- Health Care Service Corporation (Nashville, TN)
- …deliverables on schedule + Healthcare acumen, Managed Care Organization, Pharmacy Benefit Manager, Medicare experience + Advanced analytical skills, databases ... driving delivery, contingency planning, business results, and strategic planning for Medicare Part D Pharmacy consisting of multiple programs, complex projects, and… more
- CVS Health (Harrisburg, PA)
- …coordinate, monitor and evaluate options to facilitate appropriate healthcare services/ benefits for members. + Gathers clinical information and applies the ... opportunities to promote quality effectiveness of Healthcare Services and benefit utilization + Consults and lends expertise to other...every colleague feels valued and that they belong. **Great benefits for great people** We take pride in our… 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
- Henry Ford Health System (Traverse City, MI)
- …is required. GENERAL SUMMARY: Responsible for the retention and growth of the Medicare line of business (both Individual and Group) accounting for more than $400 ... planning and marketing support. Coordinate the development and implementation of Medicare Advantage sales strategies, compliance activities and oversight for both… more
- Elevance Health (FL)
- **Appeals Medical Director - Medicare ** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person training ... discuss review determinations. + Serves as a resource and consultant to other areas of the company. + May...York.** In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package,… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …Blue Cross and Blue Shield of Minnesota Position Title: Senior Policy Consultant Location: Hybrid | Eagan, Minnesota Career Area: Corporate Affairs About Blue ... You Will Have Blue Cross Blue Shield MN is looking for a Senior Policy Consultant to join our team. This position is responsible for serving as the principal policy… more
- Oracle (Austin, TX)
- …payers. Specific responsibilities include gathering payer system requirements, understanding Medicare and Medicaid benefits structures, and working with ... solutions for each healthcare payer. An Oracle Health Insurance (OHI) Senior Principal Consultant must be proficient in US healthcare domain knowledge and have the… more
- Humana (Montpelier, VT)
- …our caring community and help us put health first** Senior Healthcare Network Consultant / Senior Network Performance Professional at Humana, you will play a pivotal ... through strategic initiatives and strong relationship-building. Senior Healthcare Network Consultant /Senior Network Performance Professional + **Provider Collaboration** :… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …candidates must reside in the Rochester region. Summary: The Account Service Consultant ensures prompt, accurate, and efficient servicing of all Broker, Member, and ... issues and enhance Group & Broker satisfaction/retention. The Account Service Consultant maintains constant communication with the Sales staff and other Business… more
- Nuvance Health (Fishkill, NY)
- *Description* At Nuvance Health, we enjoy the benefits of a two-state system as we cultivate an inclusive culture where everyone feels welcomed, respected and ... compassion. *Summary:* ** We areseekingan experienced and compassionate lactation consultant to provide breastfeeding support forbirthingpeople and their babies… more