• Customer Account Specialist - Government…

    RTX Corporation (Atlanta, GA)
    …only US citizens are authorized to access information under this program/ contract . **Security Clearance:** None/Not Required This position oversees the life-cycle of ... projects as required. + Demonstrates proficiency with government contracts and contract reviews.Able to provide recommendations or alternatives when it comes to… more
    RTX Corporation (08/02/25)
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  • Senior Provider Engagement Network…

    Centene Corporation (Jefferson City, MO)
    …5+ years of provider services experience required, including experience in a managed health care environment with exposure to provider contracting, servicing ... to providers. + Research, analyze and resolve complex problems dealing with contract loading, division of financial responsibility interpretation, contract rate… more
    Centene Corporation (07/31/25)
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  • Patient Financial Services Reimbursement…

    Nuvance Health (Danbury, CT)
    …ie, registration. 6. Follows through with education of rules and regulations in the managed care system, as well as, State & Federal guidelines. 7. Adjusts ... inquiries, denials, correspondence & telephone inquires. 4. Maintains all reports ( contract management) files and records as needed; ie, medical records, referrals,… more
    Nuvance Health (07/30/25)
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  • Insurance Specialist III

    Sutter Health (Sacramento, CA)
    …programs that may include property, automobile, pollution legal liability, cyber/privacy, managed care liability, directors and officers liability, employment ... to mitigate risk or loss throughout the organization. Reviews & negotiates contract language related to insurance and indemnification. This is a hybrid role… more
    Sutter Health (06/05/25)
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  • Specialist , Appeals & Grievances

    Molina Healthcare (Buffalo, NY)
    …**X** **PE** **R** **I** **E** **N** **C** **E:** + Min. 2 years operational managed care experience (call center, appeals or claims environment). + Health ... Responsible for meeting production standards set by the department. + Apply contract language, benefits, and review of covered services + Responsible for contacting… more
    Molina Healthcare (08/01/25)
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  • Specialist , Appeals & Grievances

    Molina Healthcare (Caldwell, ID)
    …High School Diploma or equivalency **REQUIRED EXPERIENCE:** + Min. 2 years operational managed care experience (call center, appeals or claims environment). + ... Responsible for meeting production standards set by the department. + Apply contract language, benefits, and review of covered services + Responsible for contacting… more
    Molina Healthcare (08/01/25)
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  • Patient Sales Specialist (Microsite Health)

    Mass Markets (IA)
    …applicant on the basis of age, ancestry, color, family or medical care leave, gender identity or expression, genetic information, marital status, medical condition, ... Provider (DXP), Account Receivables Management (ARM), Application Software Development, Managed Services, and Technology Services, to mid-market, Federal &… more
    Mass Markets (05/30/25)
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  • Senior Rebate Administrator

    Ascensia Diabetes Care (Parsippany, NJ)
    …Rebate Administrator will be assigned to process one or more of the following: Managed Care rebates, Medicaid claims, government and Trade/Mail Order claims, and ... Ascensia Diabetes Care is a global specialist diabetes...of experience processing one or more of the following: Managed Care rebates, Medicaid claims, government and… more
    Ascensia Diabetes Care (07/03/25)
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  • Director of Social Care Network (SCN)…

    Comunilife (New York, NY)
    …and meet performance milestones. + Lead cross-sector collaboration with CBOs, managed care organizations (MCOs), government entities, and technology partners. ... social care . This leadership role will oversee care delivery operations, manage high-performing teams, ensure contract...of the HRSN program staff that include the HRSN Specialist and HRSN Care Coordinator.This position is… more
    Comunilife (07/30/25)
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  • Provider Contracts Manager HP - Core (Must Reside…

    Molina Healthcare (Las Cruces, NM)
    …ensure effective and efficient business results. * Trains and monitors newly hired Contract Specialist (s). * Participates with the management team and other ... field including, but not limited to, provider's office, managed care , or other health care...multispecialty provider groups. * 3+ years experience in provider contract negotiations in a managed healthcare setting… more
    Molina Healthcare (07/16/25)
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