• Manager of Price and Gross-to-Net (GTN)…

    Takeda Pharmaceuticals (Cambridge, MA)
    …is true to the best of my knowledge. **Job Description** Join Takeda as the Manager of Price and Gross-to-Net (GTN) Forecasting within the US Business Unit. For this ... GTN discounting components for your portfolio products - including Medicare, Medicaid , payer and incentive rebates, chargebacks, and government pricing calculations… more
    Takeda Pharmaceuticals (11/22/25)
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  • Manager , Organ Recovery Coordinators

    LifeCenter Northwest (Bellevue, WA)
    …Salary Position Type Full Time Travel Percentage Up to 50% Description The Manager , Organ Recovery (ORM), supports the mission, goals, and strategic plan of ... with Association of Organ Procurement Organizations (AOPO), Center for Medicare and Medicaid Services (CMS), and UNOS Guidelines. + Partners with Learning &… more
    LifeCenter Northwest (12/22/25)
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  • Manager , Organ Donation Coordinators

    LifeCenter Northwest (Bellevue, WA)
    …- $174,000.00 Salary Position Type Full Time Description and Qualifications The Manager , Organ Donation Coordinators, supports the mission, goals, and strategic plan ... of Organ Procurement Organizations (AOPO), Center for Medicare and Medicaid Services (CMS), and UNOS Guidelines. + Works with...This position requires regular, time-sensitive travel to and from case activity across the region. As such, the ability… more
    LifeCenter Northwest (12/05/25)
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  • Outcomes Manager , Behavioral Health,…

    Virtua Health (Mount Holly, NC)
    …and complete documentation of individual plan of care in EMR and case management documentation system. Metrics- Accountable to job specific goals, objectives and ... clinical nursing (RN) experience or Social Work Minimum of 1 year Case Management or other interdisciplinary experience including Homecare Coordination in an Acute… more
    Virtua Health (12/09/25)
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  • Recovery - Coordinator 2

    Louisiana Department of State Civil Service (Baton Rouge, LA)
    …6 years of professional work experience. + Minimum 1 year professional experience with Medicaid Long Term Care and Home and Community Based Service (HCBS) ... system. + May serve as backup to management (ie Medicaid Program Supervisor, Medicaid Program Manager...Advanced degree. + Minimum 2 years professional experience with Medicaid Long Term Care and HCBS programs.… more
    Louisiana Department of State Civil Service (11/05/25)
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  • Utilization Review Nurse Coordinator (40 Hour)

    State of Connecticut, Department of Administrative Services (East Hartford, CT)
    …utilization review and/or quality assurance programs; + Conduct various types of case reviews for quality and appropriate medical management, cost containment, peer ... evaluates and monitors documentation of all hospital disciplines when performing case reviews; + Attend professional workshops, seminars and in-service training; +… more
    State of Connecticut, Department of Administrative Services (12/17/25)
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  • Information and Eligibility Specialist Brevard…

    Community Based Care of Brevard, Inc. (Rockledge, FL)
    …and processes client information to determine eligibility for Federal/State funding and Medicaid . In this role you will assist in resolving problems, locating ... Obtains and maintains appropriate eligibility documentation Completes applications for Medicaid and Federal/State Funds Maintains open communication with Protective… more
    Community Based Care of Brevard, Inc. (12/11/25)
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  • LTSS Coordinator - Nevada

    System One (Las Vegas, NV)
    …5-month contract opportunity working 100% remote. Candidates can reside anywhere in the US as long as they have a current license for the state of Nevada. ALTA IT ... LTSS Coordinator - Nevada monitors and promotes effective utilization of long -term services and supports through clinical review and benefits management. Essential… more
    System One (12/26/25)
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  • Audit & Reimbursement III and Senior

    Elevance Health (Charleston, WV)
    …contracts for Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs. The **Audit and Reimbursement III** ... with the federal government (The Centers for Medicare and Medicaid Services (CMS) division of the Department of Health...independently on assignments and under minimal guidance from the manager . + Prepare detailed work papers and present findings… more
    Elevance Health (12/30/25)
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  • Medical Social Worker

    Bellefaire JCB (Cleveland, OH)
    …Team" (https://vimeo.com/894121531) on Vimeo! POSITION SUMMARY: The Medical Social Workers (Medical Case Manager ) is responsible for providing medical case ... Utilizing a holistic approach to case management, the Medical Social Workers (Medical Case Manager ) administers the full scope of Medical Case Management… more
    Bellefaire JCB (11/24/25)
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