• Medical Investigator I/II (RN Required)

    Excellus BlueCross BlueShield (Rochester, NY)
    …+ Maintains accurate and up-to-date knowledge of all Government Programs regulations ( Medicaid , Medicare, Federal Employee Program , New York State Department of ... the Food and Drug Administration (FDA), and Centers for Medicare and Medicaid Services (CMS). Provides routine interaction and coordination with the BCBS Association… more
    Excellus BlueCross BlueShield (09/17/25)
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  • Accountant IV

    MyFlorida (Tallahassee, FL)
    …policy and planning entity. The Agency is responsible for administering the Florida Medicaid program , the licensure and regulation of nearly 50,000 health care ... experience. This position is highly .responsible for accounting activities in the Medicaid Accounts Receivable (MAR) Unit, Recoupment Team of the Bureau of Financial… more
    MyFlorida (10/10/25)
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  • Accountant IV-Health Insurance Billing

    MyFlorida (Largo, FL)
    …2 Background screening. PREFERRED QUALIFICATIONS : + Experience in Statewide Managed Care Medicaid program rules and regulations. + Experience in reviewing and ... DESCRIPTION : Under the general supervision of the Billing Manager , the incumbent performs duties involving the independent application...Produce and maintain monthly billing for all Medicare A&B, Medicaid , and Medicaid Managed Care, 3rd party… more
    MyFlorida (10/14/25)
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  • Executive Director, Chief Actuary

    Banner Health (Phoenix, AZ)
    …Arizona **Department Name:** Actuarial-BHN Cntr **Work Shift:** Day **Job Category:** General Operations Help lead health care into the future. As one of the ... this position may be eligible for our Management Incentive Program as part of your Total Rewards package. Banner...This position will report directly to the Banner Insurance Operations CFO and is responsible for overseeing all healthcare… more
    Banner Health (08/23/25)
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  • Customer Service Advocate - Data Services…

    Community Based Care of Brevard, Inc. (Orlando, FL)
    …but not limited to IES, Records Room, Adoption, GAP, Youth Services and Operations staff. Accurately enters required program information adhering to strict ... P rimary point of contact for Express Enrollment, the completion of Medicaid plan enrollment activities and tracking. Primary customer service point of contact… more
    Community Based Care of Brevard, Inc. (10/18/25)
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  • Mgr Patient Fin Services / Revenue Cycle

    Omaha Children's Hospital (Omaha, NE)
    …including veterans and people with disabilities. **A Brief Overview** The Manager of Patient Financial Services develops implements and controls policies and ... Oversees adherence to Children's established financial policies. Assists staff in daily operations as well as maintaining proper balance between customer service and… more
    Omaha Children's Hospital (08/28/25)
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  • Lead Customer Service Specialist Women & Babies…

    Penn Medicine (Lancaster, PA)
    …scheduled and unscheduled downtimes Summary: + Position Summary: Assists supervisor manager in daily operations of Patient Access departments. Responsibilities ... Reviews daily workloads to include assisting in the oversight of daily operations of the department. Capable of coordinating and communicating effectively during… more
    Penn Medicine (08/07/25)
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  • Legal Assistant 2 (NY Helps)

    New York State Civil Service (Albany, NY)
    …Counsel and Deputy Counsel in connection with confidential legal matters related to operations within the Office of the Medicaid Inspector General* May directly ... NY HELP Yes Agency Medicaid Inspector General, NYS Office of the Title...develop cases that could require extensive involvement in a program area by utilizing Westlaw, Federal Court Pacer, NY… more
    New York State Civil Service (10/16/25)
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  • Senior Clerk

    MyFlorida (Crawfordville, FL)
    …Your Specific Responsibilities: This position works directly with Accounting and Business Manager to support many operations within the health department and ... projects as assigned. * Responsible for bill and accounts receivable for Medicaid and third-party insurance billings. Research denied claims, post payments to… more
    MyFlorida (10/14/25)
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  • Director, Provider Relations

    Commonwealth Care Alliance (Boston, MA)
    operations and satisfaction. * Strong understanding of Medicare and Medicaid health plan operations , including regulatory and compliance requirements. * ... medical management, and analytics teams to advance provider network operations , education, and performance improvement. The Provider Relations Director reports… more
    Commonwealth Care Alliance (10/18/25)
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