• Medical Social Worker (LSW/LCSW) - BroMenn…

    Carle Health (Normal, IL)
    …or risk management issues. Assess patients who are uninsured/underinsured for IL Medicaid eligibility and/or Carle Financial Assistance Program eligibility. If ... assistance and advocacy to patients in obtaining financial resources and government entitlements. Provides information and counseling for advance directives, power… more
    Carle Health (10/23/25)
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  • Trainer V

    Conduent (East Hartford, CT)
    …and on-going operations. **Preferred** + Have experience in public sector or Government sector with healthcare, Medicaid and/or CHIP. **Flexible Working** At ... + Show experience with design, development, and delivery of training programs including training needs analysis, training evaluation and instructor evaluation. +… more
    Conduent (12/07/25)
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  • Actuarial Analyst- Growing Healthcare Organization

    Fallon Health (Worcester, MA)
    …strive to be the leading provider of government -sponsored health insurance programs -including Medicare, Medicaid , and PACE ( Program of All-Inclusive Care ... methodologies, and results in compliance with ASOPs, CMS guidance, and state /federal requirements + Contribute to the automation and streamlining of actuarial… more
    Fallon Health (12/17/25)
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  • Temporary to Hire Prior Authorization RN - Hybrid…

    Fallon Health (Worcester, MA)
    …strive to be the leading provider of government -sponsored health insurance programs -including Medicare, Medicaid , and PACE ( Program of All-Inclusive Care ... home health care, DME, nutrition, and genetic testing utilizing established state , federal, and internally developed benefit and clinical coverage criteria against… more
    Fallon Health (12/14/25)
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  • Director, Women's Services

    Granville Medical Center (Oxford, NC)
    …standards established by The Joint Commission, Centers for Medicare & Medicaid Services (CMS), hospital bylaws, departmental regulations, institutional policies and ... with experience) + Sign On Bonus Eligible + Retirement Benefits: NC Local Government Pension Plan (5-year vesting period) + Loan Forgiveness: Eligible employer for… more
    Granville Medical Center (11/20/25)
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  • Director, Women's Services

    Granville Health System (Oxford, NC)
    …standards established by The Joint Commission, Centers for Medicare # Medicaid Services (CMS), hospital bylaws, departmental regulations, institutional policies and ... with experience) Sign On Bonus Eligible Retirement Benefits: NC Local Government Pension Plan (5-year vesting period) Loan Forgiveness: Eligible employer for… more
    Granville Health System (11/19/25)
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  • Member Appeal & Grievances Triage Admin…

    Fallon Health (Worcester, MA)
    …strive to be the leading provider of government -sponsored health insurance programs -including Medicare, Medicaid , and PACE ( Program of All-Inclusive Care ... decisions. + Ensure that all grievances/appeals are processed in adherence to state and federal regulations (ie, CMS, MassHealth, OPP), contractual obligations, NCQA… more
    Fallon Health (11/18/25)
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  • Pre-Authorization Specialist 1

    Rush University Medical Center (Chicago, IL)
    …clearance, accounting, or customer service. * Knowledge of insurance and governmental programs , regulations, and billing processes eg, Medicare, Medicaid , Social ... authorization to support insurance specific plan requirements for all commercial, government and other payors across hospital (inpatient & outpatient), ED, ancillary… more
    Rush University Medical Center (10/22/25)
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  • Payer Relations Specialist

    Waystar (Atlanta, GA)
    …with payers, including health insurance companies, managed care organizations, and government agencies. + Create new, mutually beneficial data exchanges that drive ... and understanding of the driving forces in the local, state , and national healthcare markets and the ability to...systems, and is connected to over 5K commercial and Medicaid /Medicare payers. We are deeply committed to living out… more
    Waystar (09/29/25)
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  • Support Staff Supervisor

    Fallon Health (Dartmouth, MA)
    …health and inspiring hope, we strive to be the leading provider of government -sponsored health insurance programs -including Medicare, Medicaid , and PACE- in ... 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… more
    Fallon Health (12/17/25)
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