- The Hartford (Scottsdale, AZ)
- …future. This is a visible and important role within the Hartford Global Specialty (HGS) Claims Division. As a Claim Consultant , you will be responsible for ... Consultant Claims - CH08CE We're determined...development initiatives Preparing comprehensive reports and delivering presentations to senior claim leadership on case developments, policy… more
- Mercy (Chesterfield, MO)
- Find your calling at Mercy! The Senior Compliance Auditor supports the Compliance Program across the Ministry, partnering with Legal, Human Resources and other ... and ability to interpret medical records, UB and/or 1500 claim forms, remittance advice, and/or the charge description master...Point and Outlook. * Extensive knowledge of the False Claims Act. * Working knowledge of EMTALA. * In-depth… more
- Capgemini (New York, NY)
- …All underpinned by technology created with purpose. **YOUR ROLE** As a ** Senior Consultant ** in our **Insurance** team focused on **Transformation Management** ... billion. **Job:** **Organization:** _INVENT PEOPLE S&T_ **Title:** _Capgemini Invent - Senior Consultant - Insurance Industry - Transformation Management_… more
- Deloitte (Columbus, OH)
- …Recruiting for this role ends on January 6, 2026. Work you'll do As a Senior Consultant on the Healthcare Solutions team, you will be responsible for + ... + You will help present your team's findings to senior client stakeholders, implement recommendations, and begin to build...+ Possesses a working knowledge of the UB-04, MA claim form, HCFA-1500, claim form and … more
- Oracle (Austin, TX)
- …and customized solutions for each healthcare payer. An Oracle Health Insurance (OHI) Senior Principal Consultant must be proficient in US healthcare domain ... translated into a working system within OHI applications, including Claims , Policies, Authorizations, Product Definition, and Oracle Insurance Gateway. Configuration… more
- HUB International (Kansas City, MO)
- …solutions and unrelenting advocacy. So you're ready for tomorrow. **Role Summary:** The Senior Risk Consultant Risk Services is responsible for staff and/or ... the regions in which they are assigned to oversee. **Primary Responsibilities:** The Senior Risk Consultant will develop risk reduction strategies and provide… more
- CVS Health (Amherst, NY)
- …all with heart, each and every day. **Position Summary** In this role as a Senior Eligibility Consultant you will: + Process accurate and timely policy and ... eligibility data utilizing administration systems for claim payment purposes and product production ensuring services and products meet plan sponsor needs +… more
- Manulife (MA)
- …advances that can further advance our underwriting expertise. We are seeking a Senior Underwriting consultant , Research & Development, with a history of making ... for targeted initiatives. + Analyze underwriting data through various studies and claims experience if applicable. + Prioritize project work, focusing on generating… more
- Manulife (NH)
- …advances that can further advance our underwriting expertise. We are seeking a Senior Underwriting consultant , Research & Development, with a history of making ... for targeted initiatives. + Analyze underwriting data through various studies and claims experience if applicable. + Prioritize project work, focusing on generating… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …is key to driving successful IT development initiatives within the Pharmacy Benefits Manager (PBM) claims space. As a Senior Consultant , you will serve as a ... protected characteristic. Blue Cross and Blue Shield of Minnesota Position Title: Senior Business Systems Consultant Location: Hybrid | Eagan, Minnesota Career… more
- Manulife (ME)
- …and discover that better can take you anywhere you want to go. The Senior Underwriting Consultant is responsible for evaluating applications of the highest ... process all aspects of auditing, formal appeal reviews and contestable claim review. + Audit applications underwritten to ensure underwriting decisions,… more
- Manulife (NH)
- …and discover that better can take you anywhere you want to go. The Senior Underwriting Consultant is responsible for evaluating applications of the highest ... process all aspects of auditing, formal appeal reviews and contestable claim review. + Audit applications underwritten to ensure underwriting decisions,… more
- Oracle (Hartford, CT)
- **Job Description** As a senior principal consultant on the HDI Implementation team within the Analytics Center of Excellence, you will be responsible for ... the Health Data Intelligence platform and the solutions of Health Data Warehouse, Claims Analytics, and Determinants of Health among other disciplines. You will work… more
- Norstella (Salt Lake City, UT)
- Senior RWD Analytic Consultant Company: Norstella Location: Remote, United States Date Posted: Oct 24, 2025 Employment Type: Full Time Job ID: R-1541 ... UK, The Netherlands, Japan, China and India. **The Role: Senior RWD Analytic Consultant ** We are currently...unified Real World Data asset, NorstellaLinQ, a combination of claims , lab, SDOH and EMR data. You will be… more
- Highmark Health (Trenton, NJ)
- …the gap between business needs and the analytical technology team. The Senior Decision Support Consultant will leverage technical, analytical, and business ... while also being capable of developing technical solutions. The consultant will act as a senior resource...understanding of data flows from various corporate systems (eg, claims , billing, lab, and Rx), to solve complex issues… more
- CVS Health (Springfield, IL)
- …we do it all with heart, each and every day. **Position Summary** The Senior Manager Analytic Consultant is an experienced customer-facing analyst who supports ... and actionable information. This role is responsible for medical claims and economics reporting and analytics for a book...and strategies to customers in a consultative manner. The Senior Manager Analytic Consultant will: + Provide… 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 ... as required by law. The **Provider Contract/Cost of Care Consultant Senior ** provides the highest level of...will make an impact:** + Focuses efforts on lowering claims costs, improving the quality of care, and increasing… more
- MyFlorida (West Palm Beach, FL)
- SENIOR COURT OPERATIONS CONSULTANT - 22010598 Date: Nov 13, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... . Requisition No: 865175 Agency: State Courts System Working Title: SENIOR COURT OPERATIONS CONSULTANT - 22010598 Pay Plan: State… more
- Wells Fargo (Charlotte, NC)
- **About this role:** Wells Fargo is seeking a Senior Lead Analytics Consultant within Fraud & Claims Management (FCM) as part of Consumer and Small Business ... Operations (CSBBO) **In this role, you will:** + Act as an advisor to senior leadership to develop or influence analytical strategies for highly complex business and… more
- AECOM (Houston, TX)
- …world. Join us. **Job Description** **AECOM** is seeking a highly experienced and dynamic ** Senior Mechanical Cost Consultant ** as a subject matter expert in the ... and verify contract price adjustments. + Evaluate compensation events and claims , and provide financial recommendations. + Maintain accurate cost forecasts and… more
