• Appeals and Grievance Specialist

    Commonwealth Care Alliance (Boston, MA)
    …clinical, operations, pharmacy, dental, reporting, and member services. + Supports the Senior Appeals & Grievance Coordinator and A/G Coordinator in day-to-day tasks ... and update operational processes. Complaints Monitoring: + Supports daily monitoring of Medicare and EOHHS's Complaints Tracking & Management (CTM) Module and timely… more
    Commonwealth Care Alliance (08/20/25)
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  • Director, Health Plan Expert, Market Access…

    Sanofi Group (Morristown, NJ)
    …in commercial reimbursement changes, changes to government programs (ie, Medicaid, Medicare , 340B), new payment models, innovative pricing strategies, and potential ... into quantifiable impact to the business. + Skilled at conducting senior leadership engagements & presentations. + Thorough understanding of payer landscape… more
    Sanofi Group (08/19/25)
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  • Licensed Nursing Home Administrator

    Sodus Rehab & Nursing Center (Gowanda, NY)
    …care plans + Ensure compliance with state and federal regulations related to senior care facilities + Develop and implement policies and procedures to enhance ... nursing home facilities + Strong knowledge of long-term care regulations, Medicare /Medicaid, and healthcare management. + A commitment to providing high-quality care… more
    Sodus Rehab & Nursing Center (08/19/25)
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  • Clinical Business Operations Representative 2…

    University of Miami (Miami, FL)
    …including room reservations, catering, and greeting visitors. + Provide coverage for Senior Administrative Assistants as needed. + Track, process, and submit faculty ... + Assist with credentialing and re-credentialing, maintain provider licenses, DEA, Medicaid/ Medicare records. + Coordinate with clinical operations staff to align… more
    University of Miami (08/19/25)
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  • Value Based Payor Contracting Program Analyst

    WellSpan Health (York, PA)
    …and voluntary value-based/pay for performance programs with Contracted Commercial, Medicare Advantage and Medicaid MCO Payors and appropriate WellSpan Health's ... and Federal MCO regulatory programs + Collaborates with Quality Directors, Senior Management, and other value-base team members to provide financial information… more
    WellSpan Health (08/19/25)
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  • Occupational Therapist

    Signature Healthcare (Clarksville, TN)
    …facilities have achieved a 4 or 5-star overall rating from the Centers for Medicare & Medicaid Services. Additionally, we have been awarded as a certified Great ... To learn more about our benefits offered, please contact Jenny Collins, Senior Director of Talent Acquisition, directly at ### or ###@signaturehealthcarellc.com. At… more
    Signature Healthcare (08/17/25)
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  • Activities Assistant

    First Atlantic Health Care (Saco, ME)
    …Healthcare, part of the Atlantic Heights Community, is a fully-licensed Medicaid/ Medicare -certified facility offering 105 beds. Our Maintenance Team at Seal Rock ... long standing reputation for excellence in long term care, assisted living and senior living. As an Activities Assistant you will: + Assist with planning and… more
    First Atlantic Health Care (08/16/25)
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  • MDS Coordinator (RN) 7500 Bonus

    Cassia (Des Moines, IA)
    …Develop initial and temporary care plans. + Assist Case Manager with Medicare scheduling, monthly billing, charting, and issuing notices of non-coverage. + Document ... discounts, and connecting with our amazing residents. Cassia is a nonprofit, mission-driven senior care organization with over 200 years of experience. As a Cassia… more
    Cassia (08/16/25)
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  • Sr. Compliance Analyst - Remote

    Prime Therapeutics (Santa Fe, NM)
    …Analyst - Remote **Job Description** The Regulatory Inquiry & Complaints Senior Compliance Analyst assists in the implementation of Prime's compliance programs, ... or PBM organization, or other highly regulated industry, including experience with Medicare , Medicaid, and the Affordable Care Act (ACA) + Must be eligible… more
    Prime Therapeutics (08/14/25)
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  • Quality Project Manager (Michigan)

    CVS Health (Lansing, MI)
    …operational plan + Evaluates and prioritizes recommendations for quality improvement to senior health plan management + Helps to evaluate the Plans HEDIS Strategy ... Certification - Lean Six Sigma (Green/Black Belt) - Tableau Dashboards/Analytics - Medicare / Medicaid experience -Experience with HEDIS Metrics, CAHPS Member… more
    CVS Health (08/14/25)
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