• Physician Advisor Clinical Appeals

    CommonSpirit Health (Englewood, CO)
    **Job Summary and Responsibilities** **This is a remote position.** **This position represents 1 of 2 available opportunities.** We are seeking a highly skilled ... candidate will also collaborate cross-functionally with Utilization Management, CDI, coding , and compliance teams to reduce inpatient denials, identify payer… more
    CommonSpirit Health (09/28/25)
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  • Clinical Program Manager

    Centene Corporation (Olympia, WA)
    …advance the objectives of strategic plan with key provider groups and/or hospital systems by supporting established committees and creating new work teams; including ... plans and monitoring open action items + Works closely with the Regional Medical Director to analyze data and develop and implement key interventions to support the… more
    Centene Corporation (09/27/25)
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  • Clinical Field Staff Supervisor (CFSS)-…

    HCR Home Care (Rochester, NY)
    …care in the home to HCR patients. Th is position may be remote , with appropriate approvals , and provides service, coordination, management during afterhours and ... before they are sent to physician. Notify Clinical Manager/Regional Director if unable to approve the order. + Assure...discharges. + Review evaluation documentation task (push SOC to coding and Recert to held stage ) . +… more
    HCR Home Care (08/13/25)
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  • Global HEOR manager

    Abbott (Alameda, CA)
    …Key external customers may include provider customers (physicians, registry or database director , hospital economic buyers ), private payers, HTA body, ... **The Opportunity** This position is an office based or remote opportunity in the Abbott Diabetes Care Division. We...in EMEA or US, covering reimbursement concepts (eg, coverage, coding , and payment), clinical and economic evidence needs of… more
    Abbott (10/03/25)
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  • Practice Manager - Behavioral Health

    Virtua Health (Mount Holly, NJ)
    …affiliated with Penn Medicine for cancer and neurosciences, and the Children's Hospital of Philadelphia for pediatrics. Location: Mount Holly - 175 Madison Avenue ... Remote Type: Hybrid Employment Type: Employee Employment Classification: Regular...Inpatient Behavioral Health clinical team. Travel to all four hospital campuses - Marlton, Mt Holly, Voorhees and Willingboro… more
    Virtua Health (10/08/25)
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  • Certified Cancer Registry Abstractor

    HCA Healthcare (Tampa, FL)
    …team members over the course of three years. **This is a remote /work from home position.** **Sign-On Bonus Eligible - Flexible Schedule!** **Benefits** Parallon, ... spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal… more
    HCA Healthcare (09/27/25)
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  • Clinical Appeals Reviewer

    AmeriHealth Caritas (Philadelphia, PA)
    …with all regulatory milestones + Review medical records to identify Hospital -Acquired Conditions (HAC), ensure proper documentation, billing code compliance, and ... the evaluation of appeals + Review appeal cases and ensure the Medical Director makes timely decisions; + Review final determinations and create decision letters… more
    AmeriHealth Caritas (10/13/25)
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  • Practice Manager - Endocrinology

    Virtua Health (Moorestown, NJ)
    …also affiliated with Penn Medicine for cancer and neurosciences, and the Children's Hospital of Philadelphia for pediatrics. Location: Moorestown - 401 Young Ave ... Remote Type: On-Site Employment Type: Employee Employment Classification: Regular...ensure an outstanding customer experience.* Consults with Lead Physicians, Director of Practice Management, Medical Directors and staff concerning… more
    Virtua Health (10/11/25)
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  • Collections Analyst

    BrightSpring Health Services (Longmont, CO)
    …OurCollections Analystsare integral members of our finance teams. This is a remote position. Applicants can live any where within the continental USA. Must ... & FSA Savings Accounts* Supplemental Coverage - Accident, Critical Illness and Hospital Indemnity Insurance* 401(k) Retirement Plan with Employer Match* Company paid… more
    BrightSpring Health Services (10/09/25)
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  • Reimbursement Analyst

    Prime Healthcare (Harlingen, TX)
    …join our corporate team! Responsibilities Under the supervision of the PFS Director , the Reimbursement Analyst position is responsible for accurate and timely ... compliance in payment practices. Qualifications Please note: This position is not remote and requires you to be onsite in Harlingen, Texas. EDUCATION, EXPERIENCE,… more
    Prime Healthcare (10/08/25)
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