• Risk and Compliance RN

    Prime Healthcare (Riverdale, GA)
    preferred . + Experience in risk management and/or professional liability claims management preferred . + Should be knowledgeable about current State ... in risk-related activities in this area + Provides assistance with claims investigation, management and litigation. Facilitates reporting of safety data/events.… more
    Prime Healthcare (12/09/25)
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  • QNXT Configuration Specialist - Sr

    Molina Healthcare (Ann Arbor, MI)
    …highly preferred . + Claims adjudication experience is highly preferred . **Job Qualifications** **Required Education** Associate 's Degree or two years of ... encounter processes, provider and contract configuration, provider information management, claims processing and other related functions. ** Preferred Education**… more
    Molina Healthcare (11/28/25)
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  • Caregiver Health RN Full-time Day

    Providence (Santa Monica, CA)
    …Heart Association upon hire. + 6 months as Staff RN, RNP, or PA. ** Preferred Qualifications:** + Bachelor's Degree or + Associate 's Degree + Certified ... pre-employment and annual employee physicals, assists in the processing of claims for work-related injuries and coordinates any necessary treatment, interacts with… more
    Providence (01/08/26)
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  • Accounting Assistant

    Sunrise Senior Living (Fort Belvoir, VA)
    …this job description are representative of the knowledge, skills, and abilities required. + Associate degree in Accounting or related field preferred + Two (2) ... develop effective working relationships with Medicare/Medicaid billing office to resolve claims and obtain timely reimbursement. + Develop and maintain current… more
    Sunrise Senior Living (01/04/26)
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  • Medical Charge Entry Specialist

    Robert Half Office Team (Indianapolis, IN)
    …to HIPAA and company policies. Requirements + High school diploma or equivalent; associate degree in a relevant field preferred . + Previous experience in ... making corrections promptly to maintain billing integrity. + Support accurate claims generation, assist with reporting, and help facilitate smooth month-end billing… more
    Robert Half Office Team (12/27/25)
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  • Medical Information Analyst

    BronxCare Health System (Bronx, NY)
    …accurate typing - Knowledge of Unified Reporting System (URS) a plus - Bilingual (Spanish preferred ) - High School or GED - Associate 's - Computer expertise in ... collection, analysis, implementation of and compliance with risk management and claims activities, support of and participation in Continuous Quality Improvement… more
    BronxCare Health System (12/10/25)
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  • (Full-Time) Park Support Specialist

    Huron-Clinton Metroparks (New Boston, MI)
    …employee committees MINIMUM QUALIFICATIONS - Park Support Specialist / Level 04: + Associate Degree in related field, Bachelors preferred . Applicants with 4 or ... account distribution, paid leave time used, etc. + Coordinates workers compensation claims process for park personnel. + Assists park manager with annual budget… more
    Huron-Clinton Metroparks (12/09/25)
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  • Configuration Management Analyst - Clinical…

    CareFirst (Baltimore, MD)
    …setup of code sets used for configuration in benefits & pricing for claims processing, claims editing configuration set-up and maintenance. Analyzes business ... required in addition to the required work experience. **Licenses/Certifications Preferred :** + Certified Configuration Management Professional **Experience:** 3 years'… more
    CareFirst (01/14/26)
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  • Manager, Fraud and Waste, Special Investigation…

    Humana (Santa Fe, NM)
    …offer a remote opportunity for this job. Our Fortune 100 Company values associate engagement & your well-being. We also provide excellent professional development & ... it takes to Succeed** + Bachelor's Degree + Minimum of 3 yrs health insurance claims or Medicare experience + Minimum 3 years of experience with Fraud, Waste, and… more
    Humana (01/08/26)
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  • Medicaid Provider Hospital Reimbursement…

    Humana (Columbia, SC)
    …responsible for administering complex Medicaid provider reimbursement methodologies. The associate will support existing Medicaid business and expansion into new ... closely with IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved in the administration of Medicaid… more
    Humana (01/07/26)
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