• Physician Audit and Education Manager

    MedKoder (Mandeville, LA)
    …the direction of the Director of Physician Coding, the Audit and Education Manager is responsible for leading and maintaining the Auditing and Education team. This ... data, and ensuring goals align with organizational objectives. The Manager provides leadership to a team of auditors and...completion of at least one AHIMA or AAPC certified program with the achievement of the correlating professional credential… more
    MedKoder (11/09/25)
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  • Case Manager - PRN

    Houston Methodist (The Woodlands, TX)
    At Houston Methodist, the Case Manager PRN (CM) position is a licensed registered nurse (RN) who comprehensively plans for case management of a target patient ... admission, continued stay and resource use, appropriate level of care and program compliance. Identifies when services no longer meet InterQual/Millman l criteria,… more
    Houston Methodist (11/07/25)
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  • Niagara Visions PROS Office Manager

    Community Missions of the Niagara Frontier (Niagara Falls, NY)
    … << Back to Job Postings << Search Job Postings Position: PROS Office Manager Divison: Mental Health Recovery Services Program : Niagara Visions PROS General ... Overview: Responsible for daily administrative operations of the PROS program , including billing, records management, purchasing, scheduling, and staff support.… more
    Community Missions of the Niagara Frontier (11/06/25)
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  • Inpatient Care Manager (RN): Per Diem…

    Atlantic Health System (Morristown, NJ)
    …join the energetic and innovative team of healthcare professionals as a Inpatient Care Manager on the Care Management Team at Morristown Medical Center. This is a ... team to achieve optimal clinical and resource outcomes, work with the Supervisor/ Manager of Case Management to assess, plan, implement, coordinate, monitor and… more
    Atlantic Health System (11/01/25)
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  • Nurse Care Manager for Senior Care Option…

    US Tech Solutions (Malden, MA)
    …management managing geriatric/chronic illness populations required. Experience within a SCO program highly preferred. Experience in Medicare and/or Medicaid ... MA area** Under the administrative direction of the Clinical Manager , the Nurse Case Manager (NCM) for...Health, Adult Foster Care and the Personal Care Attendant Program . + Participation in routine primary care team meetings.… more
    US Tech Solutions (10/17/25)
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  • Clinical Manager , RN

    Fallon Health (Springfield, MA)
    …experience, service, and clinical quality. Fallon Health's Summit ElderCare(R) is a Program of All-Inclusive Care for the Elderly-PACE for short. PACE, an ... alternative to nursing home care, is a program that helps people 55 and older continue living...the leading provider of government-sponsored health insurance programs-including Medicare, Medicaid , and PACE- in the region. **Summary of purpose:**… more
    Fallon Health (11/14/25)
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  • Law Enforcement Investigator II - 1

    MyFlorida (Pensacola, FL)
    …409.920, Florida Statutes. These matters include but are not limited to: fraud against the Medicaid Program , false claims against the Medicaid program , ... law pertaining to fraud in the administration of the Medicaid program , investigate allege abuse or neglect...and timely cooperation with requests from the MFCU Accreditation Manager and members of the Accreditation Team. This is… more
    MyFlorida (12/11/25)
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  • Day Services Manager

    BrightSpring Health Services (Corsicana, TX)
    …life we encourage you to apply today! Responsibilities + The Day Services Manager is responsible for the operation of day services, including personnel, operational ... agency policy, state/federal regulations, or standards of service, and quality of program for persons served + Oversees/participates in the hiring process of all… more
    BrightSpring Health Services (12/05/25)
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  • Manager , Medicare Compliance

    Medical Mutual of Ohio (OH)
    …implementation and day-to-day management of Medical Mutual's Medicare Compliance Program , which supports both Medicare Advantage and Medicare Supplement products. ... Manages the implementation and operation of the Medical Mutual Medicare Compliance Program . + Serves as Medical Mutual's Medicare Compliance Officer. + Participates… more
    Medical Mutual of Ohio (09/23/25)
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  • Manager , Market Access Insights…

    J&J Family of Companies (Titusville, NJ)
    …America **Job Description:** **Johnson and Johnson Innovative Medicine is recruiting for a Manager , Market Access Insights and Analytics, GTN (Gross to Net) to be ... step of the way. Learn more at https://www.jnj.com/innovative-medicine **Purpose:** The Manager , Market Access Insights and Analytics, GTN is responsible for being… more
    J&J Family of Companies (12/13/25)
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