• Utilization Review Specialist Nurse (RN)…

    Houston Methodist (Houston, TX)
    At Houston Methodist, the Utilization Review Specialist Nurse (URSN) position is a licensed registered nurse (RN) who comprehensively conducts point of entry and ... of care and ensures prompt notification of any denials to the appropriate case manager , denials, and pre-bill team members, as well as management. The URSN position… more
    Houston Methodist (11/02/25)
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  • Clinical Government Audit Analyst and Appeal…

    Stanford Health Care (Palo Alto, CA)
    …Health Care job.** **A Brief Overview** Clinical Government Audit Analyst and Appeal Specialist II plays a critical role in the Revenue Cycle Denials Management ... and communication skills. The Clinical Government Audit Analyst and Appeals Specialist II will collaborate with clinical staff, coding professionals, and external… more
    Stanford Health Care (11/14/25)
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  • SHP Pharmacy Benefits Specialist (Remote…

    Marshfield Clinic (Marshfield, WI)
    …benefits. This individual works closely with the Pharmacy Director, Clinical Pharmacy Specialist , and Operations Manager to provide consistent and accurate ... exciting missions in the world!** **Job Title:** SHP Pharmacy Benefits Specialist (Remote in WI)) **Cost Center:** 682891381 SHP-Pharmacy **Scheduled Weekly Hours:**… more
    Marshfield Clinic (11/11/25)
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  • HIM Audit Specialist / PB Coding

    Hartford HealthCare (Farmington, CT)
    …other common practices across the system.*__* *_Position Summary:_* The Audit Specialist is responsible for reviewing clinical documentation to determine appropriate ... 2. Researches literature from regulatory groups such as; HHS/OIG, Medicare , Medicaid, NGS, etc., professional and peer organizations' practices/policies/guidelines… more
    Hartford HealthCare (11/24/25)
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  • Growth & Community Engagement Sr Specialist

    Molina Healthcare (East Moline, IL)
    …Healthcare of Illinois** is seeking a dynamic **Community Engagement & Growth Sr Specialist ** in/near the Rockford or East Moline area **.** This role will help ... community-based organizations and providers to promote Molina's services. The Sr Specialist will collaborate with internal teams (Quality, Provider Relations, … more
    Molina Healthcare (10/16/25)
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  • Emergency Management Specialist

    AdventHealth (Orlando, FL)
    **Emergency Management Specialist ** **Location:** **All the benefits and perks you need for you and your family:** - Benefits from Day One - Paid Days Off from Day ... Under the direction of the System Safety Director, the Emergency Management Specialist plans, develops and oversees the All-Hazard approach to emergency response and… more
    AdventHealth (11/12/25)
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  • Revenue Cycle Specialist - Plastics…

    Houston Methodist (Houston, TX)
    At Houston Methodist, the Revenue Cycle Specialist is responsible for providing direct and indirect revenue cycle support to the Revenue Cycle Managers. It is ... identified by the Revenue Cycle Managers. In addition, the Revenue Cycle Specialist is responsible for resolving all outstanding third-party primary and secondary… more
    Houston Methodist (10/08/25)
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  • Workforce Specialist - Program Assistant II…

    State of Colorado (Pueblo, CO)
    Workforce Specialist - Program Assistant II - CMHHIP Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5148926) Apply  Workforce Specialist - ... reports directly to the Impact Administration Office (IAO) Workforce Manager (WM) of the Colorado Mental Health Hospital in...CBI & FBI fingerprint check, Colorado Court Database check, Medicare Fraud Database, TRAILS Database check. + Possess and… more
    State of Colorado (11/25/25)
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  • Patient Access Specialist

    Marshfield Clinic (Marshfield, WI)
    …most exciting missions in the world!** **Job Title:** Patient Access Specialist **Cost Center:** 101361550 Registration-Amb-MFD Reg **Scheduled Weekly Hours:** 40 ... (United States of America) **Job Description:** **JOB SUMMARY** The Patient Access Specialist serves as an initial contact for patients and customers, in-person and… more
    Marshfield Clinic (11/30/25)
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  • Patient Care Orders Specialist

    Elara Caring (Dallas, TX)
    …at the Right Time, in the Right Place. **Job Description:** **Patient Care Orders Specialist ** At Elara Caring, we care where you are and believe the best place ... to make a difference as the Patient Care Orders Specialist . Being a part of something this great, starts...branch level admission coordinator (eg, pre-admission coordinator, clinical team manager ). + Documents or tracks all orders and clinical… more
    Elara Caring (11/27/25)
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