• Healthcare Litigation Attorney/Lawyer

    Robert Half Legal (King Of Prussia, PA)
    …and problem-solving skills. Responsibilities: * Handle litigation cases involving healthcare facilities, hospitals, and medical malpractice claims . * ... Description We are looking for a dedicated Healthcare Litigation Attorney to join our team in...opportunity to work on complex litigation cases within the healthcare industry, including matters related to healthcare more
    Robert Half Legal (12/05/25)
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  • Associate Specialist, Provider Contracts HP

    Molina Healthcare (Orem, UT)
    …& ABILITIES** : 1 year customer service, provider service, contracting or claims experience in the healthcare industry. **PREFERRED EDUCATION** : Associate's ... adequacy, financial performance and operational performance, in alignment with Molina Healthcare 's overall mission, core values, and strategic plan and in compliance… more
    Molina Healthcare (12/11/25)
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  • Sr Product Manager - Claims Management

    Waystar (Atlanta, GA)
    …with hands on experience in the financial and operational challenges facing the healthcare provider market. We are looking for someone who can lead game changing ... and weaknesses of competitors to define new opportunities + Studying healthcare industry standards and staying up-to-date on industry changes and compliance… more
    Waystar (12/11/25)
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  • Sr. Product Manager - Claims Management

    Waystar (Louisville, KY)
    …reports, and assessing strengths and weaknesses of competitors + Studying healthcare industry standards and staying up-to-date on industry changes and compliance ... and the provider reimbursement process, obtained either through direct experience in a healthcare setting or an RCM focused HIT company + Provided leadership on a… more
    Waystar (11/07/25)
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  • Medical Director - IP Claims Management

    Humana (Raleigh, NC)
    …provides medical interpretation and determinations whether services provided by other healthcare professionals are in agreement with national guidelines, CMS and ... management organizations, hospitals/ Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management. + Utilization management… more
    Humana (12/11/25)
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  • Medical Director - OP Claims Mgmt

    Humana (Juneau, AK)
    …medical interpretation and determinations whether services provided by other healthcare professionals are in agreement with national guidelines, CMS requirements, ... management organizations, hospitals/ Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management. + Utilization management… more
    Humana (11/24/25)
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  • Claims Service Representative

    Centers Plan for Healthy Living (Staten Island, NY)
    Centers Plan for Healthy Living's goal is to create the ultimate healthcare experience that provides our members, their families, healthcare decision makers, and ... general caregivers with the guidance and plans they need for healthy living. Individualized professional and personal growth is a primary focus at CPHL. With various teams to match the unique strengths of each individual, tiered roles to support the… more
    Centers Plan for Healthy Living (10/14/25)
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  • Business Strategy Plan Director- MedEx Management

    Elevance Health (Mason, OH)
    …acumen strongly preferred. + Prior experience with managed care, trend & healthcare analytics, provider networks, claims , finance, and operations strongly ... human capital resources, and partners with care management, network, claims & operational teams, IT, and business partners. +...dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with… more
    Elevance Health (12/10/25)
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  • Claims Analyst

    Ochsner Health (Jefferson, LA)
    …for exposure to communicable diseases. Because the incumbent works within a healthcare setting, there may be occupational risk for exposure to hazardous medications ... or hazardous waste within the environment through receipt, transport, storage, preparation, dispensing, administration, cleaning and/or disposal of contaminated waste. The risk level of exposure may increase depending on the essential job duties of the role.… more
    Ochsner Health (12/13/25)
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  • Senior Data Scientist

    Blue Cross Blue Shield of Massachusetts (Boston, MA)
    …is a subject matter expert in cutting edge data science techniques; experience with healthcare data, and especially claims , is a major plus. We are looking ... Ready to help us transform healthcare ? Bring your true colors to blue. What...and delivery of data solutions + Direct experience with claims data a major plus + BA/BS required; MS,… more
    Blue Cross Blue Shield of Massachusetts (10/23/25)
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