• Field Medical Director, Cardiology

    Evolent (Helena, MT)
    …current exclusion or sanction by any state or federal health care program, including Medicare or Medicaid, and is not identified as an "excluded person" by the ... Human Services or the General Service Administration (GSA), or reprimanded or sanctioned by Medicare . + No history of a major disciplinary or legal action by a state… more
    Evolent (08/29/25)
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  • Field Medical Director, Oncology

    Evolent (Helena, MT)
    …current exclusion or sanction by any state or federal health care program, including Medicare or Medicaid, and is not identified as an "excluded person" by the ... Human Services or the General Service Administration (GSA), or reprimanded or sanctioned by Medicare . . No history of disciplinary or legal action by a state medical… more
    Evolent (08/29/25)
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  • Field Medical Director, Interventional Cardiology…

    Evolent (Helena, MT)
    …current exclusion or sanction by any state or federal health care program, including Medicare or Medicaid, and is not identified as an "excluded person" by the ... Human Services or the General Service Administration (GSA), or reprimanded or sanctioned by Medicare . + No history of a major disciplinary or legal action by a state… more
    Evolent (08/29/25)
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  • Sr. Analyst, Managed Care

    Gilead Sciences, Inc. (Foster City, CA)
    …managing Gilead's day-to-day administration and processing of all Managed Care Commercial/ Medicare Part D contract payments, in support of the contract development ... rebate payment processing across channels and customers, including Commercial plans, Medicare Part D, Medicaid and Health Exchanges, with limited supervision to… more
    Gilead Sciences, Inc. (08/28/25)
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  • Manager, Medical Economics (Medicaid) - REMOTE

    Molina Healthcare (Scottsdale, AZ)
    …performance is achieving desired results + Keep abreast of Medicaid and Medicare reforms and their impact on Molina Healthcare **JOB QUALIFICATIONS** **Required ... hospitals, network, ancillary, medical facilities, healthcare vendor, commercial health insurance company, large physician practices, managed care organization, etc.)… more
    Molina Healthcare (08/27/25)
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  • APC - Primary Care at Home

    Kelsey-Seybold Clinic (Houston, TX)
    …insurers to offer value-based commercial health plans and is in-network with major insurance plans. KelseyCare Advantage, a Medicare Advantage plan offered to ... achieved an overall rating of 5-out-of-5-stars as part of the Centers for Medicare and Medicaid CMS annual assessment for eight consecutive years, including 2024.… more
    Kelsey-Seybold Clinic (08/27/25)
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  • Sr. Medicaid Regulatory Pricer Analyst

    Zelis (Plano, TX)
    …Medicaid billing, reimbursement, claim payment or cost reporting. + Experience with Medicare / Medicare Advantage or commercial billing and reimbursement a plus ... match, flexible paid time off, holidays, parental leaves, life and disability insurance , and health benefits including medical, dental, vision, and prescription drug… more
    Zelis (08/27/25)
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  • Home Health RN Clinical Manager Full Time

    Aveanna Healthcare (Hendersonville, TN)
    …Offerings: + 401(k) with company match + Health, dental, vision, life, and pet insurance + Mileage reimbursement and cell phone allowance + Generous PTO, sick time, ... in a healthcare setting (home health or hospice) + Medicare Skilled Nursing experience and a basic understanding of...a basic understanding of OASIS As an employer accepting Medicare and Medicaid funds, employees must comply with all… more
    Aveanna Healthcare (08/27/25)
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  • Medical Assistant

    CenterWell (Clarksville, IN)
    …administrators. Nearly 250,000 total patients served in 2022, including those in Medicare Advantage, value-based arrangements or other Medicare programs. As a ... paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. **About Us** About CenterWell Senior Primary… more
    CenterWell (08/26/25)
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  • Lead Medical Director

    Blue KC (MO)
    …+ Knowledge with 3 years of the managed care industry including Medicare Advantage, and/or Managed Commercial products, Integrated Delivery Systems, health ... insurance , other healthcare providers, clinical group practice management. +...practice management. + Experience in medical oversight for a Medicare Advantage product. + Evidence of analytic and interpretation… more
    Blue KC (08/26/25)
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