's work preparing the annual Medicare Advantage… more
- CDPHP (Albany, NY)
- …these values and invites you to be a part of that experience. The Account Manager is responsible for enrolling Medicare members through group and in-home sales ... presentations. Must demonstrate the ability to create and maintain effective business relationships with local businesses, agencies, and organizations focused on the… more
- BlueCross BlueShield of North Carolina (NC)
- …and tactical aspects of all Medicare related PBM (Pharmacy Benefit Manager ) activities, new initiatives, and other ongoing business deliverables in ... with PBM related deliverables. Collaborates closely with project team members, business owners and sponsors to develop and successfully implement projects/programs.… more
- CVS Health (Trenton, NJ)
- …documents prior to configuration.* Supports reviews of all configuration built by other Business Consultants .* Supports Leads with coaching / mentoring for other ... Team role that will be a member of the Medicare / Medicaid Enrollment Configuration team tasked with developing... Business Consultants performing configuration within the system.Required… more
- CVS Health (Dover, DE)
- …more personal, convenient and affordable. Position SummaryThe Revenue Integrity (RI) Sr. Manager , Business Consultant (Risk Adjustment) is responsible for ... maximize RA activities and initiatives for the designated market/territory. Specifically, the Business Consultant will be responsible for increasing market level… more
- Fairview Health Services (Minneapolis, MN)
- …Analyst will serve as the Solid Organ Transplant primary internal consultant responsible for providing critical analytical support for regulatory and financial ... implications of the Transplant components of the Medicare Cost Report (MCR). **Responsibilities Job Description** The Sr Financial Analyst maintains current… more
- Elevance Health (Indianapolis, IN)
- …background. **Preferred Skills, Capabilities and Experiences:** * Must have experience with Medicare & Commercial Lines of Business . * Experience with relational ... you for payment as part of consideration for employment. **Provider Contract/Cost of Care Consultant ** + Job Family: RDA > Health Economics & Cost of Care + Type:… more
- Marshfield Clinic (Marshfield, WI)
- …the most exciting missions in the world!** **Job Title:** Compensation Consultant (Remote) **Cost Center:** 101651125 Human Resources **Scheduled Weekly Hours:** 40 ... Mon-Fri; day shifts (United States of America) **Job Description:** The Compensation Consultant works as a key resource within the Human Resources department… more
- Elevance Health (Houston, TX)
- …check, or ask you for payment as part of consideration for employment. **Strategic Vendor Consultant ** + Job Family: PUR > Vendor Relations + Type: Full time + Date ... Grand Prairie, TX Elevance Health office locations.**_ The **Strategic Vendor Consultant ** will be responsible for managing relationships with vendors, stakeholders,… more
- Elevance Health (Cincinnati, OH)
- …or ask you for payment as part of consideration for employment. **Group Underwriting Consultant Sr.** + Job Family: UND > Group Underwriting + Type: Full time + ... work and in office days 1-2 times per week. The **Group Underwriting Consultant Sr.** is responsible for determining acceptability of insurance risks and appropriate… more
- Access Dubuque (Dubuque, IA)
- …containment principles including medical management practices and Social Security and Medicare application procedures as applicable to line-of- business . + ... Litigation Consultant - General Liability **Sedgwick** 1 Positions ID:...matter expert of appropriate insurance principles and laws for line-of- business handled, recoveries offsets and deductions, claim and disability… more
- Public Consulting Group (Columbus, OH)
- …facilities for individuals with intellectual disabilities (ICF-IID) . Serves as project manager and subject matter expert on community LTSS programs within the ... and regulation. . Reviews and is an expert in business operations for service and efficiency improvements. . Develops...ladder innovation. + Experience partnering with the Centers for Medicare and Medicaid Services (CMS) for the approval of… more
- Highmark Health (Guilderland, NY)
- …Highmark Inc. **Job Description :** **JOB SUMMARY:** Under the direction of the manager , consumer markets, the Assistant Sales Center Manager will coordinate and ... provide sales consultation for all activity flowing through the Medicare Center. This person will work closely with the benefit consultants , delivery crews, and… more
- MetroLink (Los Angeles, CA)
- Manager I, Human Resources Print (https://www.governmentjobs.com/careers/scrra/jobs/newprint/4396193) Apply Manager I, Human Resources Salary $87,290.00 - ... + Benefits + Questions SUMMARY PURPOSE OF POSITION The Manager I, Human Resources will identify needs, set the...+ Conduct and respond to salary surveys. + Oversee consultants working on agency-wide classification and compensation study. +… more
- Glenview Wellness and Rehabilitation Center (Richland Hills, TX)
- …Experience in a Skilled Nursing Home Required Objective Direct the overall Business Office activities in accordance with current applicable federal, state, and local ... and as directed by the Administrator, to assure that Business Office tasks are done correctly and on schedule,...that the Centralized Statement process is followed. + Manages Medicare ADRs and appeals per established procedure. + Ensures… more
- Universal Health Services (Reno, NV)
- …2014. Prominence Health serves members, physicians, and health systems across Medicare , Medicare Advantage, Accountable Care Organizations, and commercial payer ... the patient experience. Learn more at: https://prominence-health.com/ Job Summary: The Manager of Compliance and Risk Management is responsible for managing and… more
- Keystone Lab (Asheville, NC)
- …Collections Manager is responsible for managing the Accounts Receivable Business Office teams accountable for the collection of reimbursement information and ... Laboratory Billing Manager Keystone Laboratory Inc. - Asheville, NC An...Inc. / Keystone Laboratory Inc., has been in the business of drug detection and workplace protection for nearly… more
- Universal Health Services (Reno, NV)
- …in all matters related to pharmacy benefits across all lines of business including Commercial fully-insured, self-insured, and Medicare Advantage products. The ... position will regularly interface with vendors (including the pharmacy benefit manager ), consultants , pharmacies, provider offices, brokers, and members. The… more