• Specialist , Appeals & Grievances

    Molina Healthcare (San Antonio, TX)
    …timelines are met. * Researches claims appeals and grievances using support systems to determine appropriate appeals and grievance outcomes. * Requests and reviews ... detailed bills as appropriate; formulates conclusions per protocol and other business partners to determine response; assures timeliness and appropriateness of… more
    Molina Healthcare (11/23/25)
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  • Specialist , Appeals & Grievances

    Molina Healthcare (Kenosha, WI)
    …and/or regulatory timelines are measured correctly. * Researches claims using support systems to determine **Provider No Surprise Act** cases outcomes. . * Requests ... and/or detailed bills as appropriate; formulates conclusions per protocol and other business partners to determine response. * Meets claims production standards set… more
    Molina Healthcare (11/21/25)
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  • Charge Integrity Specialist - PFS Revenue…

    Sharp HealthCare (San Diego, CA)
    …internal candidates, marketplace factors, other requirements for the position, and employer business practices. **What You Will Do** To be the operational subject ... Integrity Department and in alignment with the overall mission of Sharp HealthCare . **Required Qualifications** + 2 years' experience with hospital and ambulatory… more
    Sharp HealthCare (11/15/25)
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  • Specialist , Appeals & Grievances

    Molina Healthcare (Fort Worth, TX)
    …timelines are met. + Research claims appeals and grievances using support systems to determine appeal and grievance outcomes. + Requests and reviews medical ... detailed bills as appropriate; formulates conclusions per protocol and other business partners to determine response; assures timeliness and appropriateness of… more
    Molina Healthcare (11/07/25)
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  • Specialist , Community Engagement Medicare…

    Molina Healthcare (Oshkosh, WI)
    …customer and community engagement. **KNOWLEDGE/SKILLS/ABILITIES** + Demonstrate ability in business -to- business (B2B) sales and relationship building + Develop ... and events daily, weekly, and monthly results in SalesForce.com or other tracking systems . + Work closely with local health plan leadership and department, as well… more
    Molina Healthcare (10/12/25)
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  • Embedded Systems Senior Staff - Testing…

    GE Aerospace (Evendale, OH)
    …(HIL) testing in the initial design and field support of engine control systems throughout the life of the product. The role will include the design, ... validation of products and services . Creates robust component, logic and systems designs to ensure product safety, system and component reliability and preservation… more
    GE Aerospace (10/01/25)
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  • Business Development - Provider Onboarding…

    Mindful Support Services (Mountlake Terrace, WA)
    …- from our provider partnerships to our internal team culture. Position Summary The Business Development - Provider Onboarding Specialist is the main point of ... For over 14 years, we've provided administrative, operational, and business solutions to simplify credentialing, marketing, billing, and patient management… more
    Mindful Support Services (11/22/25)
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  • Patient Benefit Specialist - Remote

    KPH Healthcare Services, Inc. (Syracuse, NY)
    …Requirements:** + Broad knowledge of medications, physician orders, and pharmacy systems + Familiar with Enterprise billing options and practices surrounding claim ... Must provide superior customer service (for Noble customers, fellow employees and business partners), listen attentively to their needs and respond appropriately +… more
    KPH Healthcare Services, Inc. (09/11/25)
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  • Planning Specialist

    Aetos Systems, Inc. (Merritt Island, FL)
    Who We Are! Aetos Systems , Inc. was founded in early 2007 to provide a unique work experience. Employees are the foundation of our business . Our leaders work ... and innovations to our customers - solving real world business problems. Our culture focuses on our people --...in Cable, Transmissions, Operational Television, Timing, and Voice communication systems . This is a represented staff position with the… more
    Aetos Systems, Inc. (11/21/25)
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  • Principal Regulatory Affairs Specialist

    Abbott (Alameda, CA)
    …their glucose levels with our new sensing technology. The Opportunity The Principal RA Specialist - Business Partnerships will work on-site out of our Alameda, CA ... Abbott is a global healthcare leader that helps people live more fully...is an exciting opportunity with responsibilitiesrelated to new strategic business initiatives globally , which include breakthrough advancement in… more
    Abbott (11/19/25)
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