• Senior Medicaid & Medicare

    OhioHealth (Columbus, OH)
    …associated with revenue cycle, charge analysis, regulatory and financial reporting. * The Senior Reimbursement Consultant will be a subject matter expert in the ... This position is responsible for preparing and reviewing the Medicare and Medicaid cost reports for all OhioHealth entities....well as the high level strategic purpose. * The Senior Reimbursement Consultant is required to use… more
    OhioHealth (09/25/25)
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  • Medicare Compliance

    CVS Health (KS)
    …And we do it all with heart, each and every day. **Position Summary** The ** Medicare Compliance Consultant ** is a compliance role that supports ... and under the direction of - the health plan, Medicare Compliance Officer, and other team members,...Medicare Advantage organization. + In partnership with other senior members of the team, assist with the oversight… more
    CVS Health (09/19/25)
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  • Senior Nurse STARS Improvement…

    Humana (Oviedo, FL)
    …of our caring community and help us put health first** The Nurse Senior Stars Improvement, Clinical Professional/ Consultant contributes to the development, ... implementation, and management of the company's Medicare /Medicaid Five-Star Quality Rating System. The Senior ...Set (HEDIS), Patient Safety, and Patient Experience. The Nurse Senior Stars Improvement, Clinical Professional / Consultant more
    Humana (10/03/25)
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  • Senior Corporate Compliance

    Baylor Scott & White Health (Austin, TX)
    JOB SUMMARY The Third Party Compliance Consultant Sr performs ongoing activities related to the development, implementation, maintenance of, and adherence to ... a timely way. . Responds to inquiries utilizing applicable Medicare and Medicaid guidance. Serves as a compliance... Medicare and Medicaid guidance. Serves as a compliance resource to BSWH departments and entities on … more
    Baylor Scott & White Health (09/07/25)
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  • Senior Compliance Consultant

    Banner Health (AZ)
    …knowledge of laws and regulations pertaining to health care, regulatory compliance , Medicare /Medicaid and/or financial reimbursement systems. Must possess strong ... **Department Name:** Compliance -Corp **Work Shift:** Day **Job Category:** Compliance...This position interacts with a multitude of executive and senior management, physicians and staff throughout Banner depending on… more
    Banner Health (09/27/25)
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  • Senior Policy Consultant

    Blue Cross and Blue Shield of Minnesota (Eagan, MN)
    …protected characteristic. Blue Cross and Blue Shield of Minnesota Position Title: Senior Policy Consultant Location: Hybrid | Eagan, Minnesota Career Area: ... Blue Cross Blue Shield MN is looking for a Senior Policy Consultant to join our team....adviser for legislative, regulatory, and public policy initiatives impacting Medicare , Medicaid, and government programs. Working closely with internal… more
    Blue Cross and Blue Shield of Minnesota (09/10/25)
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  • Senior Info Tech Business Consultant

    MyFlorida (Tallahassee, FL)
    68064926 - SENIOR INFO TECH BUSINESS CONSULTANT / TECHNICAL WRITER & COMMUNICATIONS Date: Sep 26, 2025 The State Personnel System is an E-Verify employer. For ... No: 861515 Agency: Agency for Health Care Administration Working Title: 68064926 - SENIOR INFO TECH BUSINESS CONSULTANT / TECHNICAL WRITER & COMMUNICATIONS Pay… more
    MyFlorida (09/26/25)
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  • Hospice Nurse Consultant

    PruittHealth (Fayetteville, NC)
    **JOB PURPOSE:** The Nurse Consultant collaborates with the Senior Vice President Clinical Services and the hospice regional team to provide compliance ... program evaluation, education and monitoring functions to determine agency compliance with all regulatory groups and make recommendation/suggestions for improvement.… more
    PruittHealth (09/19/25)
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  • Growth Strategy Consultant (Distribution)

    Humana (Columbia, SC)
    …customers at the center of everything it does. The Growth Strategy Consultant (Distribution) provides data-based strategic direction to identify and address business ... support for the Enterprise Growth vertical. The Long-term Growth Strategy Consultant 's work involves moderately complex assignments performed with limited direction… more
    Humana (10/02/25)
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  • Sr Enterprise Rules and Edits Consultant

    Waystar (Atlanta, GA)
    **ABOUT THIS POSITION** This Senior Consultant , Enterprise Rule & Edits position reports to our Enterprise Rules & Edits Manager and has the responsibility for ... active involvement in scoping, project planning, implementation, and stabilization. The Consultant will leverage billing and coding subject matter expertise and… more
    Waystar (09/23/25)
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