- ChenMed (Philadelphia, PA)
- …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...work to develop and improve leadership skills for the benefit of one's patients, their team, their center and… more
- Health Care Service Corporation (Nashville, TN)
- …deliverables on schedule + Healthcare acumen, Managed Care Organization, Pharmacy Benefit Manager, Medicare experience + Advanced analytical skills, databases ... driving delivery, contingency planning, business results, and strategic planning for Medicare Part D Pharmacy consisting of multiple programs, complex projects, and… more
- CVS Health (Harrisburg, PA)
- …coordinate, monitor and evaluate options to facilitate appropriate healthcare services/ benefits for members. + Gathers clinical information and applies the ... opportunities to promote quality effectiveness of Healthcare Services and benefit utilization + Consults and lends expertise to other...every colleague feels valued and that they belong. **Great benefits for great people** We take pride in our… more
- Health Care Service Corporation (Chicago, IL)
- …company that will invest in your professional development. **Job Summary** The Medicare Senior Business Consultant is responsible for providing internal ... including senior management. This position supports the prioritization of Medicare activities and tracks progress to goals. **Required Job Qualifications:**… more
- OhioHealth (Columbus, OH)
- …Description Summary:** This position is responsible for preparing and reviewing the Medicare and Medicaid cost reports for all OhioHealth entities. * This position ... will be responsible for ensuring the appropriate governmental ( Medicare and Medicaid) reimbursement is received for OhioHealth. * This position is primarily… more
- Henry Ford Health System (Traverse City, MI)
- …is required. GENERAL SUMMARY: Responsible for the retention and growth of the Medicare line of business (both Individual and Group) accounting for more than $400 ... planning and marketing support. Coordinate the development and implementation of Medicare Advantage sales strategies, compliance activities and oversight for both… more
- Elevance Health (FL)
- **Appeals Medical Director - Medicare ** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person training ... discuss review determinations. + Serves as a resource and consultant to other areas of the company. + May...York.** In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package,… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …Blue Cross and Blue Shield of Minnesota Position Title: Senior Policy Consultant Location: Hybrid | Eagan, Minnesota Career Area: Corporate Affairs About Blue ... You Will Have Blue Cross Blue Shield MN is looking for a Senior Policy Consultant to join our team. This position is responsible for serving as the principal policy… more
- MyFlorida (Fort Myers, FL)
- GOVERNMENT OPERATIONS CONSULTANT II - 64082631 1 1 Date: Jan 6, 2026 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... . Requisition No: 867662 Agency: Department of Health Working Title: GOVERNMENT OPERATIONS CONSULTANT II - 64082631 1 1 Pay Plan: Career Service Position Number:… more
- Oracle (Austin, TX)
- …payers. Specific responsibilities include gathering payer system requirements, understanding Medicare and Medicaid benefits structures, and working with ... solutions for each healthcare payer. An Oracle Health Insurance (OHI) Senior Principal Consultant must be proficient in US healthcare domain knowledge and have the… more
- Humana (Montpelier, VT)
- …our caring community and help us put health first** Senior Healthcare Network Consultant / Senior Network Performance Professional at Humana, you will play a pivotal ... through strategic initiatives and strong relationship-building. Senior Healthcare Network Consultant /Senior Network Performance Professional + **Provider Collaboration** :… more
- TEKsystems (Chula Vista, CA)
- I Consultant - Conversational AI (Healthcare) Contract Role | Conversational AI | Healthcare Technology About the Organization A mission-driven, nonprofit healthcare ... organization serving Medicaid and Medicare populations is investing heavily in next‑generation artificial intelligence....ecosystem. Role Overview We are seeking an experienced AI Consultant specializing in Conversational AI to design, build, and… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …candidates must reside in the Rochester region. Summary: The Account Service Consultant ensures prompt, accurate, and efficient servicing of all Broker, Member, and ... issues and enhance Group & Broker satisfaction/retention. The Account Service Consultant maintains constant communication with the Sales staff and other Business… more
- Nuvance Health (Fishkill, NY)
- *Description* At Nuvance Health, we enjoy the benefits of a two-state system as we cultivate an inclusive culture where everyone feels welcomed, respected and ... compassion. *Summary:* ** We areseekingan experienced and compassionate lactation consultant to provide breastfeeding support forbirthingpeople and their babies… more
- Nuvance Health (Rhinebeck, NY)
- *Description* At Nuvance Health, we enjoy the benefits of a two-state system as we cultivate an inclusive culture where everyone feels welcomed, respected and ... team in an environment of open communication and unwavering compassion. *Title: *Lactation Consultant - NHMP Northern Ob/Gyn - Rhinebeck, NY. Full time/40 hours per… more
- HCA Healthcare (Overland Park, KS)
- …**Introduction** Do you have the career opportunities as a(an) PRN RN Lactation Consultant you want with your current employer? We have an exciting opportunity for ... is part of the nation's leading provider of healthcare services, HCA Healthcare. ** Benefits ** Menorah Medical Center offers a total rewards package that supports the… more
- HCA Healthcare (Dallas, TX)
- …As a(an) Lactation Consultant you can be a part of change. ** Benefits ** Medical City Dallas, offers a total rewards package that supports the health, life, ... AirMed medical transportation. + Additional options for dental and vision benefits , life and disability coverage, flexible spending accounts, supplemental health… more
- Elevance Health (Atlanta, GA)
- **JR176174 Proposal Development Consultant ** The Proposal Development Consultant plays a key role in leading the proposal lifecycle by driving complex RFIs and ... client needs, and support organizational growth objectives. The Proposal Development Consultant is responsible for understanding and leading the proposal process and… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …Cross and Blue Shield of Minnesota Position Title: Risk Adjustment QA Consultant Location: Hybrid | Eagan, Minnesota Career Area: Customer Service/Operations About ... Will Have As a Risk Adjustment Quality Assurance (QA) Consultant at BCBSMN, you'll play a critical role in...* Experience in medical coding with a focus on Medicare Advantage and ACA risk adjustment. * Certified Risk… more
- Waystar (Atlanta, GA)
- **ABOUT THIS POSITION** The Clinical Product Consultant for Utilization Management is a member of the Customer Success Organization who will provide clinical insight ... delivery of the product, interacting with customer end users and managers. The Consultant will be responsible for ensuring that the complexity of our AI technology… more
