UNKNOWN

FEED

In this role you will be supporting the FCR team in addition to a small clinical coder team of 2 clinical coders who will be responsible for performing in-depth quality audits of hospital claims to support ICD-10-CM and ICD-10 PCS codes as well as EDC (Emergency Department Coding), MS-DRG and APR-DRG reviews based on clinical determination. Acts as a resource and helps to validate post claim DRG downgrade denials related to coding and clinical determination to support appeal strategy, tracking by disease, payer and denial activity and works with teams to create transparency and improvements to mitigate and prevent denials.

At the Blue Cross and Blue Shield Association (BCBSA), we provide business strategy, technical support and consulting expertise to 36 Blue Cross and Blue Shield companies across the nation, employing more than 1,000 of the best strategic thinkers in the industry.  We are a Brand manager that sets quality control standards for the 36 independent companies that use the Blue Cross and Blue Shield Brands, and we serve as a trade association that represents these Blue companies. It is through our involvement that the Blues companies share a united vision and strategy while also benefiting from the local strength of all member companies.

Blue Cross and Blue Shield Association

Clinical Coding Analyst RN, Consultant

Overview of job: The Medicaid Claims Operations Consultant provides coordination and support for MES existing MMIS initiatives affecting operations related to the modernization of the MMIS and planning and support for the transition to the new Claims Processing and Management Services (CPMS) and Enterprise Data Services (EDS) environment and structure. These include transition to a new location, if needed, transition and cutover of operational units including call center, provider enrollment, mail room, prior authorization units, pharmacy operations, and EDI operations.

YEAR

NTT DATA Services, LLC

Medicaid Claims Operations Consultant

The Strategic Proposal Consultant's primary responsibility is to support the growth of Aetna membership by managing the development of customer focused and strategically oriented proposals that focus on overall capabilities and the Aetna value story. Support National Accounts, Middle Market, and Public & Labor business segments by responding to customer, prospect, broker, and consultant requests.(brokers/consultants, prospects and customers).

HOUR

CVS Health offers a world of promising job opportunities across a diverse range of careers in everything from corporate and pharmacy roles to retails positions. No matter where you work at CVS Health, your unique skills, talents and abilities are welcome and valued. We recognize and reward greatness and want our employees to know their work is making a difference in the lives of millions. Join us today. Together we can continue making innovative, high-quality health and pharmacy services safe, affordable and accessible – for all.

CVS Health Corp

Strategic Proposal Consultant

Founded in 1998 and headquartered in Farmington Hills, MI, Kyyba has a global presence delivering high-quality resources and top-notch recruiting services, enabling businesses to effectively respond to organizational changes and technological advances. We are proud of our work culture which embodies our core values; incorporating value, passion, excellence, empowerment, and happiness, creates a vibrant and productive atmosphere.

Kyyba group of companies are privately held and specialize in staff augmentation, application software and project solutions. In operation for more than 15 years, we have earned an enviable track record and reputation within all the industries we serve. Our unique processes and maturity enables us to understand the needs of the business organizations and provide business solutions that match the real and compelling needs of our customers. 
				Headquartered in Michigan, Kyyba has multiple office locations and we serve local, regional and national client base consisting of Fortune 500 and middle market companies. Kyyba extends the above solutions and services to a broad spectrum of industry verticals ranging from automotive, insurance, technology, financial, transportation, government and so on.

KYYBA, Inc

MS Dynamics 365 Business Central Consultant & Developer

jobdiva

The Solutions Consultant is the evolution of the traditional Sales Engineering role, aligning how we best serve our customers in understanding their environment, providing solution guidance and ensuring value realization in their investment with Palo Alto Networks. Demonstrating strong communication skills, influencing through effective presentations and customer-specific demos, and conducts technical engagements and workshops that are clear and impactful, simplifying complex ideas for various audiences.

Palo Alto Networks Inc

Solutions Consultant, USAF

We are seeking a client-facing Digital Manufacturing Solutions Consultant / Siemens Opcenter MES Consultant to help industrial organizations improve production operations through Manufacturing Execution System (MES) implementations, connected IT/OT architectures, and digital-transformation initiatives. Deliver MES capabilities such as production execution, electronic work instructions, dispatching, routing, WIP tracking, resource management, material consumption, product genealogy, lot and serial traceability, quality inspections, nonconformance, rework, and production reporting.

PROLIM Global Corporation

Siemens Opcenter MES Consultant

Lennar is one of the nation's leading homebuilders, dedicated to making an impact and creating an extraordinary experience for their Homeowners, Communities, and Associates by building quality homes and providing exceptional customer service, giving back to the communities in which we work and live in, and fostering a culture of opportunity and growth for our Associates throughout their career. Must have a valid state driver's license in order to take customers throughout the neighborhood and community, visit realtor offices, and to various other meetings in the process of self-generating sales.

Lennar Corp

New Home Consultant

This role serves as a key subject matter expert for coverage issues, advising internal teams and carriers on complex liability matters and ensuring claims are handled in accordance with applicable laws, regulations, and company guidelines. The position focuses primarily on Employment Practices Liability (EPL) and Professional Liability claims, with additional exposure to Businessowners Policy (BOP) and General Liability (GL) claims within program structures.

