• Supervisor, Customer Solution Center Appeals…

    LA Care Health Plan (Los Angeles, CA)
    …(Min.) - $100,445.00 (Mid.) - $123,625.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created by the state of California ... to provide health coverage to low-income Los Angeles County residents. We...in a healthcare setting in Grievances and Appeals, Compliance, Claims or Call Center. At least 2 years of… more
    LA Care Health Plan (09/16/25)
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  • Network Relations Manager (Miami-Dade County)

    CVS Health (Coral Gables, FL)
    At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... health care. As the nation's leading health ...Medicaid policies and procedures, plan design, contract language, service, claims or compensation issues, and provider education needs. +… more
    CVS Health (09/14/25)
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  • Manager, Medicare Program Services Med D

    CVS Health (Phoenix, AZ)
    At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... health care. As the nation's leading health ...audit experience for our clients. Your ability to research claims , read benefit setups in RxClaim, and articulate risks… more
    CVS Health (08/30/25)
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  • Lead Data Scientist - Research and Development…

    Highmark Health (Honolulu, HI)
    **Company :** Highmark Health **Job Description :** **JOB SUMMARY** Are you an architect of interconnected data, driven by the belief that relationships hold the key ... network of patient journeys, disease progressions, and treatment efficacy? Highmark Health is seeking a groundbreaking Lead Data Scientist, Research & Development,… more
    Highmark Health (08/29/25)
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  • Speciality Billing coordinator

    Beth Israel Lahey Health (Burlington, MA)
    …of the Manager of Customer Service and Director of Executive - International Health the Specialty Billing Coordinator serves as a primary point of contact for ... estimates, collections for self-pay services, account initiation and coordination, claims submission, fee schedule maintenance, denials and customer service for… more
    Beth Israel Lahey Health (08/13/25)
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  • Reg Onc Hem Clinic Mgr RN

    Covenant Health Inc. (Knoxville, TN)
    …Oncology Group Overview: As a member of Covenant Health (http://www.covenanthealth.com/) and Thompson Cancer Survival Center (http://www.thompsoncancer.com/) , ... timely and accurate pre-authorizations, initial collections of co-pays, and billing of claims . Works with financial services for timely resolution of delayed … more
    Covenant Health Inc. (07/04/25)
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  • Senior Provider Audit Analyst

    Point32Health (Canton, MA)
    **Who We Are** Point32Health is a leading not-for-profit health and well-being organization dedicated to delivering high-quality, affordable healthcare. Serving ... members, Point32Health builds on the legacy of Harvard Pilgrim Health Care and Tufts Health Plan to...Sr Provider Audit Analyst is responsible for review of claims for accuracy of coding, benefit, payment, and contract… more
    Point32Health (08/07/25)
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  • Revenue Analyst, Bureau of Budget and Revenue

    City of New York (New York, NY)
    …to program administration. - Utilizes automated systems and tools to support public health research and analysis to ensure claims submitted to the Grantors ... for independent initiative and judgment, performs beginning level analysis in public health research cost. - Monitor the research operation costs of city, federal,… more
    City of New York (08/29/25)
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  • Assistant Director of Grants, Bureau of Revenue

    City of New York (New York, NY)
    …that the agency serves. Utilizes automated systems and tools to support public health research and analysis to ensure claims submitted to the Grantors ... with other areas within the agency, and with governmental and non-governmental public health agencies and bodies. The Assistant Director will be reporting to the… more
    City of New York (08/13/25)
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  • RCMI Senior Solution Technical Expert - Patient…

    Guidehouse (San Antonio, TX)
    …Performs configuration support and review/update Patient Accounting builds within Oracle Health (Cerner) EHR for insurance verification, claims submission, ... Cycle Management (RCM) professionals in support of our Military Health System client. These teammates will bring a vast...vast range of experiences across RCM within an electronic health record (EHR). The candidate should have experience working… more
    Guidehouse (07/17/25)
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