• Claim Specialist

    Elara Caring (Broken Arrow, OK)
    …leadership of the Orders and Claims Management team. + Performs claims audits for Medicare and non- Medicare claims through completion of claim audit Workflow. + ... is preferred + Working knowledge of Medical Terminology and Medicare /Medicaid rules is preferred + Proficiency with MS Office...laws of the State. You will report to the Senior Quality and Configuration Specialist. _This is not a… more
    Elara Caring (08/26/25)
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  • Executive Director, Chief Actuary

    Banner Health (Phoenix, AZ)
    …preparing and delivering reports and presentations, analyzing, developing, and/or submitting Medicare Advantage and Prescription Drug plan bid pricing tools and/or ... leadership. Will direct the preparation of rate filings to Centers for Medicare and Medicaid Services (CMS), Health and Human Services (HHS), Arizona's Medicaid… more
    Banner Health (08/23/25)
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  • Encounter Data Management Lead

    Humana (Frankfort, KY)
    …organization (HQRI). This support includes submission of encounter data to Medicaid, Medicare , and DSNP states and will require the ability to manage inventory, ... of data and develop tools to enhance the encounter acceptance rate by Medicaid, Medicare , and DSNP. This role will work on strategic initiatives and will need to… more
    Humana (08/19/25)
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  • PRN RN Home Health

    HCA Healthcare (Austin, TX)
    …public nursing or acute hospital nursing experience + Familiar with Medicare home health regulations, documentation requirements, ICD-10 coding and PPS (Strongly ... health, public nursing or acute hospital nursing experience Familiar with Medicare home health regulations, documentation requirements, ICD-10 coding and PPS… more
    HCA Healthcare (08/08/25)
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  • Accounts Receivable Supervisor/Manager

    Robert Half Accountemps (Mount Holly, NJ)
    …experience in accounts receivable functions and a strong understanding of Medicare and Medicaid operations. Responsibilities: * Oversee and manage the accounts ... collections activities to optimize cash flow. * Ensure compliance with Medicare and Medicaid regulations in all accounts receivable-related functions. * Collaborate… more
    Robert Half Accountemps (08/08/25)
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  • Manager, Enrollment - REMOTE

    Molina Healthcare (Omaha, NE)
    …needed + Primary point of contact for the internal partners, ie Medicare Administration, Compliance and Health Plan Operations. Coordinates and facilitates meetings ... findings + Identifies, defines and communicates opportunities for improvement to senior leadership + Strong knowledge of enrollment State, Federal, and business… more
    Molina Healthcare (08/01/25)
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  • Clinical Manager Home Health

    HCA Healthcare (Davie, FL)
    …you will need:** + Two years of experience within a licensed and certified ( Medicare ) home health agency required + Competent in Federal ( Medicare ) and Local ... future of nursing." Sammie Mosier, DHA, MA, BSN, NE-BC Senior Vice President and Chief Nursing Executive, HCA Healthcare...quality care during their recovery at home. We are Medicare certified. Our patients are under the supervision of… more
    HCA Healthcare (07/03/25)
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  • Director, Product Design

    Humana (Sacramento, CA)
    …accessible, and aligned with business priorities. You'll collaborate with senior leaders across Product, Engineering, Marketing, and Operations to define ... in complex ecommerce journeys like health plan selection. + Serve as a senior point of contact for cross-functional partners, ensuring alignment of UX strategy and… more
    Humana (09/10/25)
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  • Electric Utility Network Administrator

    Silicon Valley Power (Santa Clara, CA)
    …security incidents in accordance with departmental policy or direction from senior management, and provides technical leadership and mentorship to others. ... formula - employee pays 7.00% of gross pay + Medicare and Social Security (FICA) + Employee pays 6.20%...Auto Foreperson classification + Phone allowance of $80/month for Senior Key Customer Representative(s) and Key Customer Representative(s) job… more
    Silicon Valley Power (07/22/25)
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  • Physical Therapy Assistant

    Erickson Living (Springfield, VA)
    …the Erickson Senior Living community continuum of care + Following Medicare , state and federal regulations, APTA, and company policies and procedures and ensure ... Location: Greenspring Village by Erickson Senior Living Join our team as a Physical...a growing national network of communities managed by Erickson Senior Living, one of the country's largest and most… more
    Erickson Living (09/13/25)
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