• Health Insurance & Authorization Specialist

    Highland Hospital (Rochester, NY)
    **16795BR** **Title:** Health Insurance & Authorization Specialist I **Department/Cost Center:** 846 - Business Office/Cashiers **Job Description:** The Health ... Insurance and Authorization Specialist is responsible to assess and perform quality control...or Financial Assistance, reviews and validates MSP questions, monitors Medicare days for exhausted benefits, identifies and resolves coordination… more
    Highland Hospital (09/02/25)
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  • Senior Specialist , Quality…

    Molina Healthcare (Rockford, IL)
    …or Healthcare. ** Preferred Experience** + 1 year of experience in Medicare and in Medicaid. + Experience with data reporting, analysis and/or interpretation. ** ... surveys and federal/state QI compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Senior Specialist , Quality Interventions / QI Compliance contributes to one or… more
    Molina Healthcare (11/21/25)
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  • Senior Clinical Pharmacy Specialist

    UPMC (Pittsburgh, PA)
    …Health Plan has an exciting opportunity for a Senior Clinical Pharmacy Specialist in the Pharmacy Services department. This is primarily a work-from-home position ... clinical management of the designated line of business (Commercial, Exchange, Medicare , Medicaid, Exchange, and/or CHIP) from a pharmacy formulary and operational… more
    UPMC (11/22/25)
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  • Healthcare Staffing Specialist

    Aveanna Healthcare (Dallas, TX)
    Healthcare Staffing Specialist ApplyRefer a FriendBack Job Details Requisition #: 209012 Location: Dallas, TX 75287 Category: HR Salary: $40,000.00 per year Position ... skills are a plus. + Healthcare experience is highly preferred . + Proficiency in Microsoft Office Suite (Word and...work an after-hours on-call schedule. Note:As an employer receiving Medicare and Medicaid funds, employees must comply with all… more
    Aveanna Healthcare (11/19/25)
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  • Licensure and Provider Enrollment…

    BrightSpring Health Services (Louisville, KY)
    Our Company BrightSpring Health Services Overview The Licensure and Provider Enrollment Specialist will be a member of the Corporate Legal Department and will work ... with all Medicare and Medicaid enrollment applications and related renewals across...the legal and compliance departments. Qualifications + Bachelor's Degree preferred or an equivalent level of experience and education.… more
    BrightSpring Health Services (11/06/25)
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  • Healthcare Staffing Specialist

    Aveanna Healthcare (West Palm Beach, FL)
    Healthcare Staffing Specialist ApplyRefer a FriendBack Job Details Requisition #: 208389 Location: West Palm Beach, FL 33401 Category: HR Salary: $40,000.00 per year ... skills are a plus. + Healthcare experience is highly preferred . + Proficiency in Microsoft Office Suite (Word and...work an after-hours on-call schedule. Note:As an employer receiving Medicare and Medicaid funds, employees must comply with all… more
    Aveanna Healthcare (11/04/25)
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  • Revenue Cycle Specialist (Biller)

    Bluestone Physician Services (Stillwater, MN)
    …in the country (https://bluestonemd.com/2023/09/bluestone-aco-delivers-excellent-care-to-medically-complex-elderly-patients-saves- medicare -26-6-million/) as measured ... : Under the supervision of the Revenue Cycle Manager, the Revenue Cycle Specialist performs duties related to full claims processing from submission through payment.… more
    Bluestone Physician Services (10/31/25)
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  • Regulatory Specialist (S)

    SSM Health (Waupun, WI)
    …Hospital **Worker Type:** Regular **Job Highlights:** Exciting Opportunity for a Regulatory Specialist at SSM WI Memorial Hospital. Preferred background with ... a working knowledge of all The Joint Commission (TJC), Centers for Medicare & Medicaid Services (CMS) Conditions of Participation and State Hospital Licensing… more
    SSM Health (10/29/25)
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  • HIM Specialist II (Remote in Wisconsin)

    Marshfield Clinic (Weston, WI)
    …the most exciting missions in the world!** **Job Title:** HIM Specialist II (Remote in Wisconsin) **Cost Center:** 101651533 System Support-HIM-Document Imaging ... residents only eligible to apply**_** **JOB SUMMARY** The Health Information Specialist II is responsible for indexing all clinic and hospital documents,… more
    Marshfield Clinic (11/28/25)
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  • Sr Growth & Community Engagement Specialist

    Molina Healthcare (Decatur, IL)
    …Healthcare of Illinois** is seeking a dynamic **Community Engagement & Growth Specialist ** in/near the **Chicagoland** area **.** This role will help drive choice ... community-based organizations and providers to promote Molina's services. The Sr Specialist will collaborate with internal teams (Quality, Provider Relations, … more
    Molina Healthcare (11/27/25)
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