- Molina Healthcare (Columbus, OH)
- …experience with demonstrable successes in application of Lean/Six-Sigma. + Project management. + Process design & engineering. + Medicare . + Proven track record ... **JOB DESCRIPTION** **Job Summary** Leads business process improvement initiatives that result in operational efficiencies and/or an increase in customer… more
- Elevance Health (Los Angeles, CA)
- Care Consultant Sr . (California Provider Success) - JR133276 **Location** : Must reside **in the state of California** , and within 50 miles (1 hour commute) of ... above, at least 1 day per week. The **Care Consultant Sr .** for **Provider Success** is responsible...to identify key opportunity areas and provider needs. + Consultant support model consists of a continuous process… more
- Elevance Health (Manchester, NH)
- **Care Consultant Sr .** **Location** : Must reside in the state of **Maine** or **New Hampshire, and be within** 50 miles (1 hour commute) of our South Portland, ... local office 1- 2 days per week. The **Care Consultant Sr .** for **Provider Success** is responsible...to identify key opportunity areas and provider needs. + Consultant support model consists of a continuous process… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Senior Risk Manager (Registered Nurse) Full-Time, 80 Hours Per Pay Period, Day Shift Covenant Health Overview: Covenant Health is the region's ... to be named a Forbes "Best Employer" seven times. Position Summary: The senior risk manager is responsible for the facility's risk management activities, which… more
- Henry Ford Health System (Troy, MI)
- GENERAL SUMMARY: Reporting to the Manager, Revenue Integrity, the Revenue Integrity Senior Specialist has an important role in a high-profile group tasked with ... Under limited supervision from the Manager, Revenue Integrity or other more senior Revenue Integrity leaders, the Revenue Integrity (RI) Senior Specialist… more
- Humana (Nashville, TN)
- …help us put health first** The RN Senior Stars Improvement, Clinical Consultant / Professional executes the overall Medicare Stars Improvement Program within ... performance within the contracted working relationship with the health plan. The RN Senior Stars Improvement Consultant / Professional: + Builds and maintains… more
- Robert Half (Boston, MA)
- JOB REQUISITION Risk and Compliance - Healthcare Industry, Senior Consultant 2 LOCATION BOSTON ADDITIONAL LOCATION(S) NEW YORK CITY, SAN FRANCISCO, SEATTLE JOB ... You Protiviti is looking for a Risk and Compliance Senior Consultant to join our growing Healthcare...healthcare payer regulations and guidance with emphasis on the Medicare Managed Care Manual. + Expertise of core business… more
- Guidehouse (Mclean, VA)
- …Public Trust **What You Will Do** **:** Guidehouse is looking for a Senior Consultant to work on a Centers for Medicare and Medicaid Services (CMS) project ... CMS programs, specific to the Affordable Care Act. The Senior Consultant will work with a team...The individual will be expected to analyze data and process documentation; identify policy and program updates; update program… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. We are seeking an ... and HRIS job tables and reporting. + Administers the annual merit process ; recommends merit budgets and salary range movement and models costs.Develops timelines,… more
- Guidehouse (Mclean, VA)
- …development and transformation, strategic planning and implementation, business process improvement, risk management, change management and strategic communications, ... Federal Health Agencies: NIH (National Institutes of Health), CMS (Centers for Medicare & Medicaid), The VHA (Veterans' Health Administration), CDC (Centers for… more