• Business Consultant Sr

    Elevance Health (Indianapolis, IN)
    …computer, hardware and operating systems; minimum of 3 years' experience as a Business Consultant with project management skills; or any combination of education ... provide an equivalent background. **Preferred Qualifications:** + Working knowledge of Medicare is strongly preferred + Healthcare business knowledge related… more
    Elevance Health (04/10/25)
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  • Sr Mgr., Medicare Performance…

    CVS Health (Hartford, CT)
    …is available throughout the United States. We are seeking a Senior Manager, Medicare Special Needs Plan (SNP) Consultant for the Medicare Performance ... process. In this role you will work with other business units across the Medicare segment on...troubleshooting complex issues. Additionally, the Senior Manager, Medicare Special Needs Plan (SNP) Consultant will:… more
    CVS Health (04/20/25)
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  • Sr . Program Specialist, Medicare

    Molina Healthcare (MI)
    …data exchange of the Medicare /MMP product in support of strategic and corporate business objectives. Manage for all Medicare lines of business the annual ... iCat authoring process, ensuring compliance with CMS guidelines. Support Medicare and MMP line of business for...of progress and risks. + Serves in an internal consultant capacity and possesses ability to rapidly learn, assess,… more
    Molina Healthcare (04/20/25)
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  • Provider Quality - Care Consultant

    Elevance Health (Atlanta, GA)
    Care Consultant Sr . (Provider Success) - JR142316 **Location** : Must reside within 50 miles (1 hour commute) of one of the following offices **AND** be willing ... above offices, 1 day per week minimum. The **Care Consultant Sr .** for **Provider Success** is responsible...**Provider Success** is responsible for consulting with providers (Commercial, Medicare Advantage and Medicaid Lines of Business )… more
    Elevance Health (04/16/25)
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  • Healthcare Business Information…

    Elevance Health (Mason, OH)
    …research and analysis to identify trends, areas for improvement, and opportunities within Medicare markets ad provider networks. + Gather and analyze data to develop ... stakeholders. + Serves as a strategic partner to the business and contributes to ideas and solutions + Influences...and develop working relationships both internally and externally with business stakeholders + Serves as a subject matter expert… more
    Elevance Health (04/10/25)
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  • Sr Clinical Operations Compliance…

    Medical Mutual of Ohio (OH)
    …fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. **Acts as a subject ... matter expert and collaborates with various internal departments to ensure that Medicare Advantage (MA) clinical programs and regulatory reporting are compliant with… more
    Medical Mutual of Ohio (04/15/25)
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  • Sr Community Engagement & Growth Specialist…

    Molina Healthcare (Victorville, CA)
    …community? Do you enjoy building relationships? **Molina Healthcare** is hiring a ** Sr Community Engagement & Growth Specialist** in SW San Bernardino County (see ... Public Health Aide, Connector, Sales, Marketing, Insurance Agent, Insurance Consultant , etc This role is community/ external facing and...There may be events that are outside of normal business hours (evenings or a weekend day). You would… more
    Molina Healthcare (03/13/25)
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  • Business Information Consultant

    Elevance Health (Indianapolis, IN)
    ** Business Information Consultant Senior - Health System Reimbursement** **Location:** This position will work a hybrid model (remote and in office one to ... St. Louis, MO, Louisville, KY or Mason, OH. The ** Business Information Consultant Senior -...preferred. + Experience benchmarking hospital or physician rates against Medicare reimbursement strongly preferred. + Excel, SQL, and SAS… more
    Elevance Health (04/17/25)
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  • Senior Membership Growth Consultant

    ChenMed (Louisville, KY)
    …We're rapidly expanding and we need great people to join our team. The Senior Membership Growth Consultant (MGC) is an outside healthcare sales representative ... qualified sales leads and memberships by nurturing productive relationships with senior citizens, key local community partners and senior -focused businesses… more
    ChenMed (03/19/25)
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  • Senior Manager, Dental Business

    CVS Health (Boise, ID)
    …And we do it all with heart, each and every day. **Position Summary** The Senior Manager, Dental Business Consultant is an individual contributor role with ... Minimum Requirements** . 7+ years of provider contracting experience * Knowledge of Medicare and Medicaid programs. * Ability to travel nationally as needed (up to… more
    CVS Health (03/28/25)
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