• Medicare Compliance…

    CVS Health (VA)
    …And we do it all with heart, each and every day. **Position Summary** The ** Medicare Compliance Consultant ** is a compliance role that supports ... partnership with - and under the direction of - the health plan, Medicare Compliance Officer, and other team members, this position will help develop and… more
    CVS Health (09/19/25)
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  • Senior Corporate Compliance…

    Baylor Scott & White Health (Richmond, VA)
    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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  • Growth Strategy Consultant (Distribution)

    Humana (Richmond, VA)
    …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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  • Pharmacy Network Consultant Sr - Remote

    Prime Therapeutics (Richmond, VA)
    …passion and drives every decision we make. **Job Posting Title** Pharmacy Network Consultant Sr - Remote **Job Description** The Pharmacy Network Consultant Sr ... pharmacy networks composition to assess network adequacy, contracting gaps and compliance with regulations + Represent Network Management department in audits and… more
    Prime Therapeutics (10/04/25)
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  • Provider Contract/Cost of Care Consultant

    Elevance Health (Norfolk, VA)
    **Provider Contract/Cost of Care Consultant ** **Location:** This role requires associates to be in-office 1 day per week, fostering collaboration and connectivity, ... as required by law. The **Provider Contract/Cost of Care Consultant ** provides analytical support to the Cost of Care...Uses analytic tools to track both health risks and compliance , as well as supporting the contract negotiation process.… more
    Elevance Health (08/23/25)
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  • Transformation Program Consultant

    Humana (Arlington, VA)
    …efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. ​ ... veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to… more
    Humana (09/30/25)
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  • Salesforce Enterprise Manager

    General Dynamics Information Technology (Fairfax, VA)
    …personal impact as a **Salesforce Enterprise Manager** supporting the Centers for Medicare and Medicaid Services (CMS) Federal Services System Support and Oversight ... acceptance testing, ensuring proper bandwidth utilization, timely ticket resolution and compliance + Ensure the clarity, accuracy, and efficiency of the program's… more
    General Dynamics Information Technology (10/04/25)
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  • Enterprise Architect

    Humana (Richmond, VA)
    …Adhere to established guidelines and procedures to ensure consistency and compliance . **Potential Duties** + Advocate for our agile development approach and ... with the organization's strategy and long-term goals. + Serve as a consultant to application teams, guiding them in creating enterprise-grade applications that… more
    Humana (10/03/25)
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  • Market CMO

    CenterWell (Norfolk, VA)
    …indicators (KPIs), such patient experience via Net Promoter Score (NPS) and Medicare clinical quality via HEDIS, meeting local and organizational goals + Personally ... improving consumer experiences **Preferred Qualifications** + Knowledge of Medicaid and Medicare programs + Excellent oral and written communication skills + Good… more
    CenterWell (09/12/25)
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  • Senior Responsible AI Data Scientist

    Humana (Richmond, VA)
    …through collaboration with diverse stakeholders across the enterprise, including legal, compliance , education, and IT. In this role, you will contribute to ... the enterprise, including model risk assessments, fairness evaluations, and compliance with ethical and regulatory standards. Champion transparency, accountability,… more
    Humana (09/26/25)
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