• Medicaid Data Strategy

    Guidehouse (Atlanta, GA)
    **Job Family** **:** Strategy & Transformation Consulting **Travel Required** **:** Up to 50% **Clearance Required** **:** None **What You Will Do** **:** We are ... of national healthcare reform and its impact on state Medicaid , public health or state and local health and...based on risk, coverage, and readiness. + Contribute to data conversion and migration assessments, including evaluation of mapping,… more
    Guidehouse (09/27/25)
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  • MITA ( Medicaid IT Architecture)…

    Public Consulting Group (FL)
    …program needs that enhance the lives of their user base. Services: + Strategy , Architecture, Planning, and Procurement + Business Enablement + Business Solutions + ... client and project. * Support the client and stakeholders in the planning and strategy discussions on the best approach for addressing risks and issues as they… more
    Public Consulting Group (08/08/25)
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  • Growth Strategy Consultant

    Humana (Columbia, SC)
    …to put those customers at the center of everything it does. The Growth Strategy Consultant (Distribution) provides data -based strategic direction to identify ... planning support for the Enterprise Growth vertical. The Long-term Growth Strategy Consultant 's work involves moderately complex assignments performed with… more
    Humana (10/02/25)
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  • Director of Medicaid Reimbursement

    AdventHealth (Altamonte Springs, FL)
    Medicaid reimbursement process across the entire company focusing on supplemental Medicaid payments, provider taxes, Medicaid strategy development and ... implementation. Develops and implements company Medicaid strategy , both with leadership and key AdventHealth stakeholders, and...with multiple outside consultants and experts. Acts as a consultant to leaders ensuring the Medicaid rate… more
    AdventHealth (10/02/25)
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  • Strategy Consultant

    Health Care Service Corporation (Chicago, IL)
    …is responsible for supporting divisional short and long-term initiatives related to Medicaid provider network strategy and leverage analytics to drive provider ... and strategic network initiatives from inception to completion. This position will analyze Medicaid network data using internal and external sources to support… more
    Health Care Service Corporation (10/02/25)
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  • Care Consultant Sr

    Elevance Health (Seattle, WA)
    Provider Success Consultant Sr. (Value-Based) **Hybrid 1:** This role requires associates to be in-office **1 - 2** days per week, fostering collaboration and ... unless an accommodation is granted as required by law._ The **Care Consultant Sr.** (Provider Success) is responsible for the provider performance of value-based… more
    Elevance Health (10/04/25)
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  • OCM Consultant

    Public Consulting Group (Frankfort, KY)
    …program needs that enhance the lives of their user base. Services: + Strategy , Architecture, Planning, and Procurement + Business Enablement + Business Solutions + ... Project Assurance An OCM consultant will provide expert support and guidance to clients...methodology and change management tools to advise client on strategy to support adoption of changes for projects *… more
    Public Consulting Group (10/04/25)
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  • Pharmacy Network Consultant Sr - Remote

    Prime Therapeutics (Atlanta, GA)
    …passion and drives every decision we make. **Job Posting Title** Pharmacy Network Consultant Sr - Remote **Job Description** The Pharmacy Network Consultant Sr ... + Perform network development, network analysis and management activities supporting strategy and network management priorities and projects + Ensure all contractual… more
    Prime Therapeutics (10/04/25)
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  • Value-Based Innovation Consultant

    Highmark Health (Pittsburgh, PA)
    …Provider Transformation leadership and key matrix partners to execute on the strategy design and development of value-based programs across all provider types and ... across areas,; consistently updating and infusing the Organization's reimbursement strategy with innovative approaches to achieve return on investment (ROI)… more
    Highmark Health (09/05/25)
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  • Financial Consultant

    Public Consulting Group (Providence, RI)
    …Consulting and Billing Services + Applied Technology + Outsourcing and Operations + Strategy + Project and Grants Management + Assessments and Feasibility Studies We ... a strong emphasis on financial consulting, including cost analysis, funding strategy development, and fiscal impact assessments. You will help clients optimize… more
    Public Consulting Group (09/13/25)
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