• Member Appeal Analyst

    Corewell Health (Grand Rapids, MI)
    …product lines + 2 years of relevant experience Extensive knowledge of managed care products and regulatory and accreditation requirements, maintain knowledge ... Federal decisions are properly implemented. Assist the Lead, Supervisor and/or Manager in coordinating activities and in the development/collection of materials… more
    Corewell Health (11/26/25)
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  • Senior Surgical Services Associate Orthopaedics

    Penn Medicine (Philadelphia, PA)
    …timeframes. Maintains comprehensive knowledge of reimbursement coverage from third party payers, managed care plans and protocols for referrals. **Education or ... our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future...of OR block time in a timely manner to manager for appropriate redistribution. + Admin Duties Answer and… more
    Penn Medicine (11/23/25)
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  • Admissions Director - Southwood

    PruittHealth (Tallahassee, FL)
    …offices. 7. Identifies key referring personnel in hospitals, nursing homes, and managed care operations, along with opportunities to increase referral volume ... to drive growth in our skilled nursing, rehabilitation and long-term care business. **KEY RESPONSIBILITIES:** 1. Develops, implements, and evaluates quarterly and… more
    PruittHealth (11/18/25)
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  • Director, Cloud Security Engineering

    S&P Global (New York, NY)
    …for access management and review.Implement access solutions using AWS secret manager , create/maintain Encryption Keys. + Review and Respond to Security Audits ... the world. With over USD 7.4 trillion in passively managed assets linked to our indices and over USD...our customers to achieve shared goals. **Benefits:** We take care of you, so you can take care more
    S&P Global (11/15/25)
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  • LVN Delegation Oversight Nurse Remote

    Molina Healthcare (TX)
    …experience in health care , including 2 years' experience in a managed care environment facilitating utilization reviews, or equivalent combination of ... Contributes to overarching strategy to provide quality and cost-effective member care . This position will support our Corporate Compliance business. The candidate… more
    Molina Healthcare (11/13/25)
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  • High School Internship

    Banner Health (Brush, CO)
    …Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations, you'll find many options ... State Pay Transparency Rules. Find your path in health care . We want to change the lives of those...want to hear from you. The Banner Health Internship Program provides valuable insight and professional level work experience… more
    Banner Health (11/06/25)
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  • Surgical Services Associate - Neurosurgery…

    Penn Medicine (Philadelphia, PA)
    …+ Maintains comprehensive knowledge of reimbursement coverage from third party payers, managed care plans and protocols for referrals. Education or Equivalent ... our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future...of OR block time in a timely manner to manager for appropriate redistribution. + Admin Duties: + Answer… more
    Penn Medicine (11/04/25)
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  • Associate Director, Global R&D

    S&P Global (New York, NY)
    …able to clearly communicate toa number of internal and external stakeholders. Hiring Manager Quote: This role provides a wonderful opportunity to develop and enhance ... the world. With over USD 7.4 trillion in passively managed assets linked to our indices and over USD...our customers to achieve shared goals. **Benefits:** We take care of you, so you can take care more
    S&P Global (11/01/25)
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  • Medical Office Coordinator (Clinic)

    Beth Israel Lahey Health (Boston, MA)
    …with automated medical record and registration/scheduling systems preferred + Knowledge of managed care and insurance requirements + Demonstrated ability to ... and external parties. Provides support to the department and manager by coordinating schedule requests; assisting in the review...a hybrid schedule may be available. _As a health care organization, we have the responsibility to do everything… more
    Beth Israel Lahey Health (10/25/25)
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  • Psychologist Reviewer - North Carolina

    Elevance Health (Norfolk, VA)
    …Requirements:** + Requires Ph.D. or Psy.D in clinical/counseling psychology and managed care experience which includes experience with the administration ... and Medical Directors to determine appropriateness of level of care based on Medical Necessity Criteria. Outpatient levels of...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
    Elevance Health (10/22/25)
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