- WellSense (Manchester, NH)
- Clinical Care Manager WellSense Health Plan is a nonprofit health insurance company serving members across Massachusetts and New Hampshire through Medicare , ... our members, no matter their circumstances. **Job Summary** The Clinical Care Manager provides holistic medical care management services for members throughout the… more
- HCA Healthcare (Nashville, TN)
- …**Introduction** Do you have the career opportunities as a Quality Control Senior Manager you want with your current employer? We have an exciting opportunity for ... you want to work as a Quality Control Senior Manager where your passion for creating positive patient interactions...and addressing payer medical policy issues, supporting the regulatory compliance team, and enhancing the overall quality of our… more
- AON (Fort Washington, PA)
- Program Manager III- Account Management - AICPA Life and Disability Insurance Trusts In this role, the Program Manager III will play a pivotal role in managing ... Term Care (New York Life), Auto & Home (Liberty Mutual), and Medicare Supplement (Transamerica). Your responsibilities will include managing complex client matters… more
- Walgreens (Pella, IA)
- …and growing the business at the site. Performs all duties of the Pharmacy Manager in their absence. + Models and shares customer service best practices with all ... eligibility and all required reporting and documentation. + Responsible for ensuring compliance of team members regarding the documentation of patient management in… more
- Gentiva (Stockbridge, GA)
- **Overview** 7,500 SIGN ON BONUS We're looking for a **Patient Care Manager Senior** to join our team. You will report directly to the Executive Director or ... developing associates and ensuring adherence to company policies and procedures and compliance with local, state, and federal regulations and regulatory agencies. +… more
- Humana (Montpelier, VT)
- …community and help us put health first** The Special Investigations Unit Manager leads and monitors investigations of allegations of fraudulent and abusive ... practices. The Manager , Fraud and Waste works within specific guidelines and...+ Minimum of 3 yrs health insurance claims or Medicare experience + Minimum 3 years of experience with… more
- Humana (Tallahassee, FL)
- …of Provider Contracting Professionals who will be responsible for the Direct Agreements ( Medicare HMO and Medicaid). The Manager , Provider Contracting will lead ... of our caring community and help us put health first** The Manager , Provider Contracting initiates, negotiates, and executes physician, hospital, and/or other… more
- Amazon (San Francisco, CA)
- Description Amazon One Medical is seeking an experienced RN Patient Safety Manager to ensure the organization's systems and processes align with regulatory standards ... background in patient safety and healthcare regulations. The RN Patient Safety Manager will be responsible for shaping and advancing patient safety initiatives… more
- CVS Health (Irving, TX)
- …it all with heart, each and every day. **Position Summary** The Sr. Manager , Member A/R and Disputes requires an ambitious, motivated, and eager individual, looking ... all member-facing financial activities for CVS Health's Caremark business. The Sr. Manager will oversee all member A/R and collections activities for our mail… more
- BAYADA Home Health Care (Lebanon, MO)
- …is seeking a Registered Nurse (RN) to fill the position of a **Nurse Manager /Home Health RN** for our Medicare -certified home health office in **Lebanon, MO** ... Elm St. Lebanon, MO 65536_ **Duties of a Clinical Manager include:** + Directing and coordinating the care provided...Home Health Care experience. + Comprehensive knowledge of the Medicare Conditions of Participation and regulatory compliance .… more