• Part-Time Pharmacy Technician I, Data Entry *$1K…

    Elevance Health (Mason, OH)
    …the best member experience to drive adherence, affordability, and improved overall health outcomes by putting the patient first._ **Part-Time Pharmacy Technician I, ... authorization requests from physicians offices and ensures compliance with Medicare requirements; informs relevant parties of all prior authorization determinations.… more
    Elevance Health (11/22/25)
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  • Case Manager Long-term Care - Specialty Case…

    Highmark Health (Dover, DE)
    …all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the ... coordinate, implement and evaluate care for eligible members with chronic and complex health care, social service and custodial needs in a nursing facility or home… more
    Highmark Health (11/21/25)
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  • Pharmacy Tech I

    Elevance Health (Pembroke Pines, FL)
    …authorization requests from physicians offices and ensures compliance with Medicare requirements; informs relevant parties of all prior authorization determinations. ... to grievances and appeals issues. + Responds to inquiries from physicians, sales team, and members related to formulary and prescription benefits. + Generates… more
    Elevance Health (10/16/25)
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  • Actuarial Analyst- Growing Healthcare Organization

    Fallon Health (Worcester, MA)
    …and inspiring hope, we strive to be the leading provider of government-sponsored health insurance programs-including Medicare , Medicaid, and PACE (Program of ... **Overview** **About us:** Fallon Health is a company that cares. We prioritize...analyses + Collaborate with cross-functional teams including finance, claims, sales , and product development to evaluate the impact of… more
    Fallon Health (10/22/25)
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  • Director of Value Performance Quality

    Blue Cross and Blue Shield of Minnesota (Eagan, MN)
    …Place of Work Hybrid Requisition ID 3375 Job Type Full Time Job Benefits Health Insurance Application Link https://www.click2apply.net/RG5gbWFWE4RXdCMBRTzgz4 ... leadership for all enterprise quality performance programs across the organization's Medicare , Medicaid, ACA, and Commercial lines of business. This position leads… more
    Blue Cross and Blue Shield of Minnesota (11/10/25)
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  • Saint Joseph VNA: Home Care Coordinator

    Trinity Health (Mishawaka, IN)
    …salary + Learning the industry's best, easy-to-use, advanced technology **Other benefits** + Health , dental and vision insurance + Short and long-term disability ... + Displays optimal critical thinking skills. + Knowledge of Medicare rules and regulations. + Working knowledge of managed...care setting, preferred. + Preferred (1-2) years' intake or sales experience a plus + Must have valid Driver's… more
    Trinity Health (10/27/25)
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  • Application Developer III - .Net experience…

    Fallon Health (Worcester, MA)
    …and inspiring hope, we strive to be the leading provider of government-sponsored health insurance programs-including Medicare , Medicaid, and PACE (Program of ... **Overview** **About us:** Fallon Health is a company that cares. We prioritize...Participation in the integration of multiple core systems including Sales , Admin, Member Services, Medical Record Management, Claims, and… more
    Fallon Health (09/24/25)
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  • Senior Director, Product Marketing

    Modivcare (Denver, CO)
    …+ Employer Paid Basic Life Insurance and AD&D + Voluntary Life Insurance (Employee/Spouse/Child) + Health Care and Dependent Care Flexible Spending Accounts ... that drive adoption and growth. Serving as the bridge between Product, Sales , and Marketing, this leader translates market, customer, and competitive insights into… more
    Modivcare (11/26/25)
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  • PA Office Support Representative

    Highmark Health (Buffalo, NY)
    …all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the ... Quality Assurance (NCQA), Utilization Review Accreditation Committee (URAC), Pennsylvania Department of Health , Department of Labor, the Center for Medicare and… more
    Highmark Health (11/18/25)
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  • Pharmacy Manager

    LEES MARKETPLACE (North Salt Lake, UT)
    …Bonus Eligible. + Pharmacy is closed on Sundays + Benefits packages including health insurance , Disability plans, EAP, 401k plans, and Supplemental Insurances. + ... + Participate in community wellness programs, clinical programs ( immunizations, MTM, Health Screenings, etc.) and in-store health events when applicable.… more
    LEES MARKETPLACE (10/11/25)
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