- 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
- CVS Health (Charleston, WV)
- …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 (Atlanta, GA)
- …data exchange of the Medicare /MMP product in support of strategic and corporate business objectives. Manage for all Medicare lines of business the annual ... iCat authoring process, ensuring compliance with CMS guidelines. Support Medicare and MMP line of business for...of progress and risks. + Serves in an internal consultant capacity and possesses ability to rapidly learn, assess,… more
- CVS Health (Hartford, CT)
- …& Operations) you will be responsible for providing clinical expertise and business direction in support of medical management programs to promote the delivery ... Medical Director provides subject matter expertise to provide clinical support and business direction in these areas. Knowledge of Aetna clinical and coding policy… more
- Elevance Health (Costa Mesa, CA)
- **Medical Director- Medicare and Medicaid** Location: This role enables associates to work virtually full-time, with the exception of required in-person training ... will be responsible for utilization review case management for Medicare and Medicaid in the California market while also...discuss review determinations. + Serves as a resource and consultant to other areas of the company. + May… more
- IQVIA (Durham, NC)
- **Senior Consultant , Epidemiology, Government Solutions** **About IQVIA Government Solutions** IQVIA Government Solutions is dedicated to helping government clients ... studies across Federal, State and Local government clients. A Senior Consultant supports assignments ranging in complexity from pre-sales, proposal development,… more
- Elevance Health (Cincinnati, OH)
- … to join our team and drive the achievement of value-based care in the Medicare , Medicaid, and Commercial lines of business . The ideal candidate will be ... Provider Success Consultant Sr. (Ohio Market) **Location:** This role requires...consulting within the healthcare industry. + Experience with Medicaid, Medicare , and commercial plans strongly preferred. + Strong understanding… more
- Excellus BlueCross BlueShield (Buffalo, NY)
- …assistance in the field and provide support where needed regarding new and existing business activity to include completion of group information . + Assists with ... and group administrators across all product lines. The Account Service Consultant (ASC) handles inquiries received through various channels, including telephone,… more
- The Joint Commission (Oakbrook Terrace, IL)
- …and comply with federal regulations and processes regarding the Medicare certification program and Federal survey methodology. Creatively approaches client ... or client educational updates when requested. Responsible for new CMS business development (to a defined expectation) inclusive of client relationship management,… more
- ChenMed (Lakeland, FL)
- …we need great people to join our team. The Senior Membership Growth Consultant (MGC) is an outside healthcare sales representative who's responsible for generating ... growth career path at ChenMed. The incumbent has developed more extensive business relationships with various health plan agents, individual insurance agents, social… more
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