- Axsome Therapeutics (New York, NY)
- …Field Reimbursement Manager will have responsibilities at a territory level and exhibit business knowledge of the local landscape. This is a field-based role and ... are not limited to, the following: Function as a consultant to customers and staff regarding payer policies and...Overnight travel as indicated by the needs of the business All reimbursement activities must be conducted and managed… more
- Los Angeles Metro (Los Angeles, CA)
- …supervises, trains, mentors, and motivates assigned staff Tracks contractor and consultant expenditures and staff labor hours Communicates and implements safety ... combination includes: Education Bachelor's Degree in Finance, Accounting, Engineering, Construction, Business , Economics, or a related field; Master's Degree in a… more
- PACS (Salinas, CA)
- …necessary forms, reports, etc., and submitting such to the Director. Provide information to residents/families as to Medicare /Medicaid, and other financial ... Assist the Social Service Director/ Consultant in the planning, developing, organizing, implementing, evaluating,...for institutional and specialized care. Evaluate social and family information and assist in determining plan for social treatment.… more
- City of Palmdale, CA (Palmdale, CA)
- …districts and has a growing retail and commercial base. For more information , visit www.CityOfPalmdaleCA.gov. BUSINESS HOURS: Normal operating hours are from ... and Requests for Proposals; assist in the selection of consultants; manage consultant contracts; review consultants' work and provide technical guidance. Manage a… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …to help us transform healthcare? Bring your true colors to blue. Position Summary: The consultant in this role is a key member of the senior markets pricing team, ... competitive analytics, financial planning, and forecasting. In addition, the consultant in this role will be responsible for analyses...BCBSMA, with a focus on senior product strategy and Medicare Markets. This candidate must be a creative thinker… more
- Elevance Health (Louisville, KY)
- ** Medicare Risk Adjustment Advanced Analytics Consultant ** **On-Site Requirement: Hybrid 1;** **This role requires associates to be in-office 1 - 2 days per ... an accommodation is granted as required by law._ The ** Medicare Risk Adjustment Advanced Analytics Consultant ** is...not limited to: + Provides analytical insights to support business solution development for Medicare and ACA… more
- Henry Ford Health System (Troy, MI)
- GENERAL SUMMARY: Responsible for the retention and growth of the Medicare line of business (both Individual and Group) accounting for more than $400 million in ... growth strategies, working across multiple departments and teams, including business development, labor, advertising, client services, underwriting and planning and… more
- CVS Health (Harrisburg, PA)
- …Start times between 7:50 am and 11:45 am EST** The Worklife Resource Consultant is part of the Worklife Team and provides education about community resources, ... needs, elder/adult care, and health related needs. + The Resource Consultant assesses resource needs, proposes options and research/screens potential community… more
- Elevance Health (Indianapolis, IN)
- ** Business Information Consultant -...to Pharmacy cost of care, pharmacy trends, and other Medicare book of business ' related issues/metrics. **How ... **Work Hours:** Monday - Friday, 8:00am - 5:00pm The ** Business Information Consultant - Pharmacy...to identify cost drivers and trend patterns within the Medicare Part D Individual and Group markets + Identifies… more
- Elevance Health (Mason, OH)
- …Will Make an Impact:** + Creates and maintains databases to track business performance + Analyzes data and summarizes performance using summary statistical ... procedures + Develops and analyzes business performance reports (eg for claims data, provider data,...background. **Preferred Qualifications:** + Medicaid Experience strongly preferred + Medicare experience nice to have + Advanced SQL experience… more
- Elevance Health (Costa Mesa, CA)
- **Medical Director- Medicare and Medicaid** Location: This role enables associates to work virtually full-time, with the exception of required in-person training ... will be responsible for utilization review case management for Medicare and Medicaid in the California market while also...discuss review determinations. + Serves as a resource and consultant to other areas of the company. + May… more
- IQVIA (Durham, NC)
- **Senior Consultant , Epidemiology, Government Solutions** **About IQVIA Government Solutions** IQVIA Government Solutions is dedicated to helping government clients ... studies across Federal, State and Local government clients. A Senior Consultant supports assignments ranging in complexity from pre-sales, proposal development,… more
- Excellus BlueCross BlueShield (Buffalo, NY)
- …assistance in the field and provide support where needed regarding new and existing business activity to include completion of group information . + Assists with ... and group administrators across all product lines. The Account Service Consultant (ASC) handles inquiries received through various channels, including telephone,… more
- Waystar (Atlanta, GA)
- …team leaders regarding project issues, risks, and needs + Translate client and business feedback into actionable information + Identify, research, and make ... **ABOUT THIS POSITION** The Sr. Solution Adoption Consultant role will act as the primary client...and terminology quickly + Strength discussing both complex technical information and general revenue cycle operations + Ability to… more
- ChenMed (Dolton, IL)
- …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 ... JOB DUTIES/RESPONSIBILITIES:** + Nurtures, builds and cultivates direct-to-seniors and business -to- business partnerships to generate new patient opportunities… more
- ChenMed (Miami Gardens, FL)
- …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 ... JOB DUTIES/RESPONSIBILITIES:** + Nurtures, builds and cultivates direct-to-seniors and business -to- business partnerships to generate new patient opportunities… more
- PruittHealth (Norcross, GA)
- …with development of plan of correction to survey deficiencies. 19. Reviewing additional information requests from Medicare and Medicaid as requested. 20. Assists ... **JOB PURPOSE:** The Home Health Consultant collaborates with the Home Health Agencies by...surveys may include research and documentation of medical record information , personnel files, committee reports, policies and procedures, and… more
- OhioHealth (Columbus, OH)
- …and in our communities. **Job Description Summary:** The Research Finance Consultant will perform specialized technical fiscal activities and financial reporting for ... through study or grant closeout. Responsible for interaction with Medicare and applying Medicare regulations for device...OHRI RBS. Auditing patient records in order to glean information related to research procedures and ensure adherence to… more
- Henry Ford Health System (Troy, MI)
- …GENERAL SUMMARY: Responsible for the growth of Large Group Commercial sales business . Support membership growth through the development and maintenance of ... consultant relationships, promotion of the HAP value proposition and...and implementation of specific sales and growth strategies including business development, client services, underwriting and marketing support. Primary… more
- TEKsystems (Fort Worth, TX)
- …investments, and other sources. o Fundamental principles of Social Security and Medicare planning o Military and Federal employee benefits relating to retirement ... update planning parameters accordingly. . May include 25% travel annually based upon business needs. generalist, pull from ace or salesforce what plans that come in,… more
