- Oracle (Carson City, NV)
- **Job Description** **Principal Consultant - Outpatient Pharmacy** **Travel: Up to 50% | Location: Remote (US)** At Oracle Health, we're not just building ... empowers clinicians, elevates patient care, and ultimately saves lives. As a Principal Consultant specializing in Outpatient Pharmacy, you'll be at the heart of that… more
- MSys Inc. (Jacksonville, FL)
- …other Guidewire modules. + Insurance Domain: Deep knowledge of P&C insurance workflows, policy lifecycle, and claims processes. + Consulting: Strong ... 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… more
- Amazon (Denver, CO)
- …of working with healthcare and life sciences data (eg EHR, HL7/FHIR, insurance claims , genomics, medical imaging, etc) Preferred Qualifications - Advanced ... The Amazon Web Services Professional Services (ProServe) team is seeking a skilled Delivery Consultant to join our team at Amazon Web Services (AWS). In this role,… more
- Sedgwick (Atlanta, GA)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Data Consultant **PRIMARY PURPOSE OF THE ROLE** : To develop complex ... or equivalent combination of education and experience required. Experience in an insurance related field and one (1) year statistical analysis strongly preferred.… more
- The Hartford (NC)
- …- KR08GE We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here means having every ... Our Risk Engineering Organization is currently seeking a Sr. Industrial Hygiene Consultant to support the Southeast Regions. Remote position; travel may include both… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …Cross and Blue Shield of Minnesota Position Title: Risk Adjustment QA Consultant Location: Hybrid | Eagan, Minnesota Career Area: Customer Service/Operations About ... Will Have As a Risk Adjustment Quality Assurance (QA) Consultant at BCBSMN, you'll play a critical role in...Bachelor's degree * Experience in provider office medical coding, claims auditing, or specialty clinics. * Certifications such as… more
- The Hartford (Melville, NY)
- Sr Consultant Risk Engineering - KR08DE We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and ... to meaningful work at The Hartford.As a Risk Engineering Consultant at The Hartford, your primary role will be...process - meeting with insured's, making presentations, working with claims and underwriting, etc.* Work with Risk Engineering Manager… more
- Highmark Health (Buffalo, NY)
- …exceeded. Further, in a matrix management environment, the Medicare Advantage Quality Consultant is responsible for collaborative work with other functions in the ... to provide office based, hands-on assistance services (ie, chart reviews, mass claims adjustments, UDC processes, etc.) to PCPs enrolled in Medicare STARS, Medicaid… more
- Billings Clinic (Billings, MT)
- …to learn more! Pharmacy Business Consultant (1.0) SPECIALTY PHARMACY (Billings Clinic ... 340B team to manage the pilot 340B Rebate Program. The 340B Business Consultant will be responsible for rebate accounts receivable tracking, third party vendor… 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