Davies Group Ltd

Senior Complex Claims Consultant / Claims Counsel

You'll combine hands-on installation with consultative sales, helping customers understand how security, IoT devices, and smart home products work together. Earning potential: Average of $105,000 annually with uncapped upsell commissions, job completion pay, quality bonuses, and referral incentives.

ADT Security Services, Inc

Smart Home Consultant

ea_via_bold

The Sales Consultant will provide business owners with PEO solutions that best benefit their company and employees by accurately identifying their needs, building strong relationships, closing the sale, and ensuring a seamless transition from the proposal process to the implementation of services. This position helps achieve Employer Flexible's mission by being passionate about providing a clear solution for prospects and clients that help drive their performance the right way while remaining profitable and positive for all stakeholders.

Employer Flexible

Sales Consultant- Alabama

Actual base salary will be based on factors including the scope and complexity of the role and the successful candidate's relevant experience, skills, knowledge, and work location. Through our winning combination of outstanding people and innovative technology, we're focused on ensuring that the travel experience of our customers is unforgettable from start to finish, for all the right reasons.

Global Business Travel Group Inc

Travel Consultant II

In assigned sales region, the Regional LTC Consultant networks with benefit brokers and employers to identify employer group prospects interested in worksite LTC solutions for their employees. Recruiting Vendors must have a valid written agreement and received prior written authorization from an authorized Brown & Brown representative before submitting candidates for any publicly posted role.

Brown & Brown Inc

Regional LTC Consultant

This role requires strong technical claims expertise, sound litigation judgment, coverage analysis capability, and the ability to partner effectively with carriers, insureds, defense counsel, coverage counsel, employment counsel, mediators, and internal stakeholders. Prior experience as Claims Counsel, Coverage Counsel, National General Adjuster, Executive General Adjuster, Senior Claims Examiner, Complex Claims Specialist, or Senior Complex Claims Consultant.

Senior Complex Claims Consultant / Claims Counsel - EPL/Professional Liability

Position Summary: The Commercial Sales Consultant is a sales representative that specializes in growing customer verticals within commercial intrusion, fire, access control, surveillance products and services. Company Overview: At Everon, we truly believe that our people are the difference - for our organization, the customers we serve and the communities we protect.

Everon solutions

Commercial Security Consultant

Actual base salary will be based on factors including the scope and complexity of the role and the successful candidate’s relevant experience, skills, knowledge, and work location. Through our winning combination of outstanding people and innovative technology, we’re focused on ensuring that the travel experience of our customers is unforgettable from start to finish, for all the right reasons.

Amex

sourcestack_via_bold

The Commercial Sales Consultant is a sales representative that specializes in growing customer verticals within commercial intrusion, fire, access control, surveillance products and services. With more than 100 locations, a deep national presence, and comprehensive portfolio of solutions and services, our employees are always poised for career advancement and growth.

Everon Jobs

The firm provides clients worldwide with customized service and a level of excellence that have become the firm's hallmark in several primary practice areas - ports and harbors; coastal, environmental and water resources; urban waterfronts and marinas; transportation, bridges and rail; inspection and rehabilitation; and energy. As part of the IT Group, the Development Manager / Technical Lead is a highly experienced technical leader and working manager responsible for leading and empowering the development team to deliver high-quality software solutions that align with the firm's objectives.

Moffatt & Nichol

Development Manager / Technical Lead for Engineering Consultant

Note that Guidehouse will never charge a fee or require a money transfer at any stage of the recruitment process and does not collect fees from educational institutions for participation in a recruitment event. What We Offer: Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.

Guidehouse

Supply Chain Optimization Senior Consultant

Southern Glazer's Wine and Spirits provides competitive compensation based on estimated performance level consistent with the past relevant experience, knowledge, skills, abilities and education of employees. Unless otherwise expressly stated, any pay ranges posted here are estimates from outside of Southern Glazer's Wine and Spirits and do not reflect Southern Glazer's pay bands or ranges.

Medical Consultant Jobs in Alabama

Clinical Coding Analyst RN, Consultant Blue Cross and Blue Shield Association

Medicaid Claims Operations Consultant NTT DATA Services, LLC

Strategic Proposal Consultant CVS Health Corp

MS Dynamics 365 Business Central Consultant & Developer KYYBA, Inc

Solutions Consultant, USAF Palo Alto Networks Inc

Siemens Opcenter MES Consultant PROLIM Global Corporation

New Home Consultant Lennar Corp

Senior Complex Claims Consultant / Claims Counsel Davies Group Ltd

Smart Home Consultant ADT Security Services, Inc

Sales Consultant- Alabama Employer Flexible

Travel Consultant II Global Business Travel Group Inc

Regional LTC Consultant Brown & Brown Inc

Senior Complex Claims Consultant / Claims Counsel - EPL/Professional Liability Davies Group Ltd

Commercial Security Consultant Everon solutions

Travel Consultant II Amex

Commercial Security Consultant Everon Jobs

Development Manager / Technical Lead for Engineering Consultant Moffatt & Nichol

Supply Chain Optimization Senior Consultant Guidehouse

Paramount Sales Consultant - Combo Birmingham - East Southern Glazer's Wine and Spirits LLC

Paramount Sales Consultant - Combo Dothan AL Southern Glazer's Wine and Spirits LLC

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