- 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 (Phoenix, AZ)
- …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
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …to help us transform healthcare? Bring your true colors to blue. Position Summary: The consultant in this role is a key member of the senior markets pricing team, ... competitive analytics, financial planning, and forecasting. In addition, the consultant in this role will be responsible for analyses...BCBSMA, with a focus on senior product strategy and Medicare Markets. This candidate must be a creative thinker… more
- Elevance Health (Louisville, KY)
- ** Medicare Risk Adjustment Advanced Analytics Consultant ** **On-Site Requirement: Hybrid 1;** **This role requires associates to be in-office 1 - 2 days per ... an accommodation is granted as required by law._ The ** Medicare Risk Adjustment Advanced Analytics Consultant ** is...York In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package,… more
- Elevance Health (Richmond, VA)
- **Medical Director- Medicare Fee for Service** Location: This role enables associates to work virtually full-time, with the exception of required in-person training ... Health's family of brands. We administer government contracts for Medicare and partner with the Centers for Medicare...of a program. + Serves as a resource and consultant to other areas of the company; particularly the… more
- CVS Health (Hartford, CT)
- …appeal process, clinical claim review process, pre-certification, and predetermination of covered benefits in the Commercial and Medicare environment with a ... of quality care services. ◾ Be a subject matter expert, internal consultant and payment policy contributor subject matter expertise and internal consultant… 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