• Project Associate Manager

    University of Michigan (Ann Arbor, MI)
    …Regulatory Coordinator will be part of the administrative support team for the Medicare Shared Savings Program (MSSP) Accountable Care Organization (ACO). The ... Project Associate Manager Apply Now **Job Summary** Michigan Medicine is...the Regulatory Coordinator will support the POM ACO Compliance Program by working closely with the Compliance Officer and… more
    University of Michigan (07/26/25)
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  • Reimbursement Case Manager

    TEKsystems (Morrisville, NC)
    …Escalate complex cases according to program policy and procedures. + Evaluate program enrollment forms for data integrity + Responsible for insurance benefit ... by all payer types, including private/commercial and government (ie, Medicare , Medicaid, VA, and DOD); with expertise in ...the appropriate use of resources + Works with the Program Manager , on a day-to-day basis, to… more
    TEKsystems (07/22/25)
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  • Benefits Specialist

    MyFlorida (Tallahassee, FL)
    …People First manual letter review and approval process. + Assists with processing Medicare Enrollment Verifications. + Provides backup support for Open ... vendors such as People First, health plans, pharmacy benefits manager , and supplemental insurance plans. + Responds to routine...Assists with activities related to the Weight Management Pilot Program (WMP) and annual open enrollment : +… more
    MyFlorida (07/24/25)
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  • Broker Relationship Manager

    CenterWell (Tampa, FL)
    …caring community and help us put health first** The Broker Relationship Manager will be responsible for cultivating and maintaining strategic partnerships with ... nurture relationships with brokers and intermediaries specializing in senior healthcare, Medicare Advantage, and value-based care models. + Identify and pursue new… more
    CenterWell (07/31/25)
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  • Director, Health Plan Operations - PACE Elder…

    Cambridge Health Alliance (Cambridge, MA)
    …our participants. This role is responsible for overseeing Medicaid and Medicare enrollment , claims, reporting, risk adjustment, compliance, contract management, ... Name:** Non Union **About CHA PACE** Cambridge Health Alliance's ** Program of All-Inclusive Care for the Elderly (PACE)** is...to Health Plan Operations. * Manage all aspects of Medicare and Medicaid enrollment , retention, dis- enrollment… more
    Cambridge Health Alliance (07/25/25)
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  • Case Manager

    Actalent (Sacramento, CA)
    …an organized, multi-disciplinary, patient centered team approach, and cost-effective care for Medicare Client members. The Senior Nurse Case Manager follows and ... Looking for a RN Case Manager to join our team in Sacramento! Location:...is responsible and accountable for coordination of services for Medicare client members referred for complex case management. The… more
    Actalent (07/22/25)
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  • Program Support Coordinator

    Fallon Health (Worcester, MA)
    …strive to be the leading provider of government-sponsored health insurance programs-including Medicare , Medicaid, and PACE ( Program of All-Inclusive Care for the ... Provides additional support to the ACO Community partner (CP) and Flex Program Coordinator as needed and directed by Supervisor/ Manager **Responsibilities**… more
    Fallon Health (07/31/25)
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  • Case Manager Registered Nurse - Field…

    CVS Health (Atlantic City, NJ)
    …daycare, personal care assistant, nursing facility custodial requests, personal preference program and MLTSS program enrollment . Successful completion ... Supports program (MLTSS) and/or Dual Special Needs Program (D-SNP/ FIDE). Care manager may also...planning experience + Managed Care experience + Medicaid and Medicare experience + Experience using computer, keyboard, mouse, multi-system… more
    CVS Health (07/29/25)
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  • Manager , Provider Engagement

    Humana (Springfield, IL)
    …help us put health first** Humana Gold Plus Integrated is seeking a Manager of Provider Engagement who leads a team of provider relations professionals responsible ... plan of Illinois through day-to-day, front-line relationship management. The Manager is responsible for facilitating a positive provider relationship management… more
    Humana (07/30/25)
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  • Manager , Research Programs

    Beth Israel Lahey Health (Burlington, MA)
    …making a difference in people's lives.** Under general direction, the Research Program Manager will be responsible for managing, promoting, cultivating and ... including but not limited to:** **Manages and oversees a clinical research program (s). Leads the department in all aspects of the daily research operation.**… more
    Beth Israel Lahey Health (07/17/25)
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