• Acquisition Integration Advisor

    Humana (Salt Lake City, UT)
    …of experience consulting/supporting large scale, strategic initiatives. + Previous healthcare or managed care experience, preferably in the Medicaid space. + ... moderate to substantial. This position provides the opportunity to lead /manage large cross-functional enterprise implementations that impact our members, providers,… more
    Humana (09/18/25)
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  • Project Manager - Healthcare Claims Management

    Integra Partners (Troy, MI)
    …277, 820). + Proven experience leading cross-functional projects in a payer or managed care environment. + Strong understanding of CMS, Medicaid, and ... KNOWLEDGE/SKILLS/ABILITIES The PM's responsibilities include but are not limited to: + Lead and manage end-to-end projects focused on healthcare DME claims. + Serve… more
    Integra Partners (09/18/25)
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  • Director, Government Contracts - Remote In

    Molina Healthcare (GA)
    …of education and experience. **Required Experience** * 3-5 years experience in a managed care environment, with at least 2 years supervisory or management ... Medicare, Marketplace, and other government-sponsored programs to provide health care services to low income, uninsured, and other populations.… more
    Molina Healthcare (09/17/25)
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  • Account Consultant III (Remote)

    CareFirst (Baltimore, MD)
    …a book business which includes more complex accounts with indemnity and managed care medical products, ancillary/specialty products, and life products. This ... expected to assist in guiding and mentoring less experienced staff. May lead a team of matrixed resources. **QUALIFICATIONS:** **Education Level:** Bachelor's Degree… more
    CareFirst (09/17/25)
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  • Billing & Reconciliation Representative 2

    Dragonfly Health (Mesa, AZ)
    …experience in a hospice environment is preferred. * Durable medical equipment, pharmacy, managed care or other pertinent health care services industry ... * This position does not have supervisory or managerial responsibilities but may lead and review the work of other departmental employees. **Knowledge, Skills &… more
    Dragonfly Health (09/10/25)
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  • Business Office Coordinator

    Trinity Health (Muskegon, MI)
    …Skills and Abilities:** Minimum Knowledge of medical terminology. Working knowledge of managed care insurance plans and revenue cycle process. Strong written ... our differences, we grow stronger together and deliver more compassionate, person-centered care . We are an Equal Opportunity Employer. All qualified applicants will… more
    Trinity Health (09/05/25)
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  • Director, Market Access and Channel Strategy

    Takeda Pharmaceuticals (Boston, MA)
    …specialty products preferred understanding of US payer market dynamics and how managed care organizations make decisions across commercial and public channels ... the most optimal access positions for patients. You will lead the IRA drug price "negotiation" program (DPNP) strategy,...**More about us:** At Takeda, we are transforming patient care through the development of novel specialty pharmaceuticals and… more
    Takeda Pharmaceuticals (09/02/25)
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  • Vice President, Perioperative Ambulatory…

    Sutter Health (Los Altos, CA)
    …consistency across different locations. **Knowledge:** + Thorough understanding of the California managed care and health care industries including the ... (VP), Perioperative Ambulatory and Ancillary Operations, Silicon Valley Division will lead division operations in the areas of: Imaging, Pharmacy, Genetic… more
    Sutter Health (08/13/25)
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  • Supv Patient Accounting

    Covenant Health Inc. (Knoxville, TN)
    …and intermediaries, knowledge of third party reimbursement with working knowledge of Network/ Managed Care issues, and a thorough understanding of collection and ... Health when making decisions or taking action and ensure that meetings lead to solutions. Qualifications Minimum Education: None specified; will accept any… more
    Covenant Health Inc. (07/25/25)
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  • Senior Director, Commercial Analytics…

    Sun Pharmaceuticals, Inc (Princeton, NJ)
    …nations largest wholesalers, distributors, warehousing and non-warehousing chain drugstores as well as managed care providers. Our goal is to continue to develop ... to enhance commercial performance. **Responsibilities:** **Leadership and Collaboration** + Lead the company-wide initiative to identify, consolidate, and harmonize… more
    Sun Pharmaceuticals, Inc (10/03/25)
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