• Medicare Compliance Consultant

    CVS Health (VA)
    …we do it all with heart, each and every day. **Position Summary** The ** Medicare Compliance Consultant ** is a compliance role that supports the compliance ... program activities and deliverables of a Medicare managed care organization. In partnership with - and...every colleague feels valued and that they belong. **Great benefits for great people** We take pride in our… more
    CVS Health (09/19/25)
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  • Worklife Resource Consultant…

    CVS Health (Richmond, VA)
    …Start times between 7:50 am and 11:45 am EST** The Worklife Resource Consultant is part of the Worklife Team and provides education about community resources, ... needs, elder/adult care, and health related needs. + The Resource Consultant assesses resource needs, proposes options and research/screens potential community… more
    CVS Health (10/02/25)
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  • Growth Strategy Consultant (Distribution)

    Humana (Richmond, VA)
    …customers at the center of everything it does. The Growth Strategy Consultant (Distribution) provides data-based strategic direction to identify and address business ... support for the Enterprise Growth vertical. The Long-term Growth Strategy Consultant 's work involves moderately complex assignments performed with limited direction… more
    Humana (10/02/25)
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  • Pharmacy Network Consultant Sr - Remote

    Prime Therapeutics (Richmond, VA)
    …passion and drives every decision we make. **Job Posting Title** Pharmacy Network Consultant Sr - Remote **Job Description** The Pharmacy Network Consultant Sr ... GED is required + 5 years of Network Management experience within Pharmacy Benefit Management (PBM), healthcare or other highly regulated industry; including 3 years… more
    Prime Therapeutics (10/04/25)
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  • Business Information Consultant - Health…

    Elevance Health (Richmond, VA)
    **Business Information Consultant - Health System Reimbursement** **Location:** This role requires associates to be in-office 1 day per week, fostering collaboration ... an accommodation is granted as required by law. The **Business Information Consultant - Health System Reimbursement** is responsible for serving as an expert in… more
    Elevance Health (09/30/25)
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  • Provider Contract/Cost of Care Consultant

    Elevance Health (Norfolk, VA)
    **Provider Contract/Cost of Care Consultant ** **Location:** This role requires associates to be in-office 1 day per week, fostering collaboration and connectivity, ... is granted as required by law. The **Provider Contract/Cost of Care Consultant ** provides analytical support to the Cost of Care and/or Provider Contracting… more
    Elevance Health (08/23/25)
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  • Senior Corporate Compliance Consultant…

    Baylor Scott & White Health (Richmond, VA)
    JOB SUMMARY The Third Party Compliance Consultant Sr performs ongoing activities related to the development, implementation, maintenance of, and adherence to ... are completed in a timely way. . Responds to inquiries utilizing applicable Medicare and Medicaid guidance. Serves as a compliance resource to BSWH departments and… more
    Baylor Scott & White Health (09/07/25)
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  • Transformation Program Consultant

    Humana (Arlington, VA)
    …is based upon company and/or individual performance. **Description of Benefits ** Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers ... competitive benefits that support whole-person well-being. Associate benefits ...to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities… more
    Humana (09/30/25)
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  • Market CMO

    CenterWell (Norfolk, VA)
    …indicators (KPIs), such patient experience via Net Promoter Score (NPS) and Medicare clinical quality via HEDIS, meeting local and organizational goals + Personally ... improving consumer experiences **Preferred Qualifications** + Knowledge of Medicaid and Medicare programs + Excellent oral and written communication skills + Good… more
    CenterWell (09/12/25)
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  • Enterprise Architect

    Humana (Richmond, VA)
    …with the organization's strategy and long-term goals. + Serve as a consultant to application teams, guiding them in creating enterprise-grade applications that ... leadership and consulting. + Knowledge of healthcare business domains, including Medicare , Medicaid, Group, Specialty, etc. + **Development level knowledge utilizing… more
    Humana (10/03/25)
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