• Senior Financial Analyst- Physician Organization…

    Houston Methodist (Houston, TX)
    …May also be assigned to additional responsibilities; such as payer reimbursement analysis and financial reconciliation. **FLSA STATUS** Exempt **QUALIFICATIONS** ... **EDUCATION** + Bachelor's Degree in finance, accounting, healthcare administration, business administration or related field. **EXPERIENCE** + Three years of financial, budget or cost accounting analysis experience required; experience in a health care… more
    Houston Methodist (01/16/26)
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  • Senior Manager, National VBC Partner Optimization

    CVS Health (CT)
    …+ years of experience in program and process management within the healthcare payer or provider space + Adept at execution and delivery (planning, delivering, and ... supporting) skills + Familiarity with the Value Based Care provider space + Experience working in a highly matrixed environment + Demonstrate a commitment to diversity, equity, and inclusion through continuous development, modeling inclusive behaviors, and… more
    CVS Health (01/16/26)
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  • Patient Access Representative (Remote)

    Aveanna Healthcare (Oklahoma City, OK)
    …companies for a set portfolio of patients. -Contact physicians, practice staff, payer representatives and patients on a daily basis to review scheduled services ... and to ensure complete and accurate information is documented. Looking to work for a compassionate company that cares deeply for their patients? You've found us! Here at Aveanna we are dedicated to bringing new possibilities and new hope to those we serve.Come… more
    Aveanna Healthcare (01/16/26)
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  • Patient Service Specialist- Float

    Select Medical (St. Louis, MO)
    …business development team + Collect co-pays from patients, manage payer approvals, and conduct insurance authorizations and verifications **Qualifications** ... **Minimum:** + High School Diploma or GED **Preferred:** + 1 Year Front Desk experience + Healthcare experience **Additional Data** _Equal Opportunity Employer/including Disabled/Veterans_ Apply for this job… more
    Select Medical (01/16/26)
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  • Hospice Admission Coordinator

    Gentiva (Clanton, AL)
    …a seamless admission experience. + Obtain and verify insurance information, complete payer source verification, and assist billing staff to ensure accurate and ... timely reimbursement. + Participate in daily team meetings, marketing initiatives, and community education events to strengthen relationships with referral sources. + Maintain accurate admission and referral data in the company's information system. + Ensure… more
    Gentiva (01/16/26)
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  • Case Manager (PRN/Per Diem)

    Select Medical (Cleveland, OH)
    …Planning + Care Planning Management + Fiscal Management + Payer /Referral Management **Qualifications** **Minimum Qualifications** + Current Licensure per state ... guidelines in clinical or related discipline OR a Bachelor's or Master's in a health or human services discipline. **Preferred Qualifications** + Previous experience in Case Management and Discharge Planning preferred. + CCM Certification Preferred. **_*Post… more
    Select Medical (01/16/26)
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  • Occupational Therapist

    AdventHealth (Bolingbrook, IL)
    …maximum benefit is achieved or according to standards of practice and payer guidelines. **The expertise and experiences you'll need to succeed:** **QUALIFICATION ... REQUIREMENTS:** Master'sBasic Life Support - CPR Cert (BLS) - RQI Resuscitation Quality Improvement, Occupational Therapist (OT) - EV Accredited Issuing Body, Occupational Therapist - Temporary - Accredited Issuing Body **Pay Range:** $34.14 - $63.49 _This… more
    AdventHealth (01/16/26)
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  • Care Manager Transition of Care

    Centene Corporation (Austin, TX)
    …activities to ensure compliance with current state, federal, and third-party payer regulations + Provides feedback to leadership on opportunities to improve ... and enhance care and quality delivery for members in a cost-effective manner + Other duties or responsibilities as assigned by people leader to meet business needs + Performs other duties as assigned + Complies with all policies and standards… more
    Centene Corporation (01/16/26)
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  • Compliance Manager

    CVS Health (Hartford, CT)
    …and every day. **Position Summary:** As a Compliance Manager, you will oversee All Payer Claims Database (APCD) states. This role is critical in ensuring that our ... organization adheres to all regulatory requirements while effectively managing high risk areas. You will be responsible for overseeing the handling of vendor and regulator requests as related to laws, bulletins and other requests. In addition, you will be… more
    CVS Health (01/16/26)
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  • Utilization Management Physician Reviewer-FT

    CVS Health (IL)
    …recommend appropriate care and maintain compliance with CMS and payer guidelines. Responsibilities include reviewing service requests, documenting decisions, ... participating in quality improvement initiatives, and supporting care coordination efforts. Candidates must be licensed MDs or DOs with 3-5 years of clinical experience, including at least one year in utilization management for Medicare or Medicaid… more
    CVS Health (01/16/26)
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