- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Sr. Business Consultant , Medicaid Revenue Operations provides expertise in tailored, strategic, and critical work ... and execute programs that support initiatives for CareFirst BlueCross BlueShield Medicaid line of business . This is an exciting opportunity to help optimize a… more
- CareFirst (Washington, DC)
- **Resp & Qualifications** **PURPOSE:** The Sr. Business Consultant for Medicaid Growth provides expertise in tailored, strategic, and critical work to help ... and execute programs that support initiatives for CareFirst BlueCross BlueShield Medicaid line of business . This is an exciting opportunity to join a growing… more
- Highmark Health (Harrisburg, PA)
- …testing and projects to solve unique problems/questions identified by middle/ senior management, business partners, coalitions and governmental agencies. ... Description :** **JOB SUMMARY** This position will utilize technical, analytical and business expertise in the design, development and support of various projects… more
- UPMC (Pittsburgh, PA)
- …whatever you'd like to do, UPMC has a place for you. **UPMC Health Plan's Medicaid /Government Product actuary team is seeking a Senior Manager to lead the ... including actuarial certification. This role also presents to the senior financial leadership team. This role can be remote...US. If you have expertise in behavioral health and/or Medicaid managed care pricing and support, have an ASA… more
- Serco (Washington, DC)
- **Position Description** Serco is seekinga motivated Senior Project Consultant /Advisor to join our talented and fast-paced Public Sector Solutions team in ... national reporting and development of corrective actions based on findings. The Senior Project Consultant /Advisor would be responsible for advising and… more
- Public Consulting Group (Columbus, OH)
- …To learn more, visit http://www.publicconsultinggroup.com/humanservices/ . The Human Services team ** Senior Consultant ** will work on a range of projects ... of audiences, both clients and internal to PCG. The senior consultant will work in a deadline-oriented,...matter expert, and/or lead analyst on several projects and business development initiatives. The ideal candidate excels in the… more
- Public Consulting Group (Columbus, OH)
- …federal and state law and regulation. . Reviews and is an expert in business operations for service and efficiency improvements. . Develops and executes new growth ... HCBS waivers such as 1915(c), 1915(i), 1915(j), and 1915(k), along with Medicaid State Plan benefits, PACE, SNFs, and ICF-IID. Knowledge must include federal… more
- Deloitte (Colorado Springs, CO)
- …Are you interested in helping clients drive alignment with their business , improve organizational and human resource performance and establish a culture ... focused on adding business value? That is what the new generation of...Work you'll do As a Government Health Actuary - Consultant in Deloitte's Human Capital Actuarial and Insurance Solutions… more
- MyFlorida (Gainesville, FL)
- GOVERNMENT OPERATIONS CONSULTANT I - 67013647 Date: Apr 8, 2024 Location: GAINESVILLE, FL, US, 32609 The State Personnel System is an E-Verify employer. For more ... Agency: Agency for Persons with Disabilities Working Title: GOVERNMENT OPERATIONS CONSULTANT I - 67013647 Position Number: 67013647 Salary: $1,680.00 - $1,848.00… more
- Humana (Louisville, KY)
- … senior executives advance and operationalize their strategies and solve complex business problems. The Corporate Strategy Consultant role is modeled after ... team is a high-performing organization that works closely with senior leaders to help chart the course for the...and analyze exciting new growth opportunities and work with business leaders to prioritize strategic investments and execute strategic… more
- Cleveland Clinic (Akron, OH)
- …to serving the community and treating our patients as family. As a Senior Safety, Quality, and Patient Experience Specialist you will be directing safety, quality, ... data and participates in improvement strategy development. + Acts as a consultant in educating and evaluating clinical and support department staff regarding quality… 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 and be based on the ... salary for this role starts at $82,000 and increase based on experience. The Senior Financial Analyst will serve as the Solid Organ Transplant primary internal … more
- Molina Healthcare (Sacramento, CA)
- …Health Interpreter, Public Health Aide, Connector, Sales, Marketing, Insurance Agent, Insurance Consultant , etc This role is community/ external facing and is in ... There may be events that are outside of normal business hours (evenings or a weekend day). You would...rate. Works collaboratively with other key departments to increase Medicaid assignment percentage for Molina. + Responsible for achieving… more
- Highmark Health (Charleston, WV)
- …as requested. + Become familiar with network issues and how to act as consultant to physicians at hospitals and health care management. + Identify specific factors ... expand the network, retain practitioners and providers, and complete similar business initiatives. + Participate in network promotional activities with members and… more
- Conviva (Corpus Christi, TX)
- …other providers to form a narrow network of quality service focused on senior population health + Responsible for medical interpretation, reviews, and decisions as ... enforce Perfect Service Standards (Customer Service). + Other duties as requestedAt CenterWell Senior Primary Care, we want to help those in the communities we… more
- Commonwealth Care Alliance (Boston, MA)
- …and Improvement, Senior Director of Consumer Affairs, and the Director and Senior Consultant for Consumer Experience. **What You'll Be Doing:** Leadership: + ... think conceptually and effectively translate concepts into practical and executable plans. + Business acumen to work with senior leadership and executives. +… more
- Public Partnerships LLC (Flemington, NJ)
- …County, NJ and surrounding areas up to 30-60 miles depending on business need.** Public Partnerships LLC supports individuals with disabilities or chronic illnesses ... Financial Management Service provider is to assist those eligible Medicaid recipients to choose and pay for their own...the New Jersey Department of Human Services. As a consultant , you will provide information and assistance to help… more
- Gilead Sciences, Inc. (Foster City, CA)
- …customers' business needs. + Lead quarterly functional review with VP, Senior Director, and business unit stakeholders. + Manage external consulting ... in shaping the strategic roadmap for the US Analytics function across business units and will contribute by managing projects of significant complexity requiring… more
- Scripps Health (San Diego, CA)
- …of payer contracting programs and provider partnership strategies for all lines of business (including commercial, senior , fee for service and value based). This ... Medical Groups, IPAs and Hospitals throughout Southern California for all lines of business (Commercial, Medicare, and Medicaid ). * Previous experience in … more
- Cleveland Clinic (Euclid, OH)
- …data and participates in improvement strategy development. + Acts as a consultant in educating and evaluating clinical and support department staff regarding quality ... of quality improvement. + Builds relationships with project teams, stakeholders, and senior sponsors. + Coach smaller improvement teams to success with their quality… more