- CVS Health (Frankfort, KY)
- …all with heart, each and every day. **Position Summary** As a QM Nurse Consultant you will be responsible for the review and evaluation of clinical information and ... line with regulatory and accreditation requirements for member and/or provider claims . + Independently coordinates the clinical resolution with clinician/MD support… more
- State of Minnesota (St. Paul, MN)
- **Working Title: County Advisor** **Job Class: Human Services Program Consultant ** **Agency: Human Services Dept** + **Job ID** : 90752 + **Location** : St. Paul + ... lien laws and operations + Comprehensive knowledge eligibility and claims payment systems such as (MAXIS, METS, and MMIS)....of levels **Preferred Qualifications** + The ability to negotiate claims and deal with difficult persons or situations. +… more
- UNUM (Richmond, VA)
- …Summary:** This position is responsible for providing expert medical analysis of claims files (or underwriting applications) across Unum US product lines. The ... efficient medical consultative services to the Benefits Center. The Medical Consultant adheres to current regulatory, claim process, and internal workflow standards… more
- AIG (Atlanta, GA)
- …we stay on top of the latest emerging risk issues that could become claims activity. We are reimagining how we help the organization manage risk, transforming our ... of AIG has an opportunity for a Casualty Risk Consultant in our Chicago office. + This loss control...within supply chain + Conduct plan reviews + Evaluate claims data and work with our analytics team to… more
- The Hartford (NC)
- …Our Risk Engineering Organization is currently seeking a Sr. Industrial Hygiene Consultant to support the Southeast Regions. Remote position; travel may include both ... relationships with National Account Managers, field Risk Engineering Consultants (REC, Claims and Brokers to develop a valuable Industrial Hygiene service plan… more
- EPAM Systems (Boston, MA)
- We are seeking an experienced **Data Analytics Consultant ** in either the Insurance, Investments or Financial Services to drive the strategy, governance, and ... finance, and technology teams to ensure that data related to policies, claims , underwriting, and reinsurance is accurate, consistent, and effectively leveraged for… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Business Consultant provides expertise in tailored, strategic, and critical work to help design, launch, and execute ... projects as needed. Maintain a strong working knowledge of the FACETS claims -to-authorization matching workflow and utilize this knowledge to identify and resolve… more
- State of Indiana (Lebanon, IN)
- State Eligibility Consultant Date Posted: Dec 11, 2025 Requisition ID: 465257 Location: Lebanon, IN, US, 46052 Work for Indiana Begin a fulfilling career with the ... self-sufficiency and personal responsibility. Role Overview: The State Eligibility Consultant meets with clients, explains programs and benefits, and reviews… more
- MSys Inc. (Jacksonville, FL)
- Job summary: Title: Guidewire Digital Consultant - Onsite Location: Jacksonville, FL Length and terms: Long term - W2 Only Position created on 12/10/2025 08:03 pm ... Long term project Onsite Job Description A Guidewire Digital Consultant designs, configures, and implements Guidewires core platform (PolicyCenter, ClaimCenter)… more
- Elevance Health (Waukesha, WI)
- **Program Consultant ** **Location:** WI-Waukesha, N17W24222 Riverwood Dr., Ste 300 **We are currently seeking people in the following counties:** Durand, Mondovi, ... responsiveness to client needs, and direct, hands-on engagement. The **Program Consultant ** is responsible for the development and ongoing management of one… more