• Healthcare Process Risk Manager

    Grant Thornton (Columbia, SC)
    As a Process Risk Experienced Manager , you will have the opportunity to grow and contribute to our clients' success by helping them identify and understand their ... the Office of Inspector General (OIG) and the Centers for Medicare and Medicaid Services (CMS). + Experience with Sarbanes-Oxley Section 404 compliance. + Proven… more
    Grant Thornton (10/14/25)
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  • Healthcare Administrative Project Manager…

    City of New York (New York, NY)
    …City's Industry Partnership for the healthcare sector seeks an experienced Project Manager to drive initiatives that strengthen New York City's healthcare workforce ... Engagement: - Assist the Executive Director and Director in day-to-day operations . - Team calendar management, meeting coordination, and correspondence. - Draft… more
    City of New York (08/14/25)
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  • Payment Operations Technical Support…

    Waystar (Louisville, KY)
    **ABOUT THIS POSITION** We're looking for a motivated, detail-oriented Print Services Operations Specialist to join our fast-paced and growing Payment Operations ... to delivering a best-in-class financial experience for patients and providers. As an Operations Specialist, you will serve as a tier 2 support specialist, working… more
    Waystar (09/02/25)
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  • Senior Legal Counsel - Pharmacy Benefit…

    CVS Health (Hartford, CT)
    …every day. **Position Summary** As a Senior Legal Counsel, Pharmacy Benefit Manager (PBM) you will provide legal guidance, interpretation, advice and recommendations ... of the law department, Compliance, Government Affairs, Regulatory Affairs, and business operations teams to implement new laws and regulations for assigned areas. +… more
    CVS Health (10/11/25)
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  • Intake Manager

    Heath System Services (Niagara Falls, NY)
    …passion for delivering exceptional customer experience!? We are seeking an Intake Manager who embodies our core values of Empathy, Passion, Integrity and Commitment, ... medical necessity qualification, and prior authorization. + Maintain adherence to Medicare, Medicaid , and commercial payer standards. + Act as a resource for billing… more
    Heath System Services (10/04/25)
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  • (USA) Senior Manager , Payer Programs - RX…

    Walmart (Bentonville, AR)
    **Position Summary ** As Senior Manager , Payer Programs (Rx Clinical Services), you will drive Walmart's payer strategy by building strategic partnerships with ... variety of Walmart Health & Wellness stakeholder teams - including Legal, Operations , Clinical, Enrollment, Billing and Analytics - to operationalize payer programs,… more
    Walmart (09/18/25)
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  • RN - Operations - Home Health & Hospice

    Marshfield Clinic (Iron Mountain, MI)
    …any time have been or be excluded from participation in any federally funded program , including Medicare and Medicaid . This is a condition of employment. ... exciting missions in the world!** **Job Title:** RN - Operations - Home Health & Hospice **Cost Center:** 603181118...Employee must immediately notify his/her manager or the Health System's Compliance Officer if he/she… more
    Marshfield Clinic (10/01/25)
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  • Manager , Provider Network Relations (Must…

    Molina Healthcare (GA)
    …DESCRIPTION** **Job Summary** Molina Health Plan Provider Network Management and Operations jobs are responsible for network development, network adequacy and ... Provider Network functions and team members. Responsible for the daily operations of the department working collaboratively with other operational departments and… more
    Molina Healthcare (09/17/25)
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  • Account Manager - Analyst

    CVS Health (Raleigh, NC)
    …do it all with heart, each and every day. **Position Summary** As an Account Manager , you are considered the clients main point of contact and are responsible for ... overseeing all their day-to-day PBM operations . Account Managers act as the liaison between clients...managing insurance, healthcare, or benefit accounts - Experience with Medicaid , Commercial, and/or Medicare Part D Plans In the… more
    CVS Health (10/16/25)
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  • Business Office Manager

    WesleyLife (Indianola, IA)
    …stop by and check us out! **What You'll Do as a Business Office Manager :** + Billing and Invoicing: Manage the preparation and processing of resident invoices across ... various payment sources, including private pay, Medicare, Medicaid , Elderly Waiver, and healthcare insurance. + Payroll: Process bi-weekly payroll, handle manual… more
    WesleyLife (10/14/25)
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