• Home Care Manager

    Munson Healthcare (Traverse City, MI)
    …functions of our multisite Home Care offices. You'll ensure regulatory compliance ( Medicare , Medicaid , CHAP), manage budgets, set and meet key performance ... 3 years home care/hospice + Proven management experience + In-depth knowledge of Medicare / Medicaid regulations; CHAP standards preferred We're Looking For + A… more
    Munson Healthcare (09/19/25)
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  • Supervisor of Rehab Services

    HCA Healthcare (San Antonio, TX)
    …care of the organization and meets the requirements or regulations of JACHO, Medicare , Medicaid , and appropriate licensing or certified boards. The supervisor is ... the conditions of participation, requirements or regulations of the following: JCAHO, Medicare , Medicaid , Texas State Licensures, and Certification as required.… more
    HCA Healthcare (09/19/25)
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  • Risk Adjustment Supervisor - Coding Operations…

    CareFirst (Baltimore, MD)
    …Operations Supervisor supports the execution of the corporate coding strategy across Medicare Advantage, Medicaid , and ACA markets. This role ensures operational ... to leadership to ensure that all risk adjustment activities fully comply with Medicare , Medicaid , ACA, and state-specific regulations. Remain current on changes… more
    CareFirst (09/13/25)
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  • SNF Utilization Management RN - Compact Rqd

    Humana (Lincoln, NE)
    …non-compact states: California, Hawaii, Nevada, Oregon + Health Plan experience + Previous Medicare / Medicaid Experience a plus + Call center or triage experience ... are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ​… more
    Humana (09/12/25)
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  • Physician Coding Auditor

    MedKoder (Mandeville, LA)
    …and management, diagnostics, surgeries, and procedures in compliance with applicable Medicare , Medicaid , and third-party payer guidelines to ensure receipt ... CPT coding and guidelines by the AMA, ICD-10-CM coding and guidelines, and Medicare and Medicaid billing policies for professional services. + Experience working… more
    MedKoder (09/11/25)
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  • Senior Policy Consultant

    Blue Cross and Blue Shield of Minnesota (Eagan, MN)
    …policy adviser for legislative, regulatory, and public policy initiatives impacting Medicare , Medicaid , and government programs. Working closely with internal ... in business, policy or a related field is preferred. * Medicare , Medicaid , and government programs operations and/or policy experience is preferred. Preferred… more
    Blue Cross and Blue Shield of Minnesota (09/10/25)
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  • Director, Market Access Contract Operations - Job…

    Ascendis Pharma (Princeton, NJ)
    …Oversee the administration of rebate programs, including government rebates (eg, Medicaid , Medicare ), managed care rebates, and commercial rebates. Ensure ... models, and contracting strategies across various payer segments (eg, commercial, Medicare , Medicaid ). + Excellent negotiation, communication, and interpersonal… more
    Ascendis Pharma (09/09/25)
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  • Registered Nurse (RN) Supplemental Staff (Full…

    Penn Medicine (Lancaster, PA)
    …30 days of hire . + A health care provider in good standing with Medicare , Medicaid , and other federal and state health insurance programs, ie not excluded ... from participation in Medicare , Medicaid or any other federal or state health insurance program We believe that the best care for our patients starts with the… more
    Penn Medicine (09/05/25)
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  • Assistant Director of Nurses

    Bear Mountain Health Care (Boston, MA)
    …years supervisory experience in long term care . Strong knowledge of Medicare / Medicaid /Joint Commission guidelines required . Must be computer literate. ... supervisory experience in long term care * Strong knowledge of Medicare / Medicaid /Joint Commission guidelines required * Must be computer literate. Knowledge of… more
    Bear Mountain Health Care (09/02/25)
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  • Telephonic Care Coach

    Humana (Springfield, IL)
    …degree in a health or social service-related field. + Prior experience with Medicare & Medicaid recipients. + Previous experience with electronic case note ... are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ​… more
    Humana (09/02/25)
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