• Value-Based Reimbursement Specialist

    Highmark Health (Montpelier, VT)
    …value streams, and population health management. **Preferred** + 7 years of experience in managed care , primary care management or other clinical setting. + ... actionable opportunities in provider transformation aimed at high-quality, cost-effective care while improving patient outcomes. + Provide consultative workflow… more
    Highmark Health (08/20/25)
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  • LTSS Support Specialist - Remote ( Must…

    Molina Healthcare (Ann Arbor, MI)
    …support role in healthcare, Medical Assistant preferred. * 2 years Long Term Care experience preferred and/or Managed Care experience. * Fluency ... team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care ,… more
    Molina Healthcare (09/06/25)
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  • Hospital Collections Specialist - Business…

    Emanate Health (Covina, CA)
    …Experience within an acute hospital setting, with strong emphasis on managed care contract and appeals/underpayment collection activities. Excellent customer ... at Emanate Health plays a vital role in the care we deliver. No matter what department you belong...2021, Emanate Health was named the #1 ranked health care system in the United States, and the #19… more
    Emanate Health (09/10/25)
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  • Provider Relations & Communications…

    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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  • Building Management Specialist Plant…

    Banner Health (Mesa, AZ)
    …Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations, you'll find many options ... of life, united by the common goal: Make health care easier, so life can be better. If changing health care for the better sounds like something you want to… more
    Banner Health (09/06/25)
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  • Case Management Specialist

    Parkview North Hospital (Fort Wayne, IN)
    care . Provides mentoring with staff in understanding and working in the managed care environment, developing capabilities of all team members and ... Summary Coordinates, verifies, negotiates alternatives and manages the care of Parkview Behavioral Health (PBH) patients to facilitate the achievement of quality and… more
    Parkview North Hospital (08/08/25)
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  • Logistics Specialist Senior- Surgical…

    Geisinger (Danville, PA)
    Job Summary Performs many of the non-clinical tasks required to deliver care . Coordinates the interaction of an assigned clinical area with Support Service ... support systems / processes. Job Duties + Supports the care delivery process by coordinating Logistics Services staff to...schedule. + Schedules breaks and lunches daily for all managed staff. + Rotates staff and alters schedules as… more
    Geisinger (09/06/25)
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  • Community Engagement & Growth Specialist

    Molina Healthcare (Buffalo, NY)
    …worker, Navigator, Assistor, Connecter, Promotora, Marketing, Sales, Growth, New York, MCO, Managed Care , ACA, FQHC, Behavioral Health, CHW, Community Health ... a "subject matter expert" (SME) by community and influencers on the health care delivery system and wellness topics. + Delivers presentations, attends meetings and… more
    Molina Healthcare (09/04/25)
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  • Ig Senior Health and Science Sales…

    Pfizer (Tallahassee, FL)
    …key thought leaders or high influence customers in large group practices, or managed care organizations preferred. + Strong organizational and analytical skills ... obstacles to gain access to difficult to see health care providers and customers. + Cultivate relationships with KOLs;...reports payments and other transfers of value to health care providers as required by federal and state transparency… more
    Pfizer (09/12/25)
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  • Co-Op: Quality Systems Specialist (6…

    Haleon (Oak Hill, NY)
    …supporting documentation reviews and learning how external quality systems are managed within a regulated environment. **Requirements:** + Pursuing a BS degree ... imposter syndrome hold you back! First and foremost we care about you as a person, not how many...you tick. Apply and let us know you better. ** Care to Join Us?** We will review all applications… more
    Haleon (09/06/25)
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