- Humana (Sacramento, CA)
- …priority projects and initiatives, with an emphasis on Medicare Advantage strategy development. As a Senior Strategy Advancement Professional, you ... company's total revenue and earnings. Team members partner with senior leaders of the business unit, and more broadly...initiatives and business areas, evolving key facets of the Medicare Advantage growth strategy , leading the development… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …protected characteristic. Blue Cross and Blue Shield of Minnesota Position Title: Senior Policy Consultant Location: Hybrid | Eagan, Minnesota Career Area: ... Blue Cross Blue Shield MN is looking for a Senior Policy Consultant to join our team....for change in a rapidly evolving environment. The Policy Consultant also supports planning and strategy on… more
- Health Care Service Corporation (Chicago, IL)
- …leading the team to support divisional short and long-term initiatives related to Medicare provider network strategy and leverage analytics to drive provider ... strategic network initiatives from inception to completion. This position will analyze Medicare network data using internal and external sources to support the… more
- CareFirst (Washington, DC)
- …opportunity to join CareFirst BlueCross BlueShield Government Programs division as a Senior Corporate Communications Consultant working on ACA, Medicaid, and the ... our members and communicate when it matters most. **PURPOSE:** The Senior Corporate Communications Consultant executes and develops corporate communications… 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 ... an accommodation is granted as required by law. The **Provider Contract/Cost of Care Consultant Senior ** provides the highest level of analytical support to the… more
- Deloitte (Denver, CO)
- …like: How do I access, develop, and motivate my workforce? What should my AI strategy be for the HR function? Do I have the right organization and culture to ... the individual medical and small group markets + Experience with Medicare products, including Medicare Advantage or Medicare Supplement products for various… more
- Elevance Health (Charleston, WV)
- …The Care Consultant Sr. builds and owns trusting partnerships with senior and executive leadership at provider organizations to drive provider performance in ... Provider Success Consultant Sr. West Virginia (Value-Based) JR173669 **Hybrid 1:**...This individual works across all three lines of business ( Medicare , Medicaid, and Commercial), marrying quantitative analysis with observational… more
- Elevance Health (Seattle, WA)
- …The Care Consultant Sr. builds and owns trusting partnerships with senior and executive leadership at provider organizations to drive provider performance in ... Provider Success Consultant Sr. (Value-Based) **Hybrid 1:** This role requires...This individual works across all three lines of business ( Medicare , Medicaid, and Commercial), marrying quantitative analysis with observational… more
- Humana (Arlington, VA)
- …Transformation Office team is a high-performing team that works closely with senior leaders to help chart the course for the company's future. Transformation ... is critical to our core strategy : delivering great healthcare to seniors, providing a differentiated...to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities… more
- Henry Ford Health System (Troy, MI)
- …performance and organizational growth. + Develops and leads a comprehensive growth strategy that integrates commercial, Medicare , Medicaid, and Government lines ... The Senior Vice President (SVP) - Markets at Health...a high-impact opportunity to shape the growth and product strategy for HAP, an organization committed to delivering exceptional,… more
- CenterWell (Atlanta, GA)
- …Care Organization is one of the largest and fastest growing value-based care, senior -focused primary care providers in the country, operating over 340 centers across ... supporting patient's physical, emotional, and social wellness. At CenterWell Senior Primary Care we want to help those in...detection. The PL is responsible for executing the clinical strategy through the management of their own patient panel… more
- AdventHealth (Altamonte Springs, FL)
- …company focusing on supplemental Medicaid payments, provider taxes, Medicaid strategy development and implementation. Develops and implements company Medicaid ... strategy , both with leadership and key AdventHealth stakeholders, and...with multiple outside consultants and experts. Acts as a consultant to leaders ensuring the Medicaid rate setting, payment,… more
- Novo Nordisk (Plainsboro, NJ)
- …internal consultant with Finance, Pricing & Contracting, Commercial and Strategy teams + Responsible for gross-to-net forecasting process and tools, including ... components including but not limited to Managed Care, and Medicare Part D, Medicaid as well as current and...& Forecasting. Position regularly interacts with members in PCOR, Strategy & Innovation, Supply Chain, Accounting, PSP, HQ Corporate… more
- Deloitte (Los Angeles, CA)
- Healthcare Clinical Documentation Specialist - Senior Consultant Our Deloitte Regulatory, Risk & Forensic team helps client leaders translate multifaceted risk ... on Feb 28, 2026 Work you'll do As a Senior Consultant in our Regulatory, Risk, &...address client needs which span the organization and impact strategy , operations, performance and reputation. Required Qualifications: + Bachelor's… more
- Takeda Pharmaceuticals (Boston, MA)
- …of the US Oncology BU's (US OBU's) commercial and government pricing strategy and commercial contracting management, oversee advanced market access analytics, and ... appropriate reporting and compliance + Chair the Pricing Committee (comprised of senior leadership from sales,patient value & access, marketing, finance and legal)… more
- ChenMed (Louisville, KY)
- …mission-driven, primary care organization, is currently one of the most successful full-risk Medicare Advantage providers in the nation and has a vision to be ... acts as a health coach, rather than just a consultant for sickness, by helping patients set short and...and informal), with all audiences within the organization, including senior and executive leaders in the planning, coordination and… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …etc., in delivering solutions. * Ensures bid submissions for NYS Exchange and Medicare PBP participation are executed annually for the Health Plan to participate ... and externally in areas of expertise; serves as the product and benefit consultant for major account implementations of customized products and services. Level III… more
- Cleveland Clinic (Mayfield Heights, OH)
- …standard practice has occurred. + Analyze performance data and participate in improvement strategy development. + Act as a consultant in educating and evaluating ... the organization. + Build relationships with project teams, middle management, and senior sponsors. + Coach smaller improvement teams to success with their quality… more
- Cleveland Clinic (Euclid, OH)
- …standard practice has occurred. + Analyze performance data and participate in improvement strategy development. + Act as a consultant in educating and evaluating ... the organization. + Build relationships with project teams, middle management, and senior sponsors. + Coach smaller improvement teams to success with their quality… more
- Brockton Hospital (Brockton, MA)
- …standards applied by The Joint Commission (TJC) and the Centers for Medicare and Medicaid Services (CMS). This role involves interpreting licensure, regulatory, and ... and as needed, presents reports on compliance activities, trends, and outcomes to senior leadership and governing bodies, while also serving as the subject matter… more