- Rose International (Franklin, TN)
- …Hiring Organization: Rose International Position Number: 462678 Job Title: Healthcare Consultant : PHS NB Customer Service Job Location: Franklin, TN, USA, 37064 ... Skills/Attributes: Billing, Customer Service, Data Entry, Healthcare, Medical Terminology, Medicare , MS Excel Job Description **Only those lawfully authorized to… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …need: As an integral part of HMM Quality and Compliance team, the Senior Medicare Clinical Compliance Consultant works through the influence as an individual ... and CMS guidance including coverage and benefit conditions included in Medicare laws, National Coverage Decisions (NCDs) and Local Coverage Decisions (LCDs)… more
- Centene Corporation (New York, NY)
- …to be located in NY or NJ. **Position Purpose:** The Provider Growth Consultant leads large scale, cross-functional initiatives to strategize, plan, and execute on ... large scale, cross-functional provider growth initiatives that are intended to Medicare membership growth. + Manage growth activities collaboration with sales team,… more
- Mathematica (Columbus, OH)
- …business, or a related field ; and 5 or more years of experience ( Consultant ) or 7/+ years of experience (Sr. Consultant ) managing complex projects or tasks ... are soliciting candidates with experience successfully improving state Home- and community- based services within the state's Medicaid or HCBS administrative agencies… more
- CVS Health (Austin, TX)
- …Monday Through Friday , 11:45 am t0 8:15 pm Easter Times The WorkLife Consultant (WLC) is part of the WorkLife Team and provides education about community resources, ... more administrative or customer service oriented. + Additional responsibilities assigned based on business need, including staffing an online chat platform. Required… more
- CVS Health (Austin, TX)
- …schedule is Monday through Friday, 11:45am to 8:15pm Eastern Time. The WorkLife Consultant (WLC) is part of the WorkLife Team and provides education about community ... more administrative or customer service oriented. + Additional responsibilities assigned based on business need, including staffing an online chat platform. Required… more
- CVS Health (Austin, TX)
- …schedule is Monday through Friday 11:00 am to 7:30 pm EST. The WorkLife Consultant (WLC) is part of the WorkLife Team and provides consultation, assessment, and ... be more administrative or customer service oriented. Additional responsibilities assigned based on business need. Required Qualifications - 1+ year(s) of experience… more
- MyFlorida (Marianna, FL)
- OPERATIONS & MGMT CONSULTANT MGR - SES - 67011577 (SUNLAND - ACCOUNTING) Date: May 2, 2024 Location: MARIANNA, FL, US, 32446 MARIANNA, FL, US, 32447 MARIANNA, FL, ... for Persons with Disabilities Working Title: OPERATIONS & MGMT CONSULTANT MGR - SES - 67011577 (SUNLAND - ACCOUNTING)...for the Center and develops the Center's Spending Plan based on available budget and historical spending data. Routinely… more
- HealthEdge Software Inc (Columbus, OH)
- **Overview** **Overview:** The Business Consultant leads and mentors the Service Delivery team in all Tier 1 (Basic) and Tier 2 (Intermediate) consulting ... Source products (from basic to advanced features/functionality), payment methodologies/policies ( Medicare , Medicaid, and commercial), payment integrity, and healthcare plan… more
- State of Colorado (Denver, CO)
- Nurse Consultant RN, Acute Services Care - HFEMS FAA02056 Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4295262) Apply Nurse Consultant ... Colorado residents at the time of applying. CLASS CODE & CLASSIFICATION DESCRIPTION: Nurse Consultant (C7E1XX) Be BOLD and make a real difference . . . Do you… more
- AbbVie (Minneapolis, MN)
- …on Twitter, Facebook, Instagram, YouTube and LinkedIn. Job Description This role is field - based and candidates should live within a reasonable distance from the ... will be hired at a level commensurate with experience. The Account Consultant position manages sales processes for AbbVie's therapeutic products in accordance with… more
- Mathematica (Columbus, OH)
- …policy, public administration, public health, healthcare administration, business, or a related field ; or equivalent experience * 5/+ years ( Consultant ) or 7/+ ... complex policy-related challenges facing the healthcare system. The Behavioral Health Consultant position offers an anticipated annual base salary range of $110,000… more
- MyFlorida (Tallahassee, FL)
- 68021778 - GOVERNMENT OPERATIONS CONSULTANT III Date: May 7, 2024 Location: TALLAHASSEE, FL, US, 32308 The State Personnel System is an E-Verify employer. For more ... for Health Care Administration Working Title: 68021778 - GOVERNMENT OPERATIONS CONSULTANT III Pay Plan: Career Service Position Number: 68021778 Salary: $1,851.56… more
- Banner Health (AZ)
- …an innovative leader in health care, Banner Plans & Networks (BPN) integrates Medicare and private health plans to reduce healthcare costs while keeping our members ... and hybrid work settings. As a Managed Care Contract Consultant with Banner Plans & Networks, you will utilize...and manage multiple complex payer fee for service and value- based contracts with insurance companies on behalf of Banner… more
- VHC Health (Arlington, VA)
- Senior Quality Consultant Job Description Purpose & Scope: The Quality Team is responsible for supporting the organization in four essential domains which include ... & safety improvement initiatives. Key functions of the Senior Quality Consultant include collaborating with quality taskforce and committees to achieve… more
- Elevance Health (Wilmington, DE)
- …problems. **Minimum Requirements:** Requires BS/BA degree in Mathematics, Statistics, or related field ; minimum of 5 years experience in broad- based analytical, ... **Provider Contract/Cost of Care Consultant ** **Location:** This position will work a hybrid...into usable decision support tools. * May make recommendations based on data analysis. * Programs and writes queries… more
- Elevance Health (Sacramento, CA)
- …work and in office days 1-2 times per week. The **Group Underwriting Consultant Sr.** is responsible for determining acceptability of insurance risks and appropriate ... are not limited to:** + Calculates renewal rates for large complex cases based on thorough analysis of experience, location, demographics, etc. + Determines and… more
- AbbVie (Birmingham, AL)
- …on Twitter, Facebook, Instagram, YouTube and LinkedIn. Job Description This role is field - based and candidates should live within a reasonable distance from the ... required reports, requests and promotional compliance and effectively manages Abbvie field assets. + Understand and utilize resources to increase adoption of… more
- Raymond James Financial, Inc. (Ridgeland, MS)
- …new products (as appropriate). Responsibilities will include, staying up-to-date on Medicare , Social Security, Tax Regulations, and other relevant factors to provide ... and conduct financial analysis. * Evaluates overall individual and employer- based retirement needs, researches various options, and recommends planning alternatives.… more
- CVS Health (Tallahassee, FL)
- …related issues involving member specific information; Works directly with clients, field marketing offices and/or local claim operations to achieve positive service ... Care and/or MCO's. + Knowledge of Enrollment. + Knowledge Medicaid and/or Medicare . + Knowledge and comfortability with learning different systems and using Excel… more
