- CVS Health (Columbus, OH)
- …**Position Summary** Designs enterprise-wide and/or cross-functional solutions to address business problems. This work results in initiatives that significantly ... competitive in the marketplace and effectively serve its customers. Partners with business owners to optimize the achievement of strategic business objectives,… more
- Humana (Columbus, OH)
- …the country. **Location:** remote The Healthcare Strategy team supports Humana's Medicare and Medicaid business unit. This business unit, Humana's largest, ... total revenue and earnings. Team members partner with the senior leaders of the business unit, and...an emphasis on Medicare Advantage strategy development. As a Senior Medicare Strategy Consultant , you will deconstruct… more
- Guidehouse (Mclean, VA)
- …**Clearance Required** **:** None **What You Will Do** **:** We are seeking Senior Consultants with experience and knowledge of national healthcare reform and its ... impact on state Medicaid , public health or state and local health and...implementation of healthcare reform + Assist clients in assessing business and technical requirements related to the implementation of… more
- Deloitte (Pittsburgh, PA)
- …and organizational performance. Work you'll do As a Government Health Actuary - Senior Consultant in Deloitte's Human Capital Actuarial and Insurance Solutions ... Are you interested in helping clients drive alignment with their business , improve organizational and human resource performance and establish a culture… more
- Blue Matter (San Francisco, CA)
- …We have offices in NY, San Francisco, Boston, London, Zurich, Mumbai & Gurgaon. As a Consultant / Senior Consultant , you will work across Blue Matter as a ... pharmaceutical Gross-to-Net models + Government pricing impact projections (ASP, 340b, Medicaid Best Price, etc.) + Financial projections pertaining to reimbursement… more
- Public Consulting Group (Columbus, OH)
- …allocation for public assistance programs including but not limited to Medicaid , the Supplemental Nutrition Assistance Program (SNAP), and Temporary Assistance for ... effectively facilitate client discussions. + Effectively communicate with clients at senior leadership levels. + Identify and elicit requirements from key… more
- MyFlorida (Fleming Island, FL)
- …the business office processes (eligibility process, fee collections and Medicaid and third-party billing) are monitored to ensure compliance with federal, state, ... OPERATIONS & MGMT CONSULTANT II - SES - 64027241 Date: Sep...coverage at all times of all positions within the business office, ensuring staff are cross trained. Approves leave,… more
- Humana (Washington, DC)
- …total revenue and the majority of its earnings. Team members partner with the senior leaders of the business unit, and more broadly with leaders throughout ... and help us put health first** The Growth Strategy Program Management Consultant provides data-based strategic direction to identify and address business … more
- Huntington Ingalls Industries (Woodlawn, MD)
- …video: https://vimeo.com/732533072 Who We Are HII - Mission Technologies is seeking a Senior Cyber Supply Chain Risk Management (C-SCRM) Consultant for a hybrid ... Communications, Computers, Cyber, Intelligence, Surveillance and Reconnaissance (C5ISR), a business group within HII's Mission Technologies division. From towers to… more
- CGI Technologies and Solutions, Inc. (Dallas, TX)
- **Payment Integrity Consultant ** **Category:** Analytics and Emerging Digital Technologies **Main location:** United States, Texas, Dallas **Position ID:** ... (xweb.asp?clid=21001&page=cookiespolicy#integrationofyoutube) . **Position Description:** CGI is seeking Payment Integrity Consultant for our Emerging Technology team. As a Payment… more
- Molina Healthcare (Covington, KY)
- **Job Description** **Job Summary** Business Strategy Leader managing relationships and providing process expertise with Molina health plan leadership, corporate ... leadership, business subject matter experts (SMEs), business and...benefit calculation drivers and able to explain benefits to Senior Leadership meetings. * Demonstrates advanced knowledge and understanding… more
- Highmark Health (Harrisburg, PA)
- …programs and results to key provider partners. + Collaborate with and support the senior Strategic Partners Consultant role as needed + Other duties as assigned ... integration into the overall Enterprise strategy through collaboration with Senior -level internal/external stakeholders. Ensures a high degree of development,… more
- Guidehouse (Atlanta, GA)
- …into its provider/payer strategic consulting practice. Come join a dynamic senior actuary in launching this exciting new solution. Managing Consultants are ... will lead team meetings and guide, manage, and coach Consultants and Senior Consultants, providing constructive feedback on their project participation and overall… more
- Wipfli LLP (Oakland, CA)
- …financial consulting experience. + Bachelor's degree in accounting, finance, or business . + Medicare/ Medicaid /Medi-Cal cost reporting knowledge preferred. + ... Wipfli is the place for you. Responsibilities: + Prepare Medicare/ Medicaid /Medi-Cal cost reports and payment reconciliations for a variety...ongoing service to them every year. + Work with Senior Staff to help explain the results of our… more
- Geisinger (Danville, PA)
- …Summary Geisinger Health Plan is looking for candidates with significant Medicare/ Medicaid policy experience to join the reimbursement services team. (medical coding ... certification required) Job Duties Serves as the lead consultant and educator to staff and administration for related reimbursement, strategic savings initiatives… more
- Commonwealth Care Alliance (Boston, MA)
- …in multiple roles such as product owner, configuration lead, product management, and/or business consultant . + Experience in coaching agile best practices and ... and efficiently to deliver high-quality solutions. You will work closely with the business and IT teams to ensure that the work progresses on schedule, within… more
- CAI (Harrisburg, PA)
- …**Job Summary** As the HHS Consultant , you will analyze and support business operating decisions related to Medicaid , Managed Care, and other health and ... a HHS Consultant to analyze and support business operating decisions related to Medicaid , Managed...3 years of experience doing a broad base of senior level medical economic analyses **Physical Demands** + Ability… more
- Billings Clinic (Billings, MT)
- …of the net patient revenue accounting, preparation of the Medicare and Medicaid cost reports (including maintaining models and providing decision support), financial ... and other projects related to reimbursement. Leadership accountabilities include business development, quality of services, short- and long-range planning related… more
- Daiichi Sankyo Inc. (Basking Ridge, NJ)
- …issues. - Monitor current developments in several key legal areas and provides Senior Management and other business leaders with updates regarding same ... not limited to, areas of GPO/PBM and trade/distribution agreements, Medicare, Medicaid , product pricing, and government price reporting. Coordination with, and… more
- CVS Health (Richmond, VA)
- …required.** **The BH Clinical Liaison** is a clinical leader in the Medicaid plan focusing on utilization management, integrating member care, clinical coordination, ... members and to ensure adherence to performance targets of the business area. **Fundamental Components:** + Clinically manage non-traditional mental health services… more