• Medicare Risk Adjustment Advanced Analytics…

    Elevance Health (Independence, OH)
    ** Medicare Risk Adjustment Advanced Analytics Consultant ** **On-Site Requirement: Hybrid 1;** **This role requires associates to be in-office 1 - 2 days per ... an accommodation is granted as required by law._ The ** Medicare Risk Adjustment Advanced Analytics Consultant ** is...not limited to: + Provides analytical insights to support business solution development for Medicare and ACA… more
    Elevance Health (07/29/25)
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  • Worklife Resource Consultant

    CVS Health (Columbus, OH)
    …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 (06/28/25)
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  • Membership Growth Consultant

    ChenMed (Cleveland, 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 ... JOB DUTIES/RESPONSIBILITIES:** + Nurtures, builds and cultivates direct-to-seniors and business -to- business partnerships to generate new patient opportunities… more
    ChenMed (08/02/25)
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  • Research Finance Consultant

    OhioHealth (Columbus, OH)
    …and in our communities. **Job Description Summary:** The Research Finance Consultant will perform specialized technical fiscal activities and financial reporting for ... through study or grant closeout. Responsible for interaction with Medicare and applying Medicare regulations for device...OHRI RBS. Auditing patient records in order to glean information related to research procedures and ensure adherence to… more
    OhioHealth (06/07/25)
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  • Provider Contracting Consultant

    OhioHealth (Columbus, OH)
    …& methodologies, health plan benefits designs (commercial, Medicaid & Medicare ), and referral/authorization processes. + Understanding of credentialing process and ... bases. + Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, contracts or governmental regulations.… more
    OhioHealth (06/07/25)
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  • Vice President Client Engagement - Large Plan…

    Prime Therapeutics (Columbus, OH)
    …client needs; align account management activities across all lines of business and develop methodologies, processes and reporting capabilities that inform and ... consultants, key state leaders, industry trade associations, and Centers for Medicare and Medicaid Services (CMS); establish an effective communication and… more
    Prime Therapeutics (07/02/25)
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  • Safety and Quality Patient Experience (SQPE)…

    Cleveland Clinic (Dover, OH)
    …data and participate in improvement strategy development. + Act as a consultant in educating and evaluating clinical and support department staff regarding quality ... reviews of safety events reported in SERS and perform root cause analysis information through SERS. + Participate in committees and meetings necessary to drive… more
    Cleveland Clinic (07/18/25)
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  • SQPE Specialist II

    Cleveland Clinic (Cleveland, OH)
    …data and participate in improvement strategy development. + Act as a consultant in educating and evaluating clinical and support department staff regarding quality ... actions taken. + Oversee the management and use of medical error information . Minimum qualifications for the ideal future caregiver include: + Bachelor's Degree… more
    Cleveland Clinic (07/18/25)
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  • Safety Quality Patient Experience Specialist II

    Cleveland Clinic (Garfield Heights, OH)
    …data and participate in improvement strategy development. + Act as a consultant in educating and evaluating clinical and support department staff regarding quality ... actions taken. + Oversee the management and use of medical error information . Minimum qualifications for the ideal future caregiver include: + Bachelor's Degree… more
    Cleveland Clinic (07/18/25)
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  • Program Manager Accreditation

    Cleveland Clinic (Mayfield Heights, OH)
    …those of: The Joint Commission (TJC), Ohio Department of Health (ODH) and Center for Medicare and Medicaid Services (CMS). + Act as the primary resource for staff to ... facilitate overall operations of programs. + Act as a consultant to departments/institutes for all aspects of TJC and other regulatory agencies. + Educate and… more
    Cleveland Clinic (07/24/25)
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