• Medicare Risk Adjustment Business

    Elevance Health (Atlanta, GA)
    …research and analysis to identify trends, areas for improvement, and opportunities within Medicare markets ad provider networks. + Gather and analyze data to develop ... stakeholders. + Serves as a strategic partner to the business and contributes to ideas and solutions + Influences...analyze complex data and translate this into meaningful, actionable information for provider groups and/or market leads + Skilled… more
    Elevance Health (04/29/25)
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  • Business Information

    Elevance Health (Cincinnati, OH)
    ** Business Information Consultant - Vendor Medicare /Medicaid Encounter Data** **Location:** Norfolk, VA; Atlanta, GA; Tampa, FL; Indianapolis, IN; ... a dynamic and adaptable workplace. Alternate locations may be considered. The ** Business Information Consultant ** is responsible for serving as an expert in… more
    Elevance Health (05/10/25)
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  • Senior Info Tech Business Consultant

    MyFlorida (Tallahassee, FL)
    68065016 - SENIOR INFO TECH BUSINESS CONSULTANT /MEDICAID INFORMATION TECHNOLOGY ARCHITECTURE LEAD Date: Apr 21, 2025 The State Personnel System is an ... for Health Care Administration Working Title: 68065016 - SENIOR INFO TECH BUSINESS CONSULTANT /MEDICAID INFORMATION TECHNOLOGY ARCHITECTURE LEAD Pay Plan:… more
    MyFlorida (04/22/25)
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  • Business Information

    Elevance Health (Tampa, FL)
    ** Business Information Consultant - Healthcare Data** **Location:** Richmond, VA; Atlanta, GA; Tampa, FL; Indianapolis, IN; Mason, OH (preferred). Alternate ... will live within 50 miles of one of our Elevance Health PulsePoint locations. The ** Business Information Consultant ** is responsible for serving as an expert… more
    Elevance Health (04/25/25)
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  • Business Information

    Elevance Health (Norfolk, VA)
    ** Business Information Consultant ** **Location:** Ideal candidates will live or be willing to relocate to within 50 miles of our Pulse Point location in 5800 ... Monday to Friday, 8:00 am to 5:00 pm The ** Business Information Consultant ** develops specifications...are HIPAA compliant, and meet state Medicaid and federal Medicare guidelines as expressed in companion guides and technical… more
    Elevance Health (04/29/25)
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  • Business Information

    Elevance Health (Indianapolis, IN)
    ** Business Information Consultant Senior - Health System Reimbursement** **Location:** This position will work a hybrid model (remote and in office one to ... St. Louis, MO, Louisville, KY or Mason, OH. The ** Business Information Consultant Senior -...preferred. + Experience benchmarking hospital or physician rates against Medicare reimbursement strongly preferred. + Excel, SQL, and SAS… more
    Elevance Health (04/17/25)
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  • Senior Markets Pricing - Actuarial…

    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 (04/30/25)
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  • Senior Provider Relations Consultant , BH…

    WellSense (Boston, MA)
    Senior Provider Relations Consultant , BH Network Strategy WellSense Health Plan is a nonprofit health insurance company serving members across Massachusetts and New ... Hampshire through Medicare , Individual and Family, and Medicaid plans. Founded 25...matter their circumstances. **Job Summary:** **The Senior Provider Relations Consultant (Snr PRC) is responsible for managing an assigned… more
    WellSense (05/04/25)
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  • Medical Director - Medicare

    Elevance Health (Independence, OH)
    ** Medicare Medical Director** Location: **Hybrid 2:** This role requires associates to be in-office 3 days per week, fostering collaboration and connectivity, while ... be able to work Eastern Time Zone hours. The ** Medicare Medical Director** is responsible for the administration of...discuss review determinations. + Serves as a resource and consultant to other areas of the company. + May… more
    Elevance Health (05/10/25)
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  • Senior Manager, Dental Business

    CVS Health (Boise, ID)
    …with heart, each and every day. **Position Summary** The Senior Manager, Dental Business Consultant is an individual contributor role with the following ... to manage provider compensation and pricing development activities, submission of contractual information , and the review and analysis of reports as part of… more
    CVS Health (03/28/25)
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