• Legal Nurse: Investigate Medicaid Fraud/Patient…

    New York State Civil Service (Syracuse, NY)
    …as well as quality assurance issues; * Case management, MDS 3.0 Resident Assessment, and/or managed care ; * Prior experience as a legal nurse consultant; and * ... $96 billion Medicaid program by investigating healthcare providers, such as pharmaceutical companies, doctors, hospitals, and nursing homes, who engage in Medicaid… more
    New York State Civil Service (09/12/25)
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  • Certified Medication Aide (CMA) - Estelle Unit

    UTMB Health (Huntsville, TX)
    …States** Allied Health UTMB Health Requisition # 2401344 The mission of Correctional Managed Care is to address the healthcare needs of underserved patient ... SUMMARY:_ Performs technical duties in the field of patient care and participates in the general health care...and maintains the upkeep of facility drug room and pharmaceutical equipment. + Enters medication compliance into the pharmacy… more
    UTMB Health (09/10/25)
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  • Provider Relations & Communications Specialist…

    Queen's Health System (Honolulu, HI)
    …Microsoft Office applications (ie Outlook, Word, Excel, PowerPoint). * Knowledge of managed care and healthcare operations preferred. * Prior experience working ... understand the support services available to them through QCIPN for clinical care coordination, transitional care management, quality, risk adjustment, and other… more
    Queen's Health System (09/09/25)
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  • Pharmacy Lead Technician - Purchasing and Recall…

    University of Washington (Seattle, WA)
    …with a strong sense of customer support + Interest and aptitude for health- care and information technology + Three years of Pharmacy purchasing of equivalent ... others to ensure that the supply chain processes are managed in a timely and appropriate fashion + Coordinate...a timely and appropriate fashion + Coordinate communication of pharmaceutical shortages for the organization + Prepare outdated and… more
    University of Washington (09/04/25)
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  • Certified Medication Aide - (CMA) PBL- Lychner…

    UTMB Health (Humble, TX)
    …**New** Allied Health UTMB Health Requisition # 2501324 The mission of Correctional Managed Care is to address the healthcare needs of underserved patient ... : Performs technical duties in the field of patient care and participates in the general health care...and maintains the upkeep of facility drug room and pharmaceutical equipment. + Enters medication compliance into the pharmacy… more
    UTMB Health (09/04/25)
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  • Oncology Biosimilars Sales Specialist

    Pfizer (Tampa, FL)
    …key thought leaders or high influence customers in hospitals, large group practices, or managed care organizations; OR an associate's degree with 4+ years of ... responsibilities, ranging from representing Pfizer's monoclonal antibodies and supportive care biosimilars to healthcare providers and specialists, to educating… more
    Pfizer (09/11/25)
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  • HR Business Partner - Remote

    Dragonfly Health (Mesa, AZ)
    …Professional (SHRM-CP) credential is preferred. + Hospice, durable medical equipment, pharmacy, managed care or other pertinent health care services ... Health - A great place to land** Dragonfly Health is the leading care -at-home data, technology and service platform, and the industry's first scale durable medical… more
    Dragonfly Health (08/22/25)
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  • Medical Director (Medical Affairs)

    CVS Health (Springfield, IL)
    …Combination of five years of management and/or clinical experience in a managed care environment and health administration, including adequate clinical ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
    CVS Health (08/09/25)
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  • Clinical Solutions VP - Remote

    Prime Therapeutics (Pierre, SD)
    …12 years of work experience in medical and pharmacy drug management within a PBM or managed care organization + Must be eligible to work in the United States ... optimizing drug utilization, patient outcomes, and cost-effectiveness through value-based care models, digital health initiatives, and patient support program +… more
    Prime Therapeutics (09/10/25)
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  • Associate Director, Health Plans

    University of Southern California (Los Angeles, CA)
    …(MBA) or Health Administration (MHA) or related. . Knowledge and experience in managed health care . General understanding including but not limited to: claims ... and identifies and implements strategies to reduce costs and improve quality of care and services. . Develops strategies for communicating and promoting programs to… more
    University of Southern California (09/10/25)
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