• Healthcare Construction Project Manager

    Royal Electric (Dallas, TX)
    …We have a current opening for a Project Manager with Healthcare project experience in Dallas, TX. The Healthcare Project ... documentation including but not limited to submittals, RFI's, delay notices, potential claims , and extended overheads. + Maximize cash flow by balancing project cost… more
    Royal Electric (08/13/25)
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  • Manager of Delegated Credentialing & Enrollment

    Bassett Healthcare (Cooperstown, NY)
    …staff performance, and collaborates with internal departments to support clean claims and regulatory compliance. + Decision Maker + Credentialing & Enrollment ... Cycle Coordination + Collaborate with Revenue Cycle Management to resolve denied claims related to credentialing/enrollment + Monitor EPIC work queues to ensure… more
    Bassett Healthcare (10/02/25)
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  • Senior Health Economics Analyst

    ChenMed (Miami, FL)
    …and prioritize opportunities, and spot trends + Extensive knowledge of healthcare /medical economics data such as hospital/physician /ASC claims , utilization ... will make data-driven strategy recommendations in the Medicare Advantage and healthcare industry. This senior-level analyst position has the opportunity for impact… more
    ChenMed (10/14/25)
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  • Finance Director, Paragon Healthcare

    Elevance Health (Indianapolis, IN)
    **Be Part of an Extraordinary Team** **Finance Director - Paragon Healthcare ** _A proud member of the Elevance Health family of companies, Paragon Healthcare ... and prior leadership experience preferred. + Finance experience in a complex healthcare business, with complex data, such as Specialty and Infusion National Pharmacy… more
    Elevance Health (10/14/25)
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  • Healthcare Representative

    Insight Global (Newark, NJ)
    …benefit approval. They will be communicating with government agencies regarding status of claims and maintain documentation of claims . We are a company committed ... * 3+ years of customer service experience within a hospital or healthcare environment Strong communication skills Knowledge of federal & state programs that… more
    Insight Global (10/11/25)
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  • Provider Contracts Manager HP (Ltss - Michigan)

    Molina Healthcare (Ann Arbor, MI)
    …adequacy, financial performance and operational performance, in alignment with Molina Healthcare 's overall mission, core values, and strategic plan and in compliance ... for accurate and timely maintenance of critical provider information on all claims and provider databases. Synchronizes data among multiple claims systems… more
    Molina Healthcare (10/12/25)
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  • VP, Network Management & Operations (Washington…

    Molina Healthcare (Vancouver, WA)
    …include implementing programs that are in alignment with Molina Healthcare 's strategic and operating plan; providing day-to-day leadership and management ... oversight and provider network administration activities. Primary plan liaison for Claims , Member Services and other Corporate Departments. + Develops and implements… more
    Molina Healthcare (10/05/25)
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  • Director of Risk Management

    Prime Healthcare (Kansas City, KS)
    …physician practices Here are some of the benefits of working at Prime Healthcare : + Health, dental, and vision insurance options + Paid vacation, sick time ... heads for consistency + Coordinate with insurers on malpractice and liability claims , reviews coverage, and assists with negotiations and settlements + Act as… more
    Prime Healthcare (10/01/25)
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  • AVP, Encounters

    Molina Healthcare (Cincinnati, OH)
    …of encounters as well as provides leadership support at managing overall healthcare costs. + Ability to influence across multiple organizational functions - Payment ... Integrity, Claims , Encounters, Finance, and Actuarial + Proven experience in...increase operational efficiency, and effectiveness. **Knowledge/Skills/Abilities** + 8+ years Healthcare or Operational experience in related job. + 2… more
    Molina Healthcare (08/22/25)
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  • Senior Medical Director - Sharp Health Plan…

    Sharp HealthCare (San Diego, CA)
    …with medical management such as provider relations, member services, benefits and claims management, IT management, etc. + Plans, organizes, and directs the ... review and analysis of Plan performance from summary data of paid claims , encounters, authorization logs, complaint and grievance logs and other sources. +… more
    Sharp HealthCare (07/19/25)
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