• Prior Authorization Rep II

    University of Utah Health (Salt Lake City, UT)
    …and eleven clinics provide excellence in our comprehensive services, medical advancement, and overall patient outcomes. **Responsibilities** + Verifies insurance ... for insured patients. + Ensures accurate ICD, CPT codes and related medical records are submitted in the authorization request. Requires critical thinking to… more
    University of Utah Health (10/30/25)
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  • Health Policy Project Manager- Part Time

    Moses/Weitzman Health System (Meriden, CT)
    …system, we ground our efforts in the real-world experiences of patients and healthcare teams, ensuring our work is both **practical** and **impactful.** Its unique ... (M&E) of the implementation of a novel intervention within multiple, fast-paced healthcare setting. This role requires a strategic thinker with strong analytic… more
    Moses/Weitzman Health System (12/13/25)
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  • Provider Engagement Professional

    Humana (Oklahoma City, OK)
    …develops and grows positive, long-term relationships with physicians, providers and healthcare systems in order to support and improve financial and quality ... who develops and grows positive, long-term relationships with physicians, providers and healthcare systems in order to support and improve financial and quality… more
    Humana (12/07/25)
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  • Actuarial Analyst

    Humana (Bismarck, ND)
    …improving consumer experiences **Preferred Qualifications** + 2+ years of actuarial experience in healthcare + SAS or other coding skills + Medicare experience + ... Actuarial Analyst 2 position is a part of the HealthCare Economics team focused on evaluating programs and interventions...with CMS Star Ratings Travel: While this is a remote position, occasional travel to Humana's offices for training… more
    Humana (11/07/25)
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  • Senior Financial Business Systems Analyst - Hybrid

    Cedars-Sinai (Beverly Hills, CA)
    **Job Description** **Grow your career at Cedars-Sinai!** **Cedars-Sinai Medical Center has been named to the Honor Roll in US News & World Report's "Best Hospitals ... gain access to our groundbreaking biomedical research facilities and sophisticated medical education programs. We offer learning programs, tuition reimbursement and… more
    Cedars-Sinai (11/20/25)
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  • Primary Care Team Nurse Care Manager

    North Shore Community Health (Gloucester, MA)
    …North Shore Community Health (NSCH) is an industry leader in exceptional community healthcare delivery. The Primary Care Team Nurse Care Manager (PC team RN CM) ... Academy for behavioral health services. As a community-based safety net healthcare provider, NSCH actively encourages diversity and welcomes staff members who… more
    North Shore Community Health (11/19/25)
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  • Provider Engagement Professional 2 Ltss

    Humana (Springfield, IL)
    …and grows positive, long-term relationships with physicians, providers and healthcare systems. The Provider Engagement Professional (LTSS) roles and responsibilities ... on processes including claims submissions, recoupments, reconsiderations, authorizations, referrals, medical record management, Availity, Quality resources, and member resources.… more
    Humana (11/20/25)
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  • Associate Head (Vice Chief) for Clinical Affairs,…

    University of Colorado (Aurora, CO)
    …Cardiology and UCHealth operations, quality, safety, nursing; partner closely with Medical Directors and hospital Clinical Directors. Provide leadership for the ... **Work Location:** Onsite **Why Join Us:** **Why work for the University?** + Medical : Multiple plan options + Dental: Multiple plan options + Additional Insurance:… more
    University of Colorado (10/26/25)
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  • Principal Software Engineer

    Red Hat (Boston, MA)
    …practices and scalable system design. + Drive innovation by leveraging AI-assisted coding tools (eg, Claude Code, Gemini, Cursor) to improve productivity and ... may also be eligible for bonus, commission, and/or equity. For positions with Remote -US locations, the actual salary range for the position may differ based on… more
    Red Hat (12/04/25)
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  • Senior Full Stack Engineer - AI Enablement

    Humana (Salt Lake City, UT)
    …are selected, the first-round interview will consist of a "screen share" technical coding exercise. Please ensure you have the necessary tools and environment set up ... to facilitate this exercise. **Additional Information** **Location** : Louisville, KY ( Remote & Flexible Work Arrangements Available) **Reporting To** : Principal… more
    Humana (12/12/25)
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