• Clinical Care Manager

    WellSense (Manchester, NH)
    …health insurance company serving members across Massachusetts and New Hampshire through Medicare , Individual and Family, and Medicaid plans. Founded 25 years ago as ... to ensure appointment is made with the PCP or Specialist ; assessing for home health services, DME needs, and...than 740,000 members across Massachusetts and New Hampshire through Medicare , Individual and Family, and Medicaid plans. Founded in… more
    WellSense (08/22/25)
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  • Provider Relations Rep - Hybrid - 1 day/EO week…

    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 for the ... of providers' contracted services. + Orient and educate primary care, specialist , hospital, and ancillary providers by conducting physician and office staff… more
    Fallon Health (08/08/25)
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  • Social Work Case Manager

    AdventHealth (Hinsdale, IL)
    …Paid Time Off from Day One for FT/PT positions Student Loan Repayment Program for FT/PT positions Career Development Whole Person Wellbeing Resources Mental Health ... are provided and documented in a timely manner for compliance: Important Medicare Letters (IML), Medicare Outpatient Observation Notice (MOON), Patient Choice,… more
    AdventHealth (08/07/25)
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  • Associate Medical Director

    CenterWell (Jacksonville, FL)
    …indicators (KPIs), such patient experience via Net Promoter Score (NPS) and Medicare clinical quality via HEDIS, meeting local and organizational goals + Personally ... primary care including health promotion & prevention, disease management, effective specialist & hospital co-management, and complex care management + Spend 20-30%… more
    CenterWell (07/22/25)
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  • Associate Psychologist

    New York State Civil Service (NY)
    …administrative services, administrative oversight, training, special education, behavior specialist , habilitation specialist , project management, research, or ... This title is part of the New York Hiring for Emergency Limited Placement Statewide Program (NY HELPS). HELPS Program titles may be filled via a non-competitive… more
    New York State Civil Service (07/15/25)
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  • Prior Authorization Technician - Remote

    Polaris Pharmacy Services, LLC (Fort Lauderdale, FL)
    …Remote Position Type Full Time Job Category Pharmaceutical Description PRIOR AUTHORIZATION SPECIALIST (REMOTE) WHO WE ARE Polaris Pharmacy Services is an industry ... Authorization Technicians to join the Polaris team. OVERVIEW The Prior Authorization Specialist is responsible for managing and identifying a portfolio of rejected… more
    Polaris Pharmacy Services, LLC (09/11/25)
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  • Prior Authorization Supervisor

    Polaris Pharmacy Services, LLC (Covina, CA)
    …to all our team members. JOB SUMMARY: The Lead Prior Authorization Specialist is responsible for managing and identifying a portfolio of rejected pharmacy ... financial risks to Polaris and their customers. The Lead Prior Authorization Specialist must be responsive and courteous when addressing our customers' needs.… more
    Polaris Pharmacy Services, LLC (08/23/25)
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  • Health Facilities Evaluator II

    The County of Los Angeles (Los Angeles, CA)
    …PUBLIC HEALTH Opening Date 08/20/2020 + Description + Benefits + Questions Position/ Program Information FIRST DAY OF FILING: Friday, August 21, 2020 at 8:30 ... spot reviews of health facilities in the district. + Processes Medicare /Medi-Cal non-renewals and decertification and handles hearings and depositions related to… more
    The County of Los Angeles (07/22/25)
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  • Supv Clinical Documentation / HIM Clinical…

    Hartford HealthCare (Farmington, CT)
    …of Clinical Documentation Integrity (CDI) by providing day-to-day oversight of the program . They also represent and support CDI at the system/ facility levels. ... and guidelines are followed. **_Position Responsibilities:_** *Key areas of responsibility* ** Program Oversight** . Accountability for program system success,… more
    Hartford HealthCare (09/17/25)
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  • Certified Medical Assistant

    UnityPoint Health (Clarence, IA)
    …follow patients monitoring disease status. Schedule referrals for patients with specialist or outpatient as requested by the provider. Complete appropriate forms ... commitment to our team members. Our competitive Total Rewards program offers benefits options that align with your needs...support patient care. + Schedule referrals for patients with specialist or outpatient as requested by the provider. Complete… more
    UnityPoint Health (09/19/25)
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