• Manager, Business Standards and Oversight

    Centene Corporation (Austin, TX)
    …one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national ... but not limited to the Centers for Medicare and Medicaid , state Medicaid organizations, and NCQA. Oversees...implementations, and internal and external audits with the timely delivery of high quality documentation and supportive needs. Align… more
    Centene Corporation (10/16/25)
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  • Hasa Regional Manager

    City of New York (New York, NY)
    …and manage the work of the Center Directors who provide administrative, and professional expertise in the delivery of services for approximately 40,000 clients. ... assistance with applying for public benefits and services including Medicaid , food stamps, and cash assistance. HASA also provides...city agencies on issues related to HASA Center service delivery and program initiatives to identify problems… more
    City of New York (10/15/25)
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  • Deputy Director Ddso 2, Bridge Deputy Director-…

    New York State Civil Service (NY)
    …promotional opportunities. For more information, please visit https://oer.ny.gov/training-and- professional -development.* Additionally, the Public Service Workshops ... toward achieving State Operations goals with regard to service delivery , human resources and quality assurance activities, and meeting...Program (PSWP) offers certain professional training opportunities for PEF represented and M/C designated… more
    New York State Civil Service (10/08/25)
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  • Registered Nurse Supervisor 1

    New York State Civil Service (Brooklyn, NY)
    …promotional opportunities. For more information, please visit https://oer.ny.gov/training-and- professional -development.* Additionally, the Public Service Workshops ... need (at direction of DON) to ensure coordination and delivery of nursing care. Coordinates DDSO-wide Hospital Liaison Function:*...Program (PSWP) offers certain professional training opportunities for PEF represented and M/C designated… more
    New York State Civil Service (10/16/25)
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  • Manager Revenue Cycle - Commercial Insurance

    Houston Methodist (Katy, TX)
    …giving direction to staff as necessary to ensure the best possible delivery of service and high customer/patient satisfaction. + Drives department service standards ... meetings, resources and equipment, to ensure staff competency and professional pathway progression. + Communicates updates/changes to processes, managed care… more
    Houston Methodist (10/14/25)
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  • Director Governmental Reporting

    Houston Methodist (Houston, TX)
    …Federal Tax Returns Health and Human Services (HHS)/Centers for Medicare and Medicaid Services (CMS) reporting, Federal and State Charity Reporting, Federal tax ... to staff as necessary to ensure the best possible delivery of service and high customer/patient satisfaction. + Drives...Directs the coordination, review and filing of Medicare and Medicaid cost reports and associated audits by the fiscal… more
    Houston Methodist (09/01/25)
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  • Field Reimbursement Manager Immunology GI- Seattle…

    J&J Family of Companies (Seattle, WA)
    …Function:** Market Access **Job Sub** **Function:** Reimbursement **Job Category:** Professional **All Job Posting Locations:** Seattle, Washington, United States of ... and affordability solutions across multiple payer types and plans (ie, Medicare, Medicaid Managed Care, Commercial). + Execute business in accordance with the… more
    J&J Family of Companies (09/27/25)
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  • Assistant Nurse Manager, Ortho Operating Room,…

    Penn Medicine (Lancaster, PA)
    …Manager, the Assistant Nurse Manager assesses, plans, implements and evaluates the delivery of patient care, and provides input into the development and evaluation ... of patient care. + Assists in providing for the professional growth and development of the nursing staff by...A health care provider in good standing with Medicare, Medicaid , and other federal and state health insurance programs,… more
    Penn Medicine (09/19/25)
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  • Registered Nurse (RN) Manager, Appeals…

    LA Care Health Plan (Los Angeles, CA)
    …Demonstrates professional judgement, and critical thinking, to promote the delivery of quality, cost-effective care. + Time management and priority setting ... to LA Care's Policies & Procedures that meet Centers for Medicare and Medicaid Services (CMS), the California Department of Health Care Services (DHCS), the… more
    LA Care Health Plan (09/09/25)
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  • Medical Director

    Blue KC (KS)
    Professional development courses, mentorship opportunities, and tuition reimbursement program ** **Paid parental leave and adoption leave with adoption financial ... assistance** **Employee discount program ** **Job Description Summary:** Provides medical leadership and physician advice for the Medical Management function.… more
    Blue KC (10/04/25)
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