- ABBTECH Professional Resources, Inc. (Charlotte Amalie, VI)
- …requests Salesforce Business Analyst to remotely to support the Centers for Medicare & Medicaid Services (CMS) activities. As a Salesforce Business Analyst ... Analyst (preferred), Salesforce Certified Administrator, or Salesforce Experince Cloud Consultant - SalesforceEducation: certification will be verified on Trailhead… more
- The Joint Commission (Oakbrook Terrace, IL)
- …periodic performance reviews, evidence of standards compliance reports, complaints, and Medicare out-of-compliance reports. + Collaborate in a productive manner with ... leadership or senior management experience. Recent experience as a consultant to health care organizations may be considered. +...February 2, 2026.** The Joint Commission offers a comprehensive benefits package. For an overview of our benefits… more
- Alameda Health System (Alameda, CA)
- …and to comply with requirements of The Joint Commission (TJC), Centers for Medicare and Medicaid Services (CMS) Center for Disease Control (CDC), Occupational Safety ... communicates in all professional situations. + PROVIDES INFECTION CONTROL CONSULTANT SERVICE TO OTHER FACILITIES, AND PHYSICIAN OFFICES: Provides resource… 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
- CVS Health (Sacramento, CA)
- …appeal process, clinical claim review process, pre-certification, and predetermination of covered benefits in the Commercial and Medicare environment with a ... of quality care services. ◾ Be a subject matter expert, internal consultant and payment policy contributor subject matter expertise and internal consultant… more
- CVS Health (Madison, WI)
- …pre-certification, and predetermination of covered benefits in the commercial, Medicare , and Medicaid environment. This Wheelchair DME consultant provides ... Summary:** Aetna, a CVS Health company has an outstanding opportunity for a Wheelchair DME consultant . Ready to take your career to the next level with a Fortune 4… more
- Elevance Health (Tampa, FL)
- **Medical Director- Florida Medicare Plans** Location: This role enables associates to work virtually full-time, with the exception of required in-person training ... locations.** The **Medical Director** will support the following Florida Medicare plans: Simply Healthcare Plans, Healthsun Plans, Freedom Health,...and company standards. + Serves as a resource and consultant to other areas of the company. + May… more
- MyFlorida (Tallahassee, FL)
- 68064941 - HEALTH SERVICES & FACILITIES CONSULTANT Date: Nov 21, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... Care Administration Working Title: 68064941 - HEALTH SERVICES & FACILITIES CONSULTANT Pay Plan: Career Service Position Number: 68064941 Salary: $1,833.39 Biweekly… more
- Elevance Health (Seattle, WA)
- Provider Success Consultant Sr. (Value-Based) **Hybrid 1:** This role requires associates to be in-office **1 - 2** days per week, fostering collaboration and ... unless an accommodation is granted as required by law._ The **Care Consultant Sr.** (Provider Success) is responsible for the provider performance of value-based… 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 Date: Nov 20, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... Requisition No: 865726 Agency: Department of Health Working Title: GOVERNMENT OPERATIONS CONSULTANT II - 64082631 1 Pay Plan: Career Service Position Number:… more
- Cassia (Edina, MN)
- Cassia, a nonprofit, senior living organization, is hiring an Accounts Receivable Consultant to join our growing team! Based at our Edina, MN home office, you will ... and have excellent communication and customer service skills. The AR consultant will also have proven analytical and problem solving skills. Experience… more
- Elevance Health (Charleston, WV)
- Provider Success Consultant Sr. West Virginia (Value-Based) JR173669 **Hybrid 1:** This role requires associates to be in-office **1 - 2** days per week, fostering ... unless an accommodation is granted as required by law._ The **Care Consultant Sr.** (Provider Success) is responsible for the provider performance of value-based… more
- MyFlorida (Tallahassee, FL)
- 68024440 - GOVERNMENT OPERATIONS CONSULTANT III Date: Nov 13, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... for Health Care Administration Working Title: 68024440 - GOVERNMENT OPERATIONS CONSULTANT III Pay Plan: Career Service Position Number: 68024440 Salary: $2,128.47… more
- Health Care Service Corporation (Chicago, IL)
- …the team to support divisional short and long-term initiatives related to Medicare provider network strategy and leverage analytics to drive provider network ... initiatives from inception to completion. This position will analyze Medicare network data using internal and external sources to...be part of an organization committed to offering meaningful benefits to our employees to support their life outside… more
- Elevance Health (Columbus, OH)
- Provider Success Consultant Sr. (Ohio Market) **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and ... a minimum of 50% of the time. **The Care Consultant Sr.** is responsible for fostering long-term partnerships with...and drive the achievement of value-based care in the Medicare , Medicaid, and Commercial lines of business. The ideal… more
- CVS Health (Columbus, OH)
- …schedule may include weekends, holidays, and evening hours._ **UM Nurse Consultant ** Fully Remote- WFH **Schedule** - Mon-Fri 10:30AM-7PM with alternate weekends ... and holidays **Position Summary:** UM Nurse Consultant Utilizes clinical experience and skills in a collaborative process to assess, plan, implement, coordinate,… 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
- ChenMed (Maple Heights, OH)
- …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 ... talks, etc.) to help reach our ideal patients (ie, medically underserved, Medicare -eligible seniors, age 55 and older). + Start cultivateing strong relationships… more
