• Manager Benefit Administration - Sharp Health Plan…

    Sharp HealthCare (San Diego, CA)
    …benefit plans are designed appropriately and consistently and performance guarantees, service level agreements and operational goals are met. Ensures benefit ... Administration team members. Assumes additional responsibilities in the absence of the Director . **Required Qualifications** + 5 Years in HMO or Health Insurance… more
    Sharp HealthCare (08/09/25)
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  • Lead Systems Architect

    City of New York (New York, NY)
    Job Description APPLICANTS MUST BE PERMANENT IN THE COMPUTER SPECIALIST CIVIL SERVICE TITLE OR BE REACHABLE WITH THE SCORE OF 100 ON THE OPEN COMPETITIVE COMPUTER ... SPECIALIST EXAM (# 1139) Under minimum direction of the Director of Systems Operation & Management Control, with the...object-oriented Java systems. - Lead and conduct the of coding SQL stored procedures and designing SQL Server databases… more
    City of New York (08/09/25)
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  • Manager, Risk Adjustment Operations and Provider…

    Point32Health (Canton, MA)
    …perspectives, and experiences of all of our colleagues, which helps us to provide service with empathy and better understand and meet the needs of the communities ... enjoy the important work we do every day in service to our members, partners, colleagues and communities. Learn...business division goals. This position will report to the Director of Risk Adjustment Strategy, Operations and Quality Assurance.… more
    Point32Health (10/24/25)
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  • Utilization Review Nurse - Remote

    Martin's Point Health Care (Portland, ME)
    …prior authorization requests for specific inpatient and outpatient medical services , receives and reviews notification of emergent hospital admissions, completes ... reviews and will use effective relationship management, coordination of services , resource management, education, patient advocacy and related interventions to:… more
    Martin's Point Health Care (10/24/25)
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  • Speech Therapist

    Community Health Systems (Victoria, TX)
    …outcomes, and response to therapy in the medical record daily. + Ensures proper coding and accurate maintenance of charge logs for billing and compliance purposes. + ... and interdisciplinary team members to coordinate referrals for additional services when needed. + Provides education and training to...part of the application or hiring process, contact the director of Human Resources at the facility to which… more
    Community Health Systems (10/24/25)
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  • Physician

    Childrens Hospital of The King's Daughters (Suffolk, VA)
    …and clinical team consist of 11 staff on site and four off-site centralized services for triage calls, patient outreach coordinators, billing, and coding . The ... summarizes information in the medical record. + Determines need for additional services including but not limited to nursing, care coordination, social services… more
    Childrens Hospital of The King's Daughters (10/23/25)
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  • Speech Therapist PRN

    Community Health Systems (Springdale, AR)
    …outcomes, and response to therapy in the medical record daily. + Ensures proper coding and accurate maintenance of charge logs for billing and compliance purposes. + ... and interdisciplinary team members to coordinate referrals for additional services when needed. + Provides education and training to...part of the application or hiring process, contact the director of Human Resources at the facility to which… more
    Community Health Systems (10/18/25)
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  • EOB/Payment Analyst

    Prime Healthcare (Anaheim, CA)
    …dedicated to providing the community with high-quality, compassionate healthcare. Key services include general medical and surgical inpatient care and treatment, ... emergency services , surgical services , behavioral health, comprehensive heart...information visit www.westanaheimmedctr.com. Responsibilities Under the supervision of the Director , the Payment Review Specialist position is responsible for… more
    Prime Healthcare (10/13/25)
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  • Social Work Care Manager - Emergency Department

    Intermountain Health (Billings, MT)
    …of leaders. This position has departmental accountability for ambulatory care management services (may include all or a combination of the following: Medical social ... coordination. This position typically reports to the Enterprise Care Management Director Ambulatory & Community. Typical Distribution of Job Duties: 50% Tactical,… more
    Intermountain Health (10/10/25)
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  • Staff Accountant

    Grameen America, Inc (New York, NY)
    …report to the Director of Accounting and the Manager of Shared Services Accounting. The role will assist with the accounting and reconciliation processes in our ... Shared Services Center, a group within the accounting department which...process. + Performs weekly accounts payable process, ensuring proper coding of expenses and approval of purchases against budget.… more
    Grameen America, Inc (09/24/25)
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