• Medicare -Medicaid Pharmacy Director

    Humana (Lansing, MI)
    …for our Fully Integrated Dual Eligible Special Needs Plan (FIDE-SNP) Michigan Medicare - Medicaid health plan. The individual leverages a broad understanding of ... off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. **About us** Humana Inc. (NYSE: HUM) is… more
    Humana (09/09/25)
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  • Senior Director, Auditing, Monitoring & Oversight…

    Centene Corporation (Raleigh, NC)
    …management of department overseeing compliance with regulations and laws related to Medicare line of business, which includes implementation of elements of an ... process for overseeing compliance with regulations and laws related to Medicare requirements + Provides guidance to various business departments regarding compliance… more
    Centene Corporation (07/05/25)
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  • Medicare Risk Adjustment Advanced Analyst…

    Elevance Health (Grand Prairie, TX)
    ** Medicare Risk Adjustment Advanced Analyst Senior** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and ... dynamic and adaptable workplace. Alternate locations may be considered. The ** Medicare Risk Adjustment Advanced Analyst Senior** is responsible for creating… more
    Elevance Health (08/16/25)
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  • Business Office Manager

    Manchester Center for Rehabilitation and Healing (Manchester, TN)
    …that patient manages his own funds + HMOdisenrollments, MLTC enrollments, Application for Insurance benefits ( Medicare A or B) if deemed necessary Business ... with how to apply for Tennessee Medicaid + General understanding of Medicare and HMO insurance billing + Ability to multi-task and meet deadlines + Excellent… more
    Manchester Center for Rehabilitation and Healing (09/06/25)
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  • Field Reimbursement Manager

    Adecco US, Inc. (Baltimore, MD)
    …prior authorizations, and/or claim adjudication, physician's office or clinics. * Must have Medicare and commercial insurance coverage experience. * Must be able ... readiness and adoption. 7. Serve as a subject matter expert on Medicare and commercial payer structures, translating complex benefit data into actionable insights… more
    Adecco US, Inc. (08/22/25)
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  • Financial Analyst

    University of Utah (Salt Lake City, UT)
    …preferred. Certain positions may require familiarity with hospital billing systems, Medicare and insurance reimbursement regulations, etc. Applicants must ... + **Flex spending accounts** + University provided**basic employee life insurance **coverage equal to a salary of up to $25,000...a salary of up to $25,000 + Variety of elective** insurance coverage**, including life insurance , short and… more
    University of Utah (09/12/25)
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  • Occupational Therapist | Skilled Nursing | Sign…

    Logan Health (Kalispell, MT)
    …all required documentation in a timely manner according to payer guidelines ( Medicare , private insurance , Medicaid) and Montana practice guidelines for ... benefits package that includes: + Health, Dental, and Vision insurance + 401(k) with generous matching + Employer-provided life... + 401(k) with generous matching + Employer-provided life insurance + Voluntary life and disability insurance more
    Logan Health (09/02/25)
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  • Quality Assurance Representative

    WTW (Raleigh, NC)
    …combination of education and experience. Insurance license and/or experience with insurance products ( Medicare health insurance , Life Insurance , ... etc.) is a plus. .Ability to read and comprehend simple instructions., .Strong written communication skills, ability to present/describe situations and communicate findings and results .Ability to add, subtract, multiply, and divide in all units of measure,… more
    WTW (07/29/25)
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  • Collections Specialist II - Managed…

    Community Health Systems (Franklin, TN)
    Job Summary The Collections Specialist II - Managed Medicare is responsible for managing outstanding patient accounts, ensuring accurate and timely collections from ... insurance companies, third-party payers, and self-pay patients. This role...and self-pay patients. This role requires strong knowledge of insurance processes, medical billing, and collection regulations to maximize… more
    Community Health Systems (09/10/25)
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  • Business Office Manager

    Care Initiatives (Centerville, IA)
    …functions, including Accounts Receivable (AR), Accounts Payable (AP), resident billing, Medicare /Medicaid, and insurance claims. . Maintain accurate financial ... collections in a healthcare or long-term care setting. . Familiarity with Medicare , Medicaid, and insurance reimbursement processes. . Strong organizational and… more
    Care Initiatives (09/07/25)
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