• Access Service Representative-Patient Focus…

    Sharp HealthCare (La Mesa, CA)
    …visit and financial information in a manner that facilitate maximum financial reimbursement and promotes premier customer service. This role utilizes Patient Secure ... coverage through MCA for SRS/SCMG and MPV (or Portal) for potential Medicare or Medi-Cal.Use Coordination of Benefits (COB) standards to prioritize billing order… more
    Sharp HealthCare (09/13/25)
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  • HEDIS Program Manager II

    Centene Corporation (Harrisburg, PA)
    …Quality Improvement projects, programs highly preferred. + Knowledge of Medicaid, Medicare government programs preferred. Pay Range: $68,700.00 - $123,700.00 per ... including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement , paid time off plus holidays, and a flexible approach to work… more
    Centene Corporation (09/06/25)
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  • Manager , Compliance Risk Adjustment

    Centene Corporation (Tallahassee, FL)
    …landscape preferred + Risk Adjustment regulatory audit experience preferred + Medicare experience preferred Pay Range: $86,000.00 - $154,700.00 per year Centene ... including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement , paid time off plus holidays, and a flexible approach to work… more
    Centene Corporation (09/06/25)
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  • Associate Manager , Clinical Health…

    CVS Health (Richmond, VA)
    …transportation is required. Mileage is reimbursed per our company expense reimbursement policy. + Must reside in Virginia. **Preferred** **Qualifications** + Managed ... Medicare /Medicaid experience. + Previous leadership experience. + Computer literacy and experience with Microsoft Excel, Word, and web-based applications. + Ability… more
    CVS Health (09/05/25)
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  • Coding Manager

    Calvert Memorial Hospital (Prince Frederick, MD)
    …with 3 years supervisory experience + Possess a strong grasp of: * Medicare Severity - Diagnosis Related Groups (MS-DRG's) * All Patient Refined Diagnosis Related ... (MHAC) experience, required + Familiarity with Meditech, NextGen, and 3M coding and Reimbursement System, preferred + 3M 360 Encompass and HDM experience, a plus +… more
    Calvert Memorial Hospital (08/30/25)
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  • Clinical Case Manager Behavioral Health

    CVS Health (Topeka, KS)
    …optimal, cost-effective outcomes. - Telephonic clinical case management with Medicare population. - Uses Motivational Interviewing and engagement interventions to ... adequately perform work duties. Some candidates may be eligible for partial reimbursement of the cost of residential broadband service **Preferred Qualifications** -… more
    CVS Health (08/22/25)
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  • Nurse Manager / RN Required

    BrightSpring Health Services (Fort Wayne, IN)
    …with Company policies and procedures, state licensure and regulations, Medicaid and Medicare standards, as well as state reimbursement regulations + Leading ... case conferences and other client-related meetings + Chairing committees as appropriate, safety, infection control, incident review, and human rights committees + Facilitating communication and serving as a liaison between and among nursing and direct care… more
    BrightSpring Health Services (08/20/25)
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  • Assistant Pharmacy Manager

    BrightSpring Health Services (San Leandro, CA)
    …in the hospice industry. Specializing in providing hospice pharmacyservices since the Medicare benefit started in the 1980s, OnePoint Patient Care has grown to ... Tuition Assistance Employee Discount Program 401k Paid-time off Tuition reimbursement Non-retail/Closed-door environment Our Pharmacy group focuses on providing… more
    BrightSpring Health Services (08/16/25)
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  • Sales, Territory Manager - Respirtech…

    Philips (Omaha, NE)
    …evidence and obtaining medical record documentation. + Be an expert on Medicare , Medicaid and private insurance coverage-criteria for InCourage vest therapy. Be able ... 401k (up to 7% match), HSA (with company contribution), stock purchase plan, education reimbursement and much more. Details about our benefits can be found here. US… more
    Philips (08/14/25)
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  • Manager Benefit Administration - Sharp…

    Sharp HealthCare (San Diego, CA)
    …developing the Benefits Administration team across multiple lines of business ( Medicare Commercial, Government, etc.) to ensure benefit plans are designed ... or application of benefit interpretation guidelines, coverage policies, and/or reimbursement policies. + Working knowledge and experience with medical coding… more
    Sharp HealthCare (08/09/25)
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