- Public Consulting Group (Columbus, OH)
- …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
- OhioHealth (Columbus, OH)
- …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 responsible for… more
- 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
- Elevance Health (Cleveland, OH)
- Value Based Care Consultant Sr. (Provider Success) (Ohio Market) JR179629 **Location:** **Hybrid 1-** This role requires associates to be in-office **1 - 2** days ... **Ohio** up to 50% of the time. **The Care Consultant Sr.** is responsible for fostering long-term partnerships with...drive the achievement of value-based care in the Medicare, Medicaid , and Commercial lines of business. The ideal candidate… more
- Public Consulting Group (Columbus, OH)
- …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
- Baylor Scott & White Health (Columbus, OH)
- **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
- CVS Health (OH)
- …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
- Elevance Health (Mason, OH)
- **Network Relations Consultant Senior (Value-Based Program Specialist) - MyCare Ohio** **Location:** This position is based in Ohio; the associate will report to one ... long term services and supports, and psychosocial needs. The **Network Relations Consultant Senior** (Value-Based Program Specialist) is responsible for and is fully… more
- Public Consulting Group (Columbus, OH)
- …+ 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
- Oracle (Columbus, OH)
- …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
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