- Humana (Columbia, SC)
- …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
- 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...a critical role in ensuring the accuracy, completeness, and compliance of risk adjustment coding across both internal teams… more
- AccentCare, Inc. (San Bernardino, CA)
- Overview Hospice Care Consultant Location: San Bernardino Position: Hospice Care Consultant Job ID: Position Type: Full-Time Remote/Virtual Position: No Coverage ... Area: Riverside Find Your Passion and Purpose as a Hospice Care Consultant Salary: 85K-110K + commission #AC-BSL Offer Based on Years of Experience esedical Sales… more
- MyFlorida (Tallahassee, FL)
- 68064926 - SENIOR INFO TECH BUSINESS CONSULTANT / TECHNICAL WRITER & COMMUNICATIONS Date: Sep 26, 2025 The State Personnel System is an E-Verify employer. For more ... Health Care Administration Working Title: 68064926 - SENIOR INFO TECH BUSINESS CONSULTANT / TECHNICAL WRITER & COMMUNICATIONS Pay Plan: Career Service Position… more
- Waystar (Atlanta, GA)
- **ABOUT THIS POSITION** This Senior Consultant , Enterprise Rule & Edits position reports to our Enterprise Rules & Edits Manager and has the responsibility for ... active involvement in scoping, project planning, implementation, and stabilization. The Consultant will leverage billing and coding subject matter expertise and… more
- The County of Los Angeles (Los Angeles, CA)
- HEALTH FACILITIES CONSULTANT , NURSING Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/2307969) Apply HEALTH FACILITIES CONSULTANT , NURSING ... nursing facilities, and related health facilities to assist them in achieving compliance with State and Federal nursing regulations, and with the professional staff… more
- Prime Therapeutics (Atlanta, GA)
- …passion and drives every decision we make. **Job Posting Title** Pharmacy Network Consultant Sr - Remote **Job Description** The Pharmacy Network Consultant Sr ... pharmacy networks composition to assess network adequacy, contracting gaps and compliance with regulations + Represent Network Management department in audits and… more
- Signature Healthcare (Indianapolis, IN)
- …of choice in the healthcare industry. Overview The ideal Signature Clinical Care Consultant Candidate would have working knowledge of Medicare , Medicaid and ... standards of care are in place to achieve clinical, regulatory, and reimbursement compliance . + Provide oversight and guidance to staff in assigned facilities, which… more
- Elevance Health (Atlanta, GA)
- **Provider Contract/Cost of Care Consultant ** **Location:** This role requires associates to be in-office 1 day per week, fostering collaboration and connectivity, ... as required by law. The **Provider Contract/Cost of Care Consultant ** provides analytical support to the Cost of Care...Uses analytic tools to track both health risks and compliance , as well as supporting the contract negotiation process.… more
- US Tech Solutions (RI)
- …to obtain additional information. + Evaluates documentation/information to determine compliance with clinical policy, regulatory and accreditation guidelines. + ... Medcompass + Must have prior authorization utilization experience. + Managed Care/ Medicare experience preferred. **Skills:** + MUST HAVE MEDCOMPASS or ASSURECARE… more