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Business Consultant

VirtualVocations

Working remotely from the greater Baltimore metropolitan area, the full-time Business Consultant will provide expertise in appeals and grievances for government programs, collaborating with cross-functional teams to enhance operational performance and ensure regulatory compliance. Key responsibilities Act as a liaison for interdepartmental collaboration on appeals and grievances, contributing to strategic initiatives and process improvements Design and manage dashboards for effective communication and track action items related to appeals and grievances audits Develop and update policies and standard operating procedures for Medicaid and Medicare Advantage, ensuring compliance with regulations Required qualifications Bachelor's Degree or 4 additional years of relevant work experience in lieu of a degree 5 years of experience in business development, operational technology support, or consulting Direct experience with appeals and grievances for government programs in a payor organization is preferred Proficiency in MS Office, particularly Excel, PowerPoint, and Word Exceptional project management and organizational skills

Vacancy posted more than 2 months ago

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