- Henry Ford Health System (Troy, MI)
- GENERAL SUMMARY: Responsible for the retention and growth of the Medicare line of business (both Individual and Group) accounting for more than $400 million in ... planning and marketing support. Coordinate the development and implementation of Medicare Advantage sales strategies, compliance activities and oversight for both… more
- CVS Health (Helena, MT)
- …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
- Molina Healthcare (Rio Rancho, NM)
- …apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer ... (EOE) M/F/D/V. \#PJCorp \#LI-AC1 Pay Range: $80,412 - $150,000 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. more
- OhioHealth (Columbus, OH)
- …Description Summary:** This position is responsible for preparing and reviewing the Medicare and Medicaid cost reports for all OhioHealth entities. * This position ... will be responsible for ensuring the appropriate governmental ( Medicare and Medicaid) reimbursement is received for OhioHealth. * This position is primarily… more
- CVS Health (Raleigh, NC)
- …we do it all with heart, each and every day. **Position Summary** Medicare Precertification Nurse Consultant position: _Utilization Management is a 24/7 ... coordinate, monitor and evaluate options to facilitate appropriate healthcare services/ benefits for members. + Gathers clinical information and applies the… more
- Humana (Albany, NY)
- …Strategy's highest priority strategy projects and initiatives, with an emphasis on Medicare Advantage strategy development. As a Consultant , you will deconstruct ... Company** Humana is a publicly traded, Fortune 60 health benefits company with a long history of successful innovation... organizations in the country. **Role Overview: Healthcare Strategy Consultant ** The Growth Strategy team plays a key part… more
- Elevance Health (Indianapolis, IN)
- Provider Success Consultant Sr. (Value-Based) Indiana **Hybrid 1:** This role requires associates to be in-office **1 - 2** days per week, fostering collaboration ... unless an accommodation is granted as required by law._ The **Care Consultant Sr.** (Provider Success) is responsible for the provider performance of value-based… more
- OhioHealth (Columbus, OH)
- …in our communities. **Job Description Summary:** The Medical Education Program Sr. Consultant manages the daily operation of medical education programs to strengthen ... the OhioHealth physician workforce. The Medical Education Program Sr. Consultant provides technical and operational expertise ensuring accreditation standards,… more
- Elevance Health (Indianapolis, IN)
- **Pharmacy Financial Analyst, Cost of Care - Business Information Consultant ** **Location:** This role requires associates to be in-office **1** day per week, ... **Pharmacy Financial Analyst, Cost of Care - Business Information Consultant ** is responsible for serving as an expert in...to Pharmacy cost of care, pharmacy trends, and other Medicare book of business' related issues/metrics. **How you will… more
- Elevance Health (Cincinnati, OH)
- Provider Success Consultant Sr. (Ohio Market) **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and ... a minimum of 50% of the time. **The Care Consultant Sr.** is responsible for fostering long-term partnerships with...and drive the achievement of value-based care in the Medicare , Medicaid, and Commercial lines of business. The ideal… more