• Medicaid Consultant

    Public Consulting Group (Boston, MA)
    …support the delivery of health-related services by helping schools access critical Medicaid reimbursement. The Consultant will take a client-centric view and ... Integrity, and other staff to execute contractual obligations. In addition, the Consultant will focus on growth and retention, ensuring that client relationships are… more
    Public Consulting Group (01/08/26)
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  • Medical Director Associate- Psychiatrist-…

    Elevance Health (Woburn, MA)
    **Medical Director Associate- Psychiatrist- Pennsylvania Medicaid ** **Location:** This role enables associates to work virtually full-time, with the exception of ... for company health plans including medical policies. + Serves as a resource and consultant to other areas of the company. + May interpret existing medical policy. +… more
    Elevance Health (12/24/25)
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  • Sr Consultant - Education (Pacific…

    Public Consulting Group (Boston, MA)
    …and the revenue generated from those identified opportunities. The Senior Consultant will manage complex projects and/or produce sophisticated deliverables; they ... and supervise staff; work independently with minimal supervision; serve as an internal consultant to other projects or product lines; play a key role in proposals… more
    Public Consulting Group (10/28/25)
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  • Senior Corporate Compliance Consultant…

    Baylor Scott & White Health (Boston, MA)
    **Description - External** **JOB SUMMARY** The Healthcare Billing Compliance Consultant Sr performs ongoing activities related to the development, implementation, ... to ensure compliance with BSWH policies and CMS and Texas Medicaid regulations, providing reports, recommendations, and corrective action follow-up. Monitors trends… more
    Baylor Scott & White Health (12/19/25)
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  • Utilization Management Nurse Consultant

    CVS Health (MA)
    …and work schedule may include weekends, holidays, and evening hours._ **UM Nurse Consultant ** Fully Remote- WFH- 8A-5P in EST or CST **Position Summary** UM Nurse ... Consultant Utilizes clinical experience and skills in a collaborative...authorization utilization experience preferred Outpatient Clinical experience Knowledge of Medicare/ Medicaid Managed care experience **Education** Associates Degree in Nursing… more
    CVS Health (01/16/26)
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  • Human Services Business Development…

    Public Consulting Group (Boston, MA)
    …+ Strategy + Project and Grants Management + Assessments and Feasibility Studies Consultant - Human Services Practice Area (Child and Family Services Center of ... services agencies across the country. * Track policy changes (eg, FFPSA, IV-E, Medicaid , Medicare, SSI/SSDI) that may drive new service needs. * Support writing and… more
    Public Consulting Group (01/15/26)
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  • Principal Consultant

    Oracle (Boston, MA)
    …Applies Oracle methodology, company procedures, and leading practices. As a Lead Consultant you will consult on data and modelling impacts, guiding clients through ... visualization tool like BO or Tableau + Healthcare experience with Medicaid /Medicare Claims Reporting **Expectations** + Perform other responsibilities as assigned +… more
    Oracle (12/22/25)
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  • Sr. Provider Relations Consultant…

    WellSense (MA)
    …activities and events** . **Ensures quality and compliance with state Medicaid regulations and NCQA requirements** . **Other responsibilities as assigned** ... transportation** **Competencies, Skills, and Attributes:** . **Knowledge or familiarity with Medicaid and Medicare required** . **Understanding of the local provider… more
    WellSense (12/26/25)
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  • Insurance Strategy Consultant

    Humana (Boston, MA)
    …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. ​ **Equal ... Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information,… more
    Humana (01/13/26)
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  • Head of Contracts & Pricing

    Takeda Pharmaceuticals (Boston, MA)
    …--Government -- Department of Veterans Affairs (VA), Federal SupplySchedule (FSS), Medicaid , Department of Defense (DOD) -- and OncologyGPOs. This activity requires ... in Government price, Gross to Netcalculations to act as internal expert and consultant to sales, marketing,and CFO. + Experience and in-depth knowledge in obtaining… more
    Takeda Pharmaceuticals (01/18/26)
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