• Lead Sector Consultant Medicare

    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
    Henry Ford Health System (07/24/25)
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  • Worklife Resource Consultant

    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
    CVS Health (07/29/25)
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  • Senior Process Consultant ( Medicare

    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
    Molina Healthcare (07/19/25)
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  • Senior Medicaid & Medicare Reimbursement…

    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
    OhioHealth (06/07/25)
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  • Medicare Eligibility Consultant

    CVS Health (Moon Township, PA)
    …skills. + Attention to detail and accuracy. **Preferred Qualifications** + Medicare industry experience. + Familiarity with Medicare Enrollment systems ... a workplace where every colleague feels valued and that they belong. **Great benefits for great people** We take pride in our comprehensive and competitive mix… more
    CVS Health (08/08/25)
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  • Senior Medicare Markets Pricing…

    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
    Blue Cross Blue Shield of Massachusetts (07/30/25)
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  • Medicare Risk Adjustment Advanced Analytics…

    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 (07/29/25)
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  • Medical Director- Medicare Fee for Service

    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
    Elevance Health (08/08/25)
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  • Medical Director - Medicare (Medical Policy…

    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
    CVS Health (08/08/25)
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  • Medical Education Program Sr Consultant

    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
    OhioHealth (07/30/25)
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