• Manager Payment Integrity

    Corewell Health (Grand Rapids, MI)
    Job Summary - Manager , Payment Integrity Seeking a strategic and results-driven leader to join Priority Health as a Manager , Payment Integrity. This role is ... alignment. Responsible for management of all aspects of the Payment Integrity Program with specific expertise in healthcare payment and reimbursement. The Payment… more
    Corewell Health (07/18/25)
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  • Manager , Payor Relations

    Abbott (Livermore, CA)
    …(https://www.abbott.com/corpnewsroom/strategy-and-strength/tackling-student-debt-for-our-employees.html) student debt program , and FreeU ... health and get on with their lives. As the Manager , Provider Relations, you'll have the chance to lead...includes the development of public sector contracting efforts (ie Medicare and Medicaid), and the management of the required… more
    Abbott (07/10/25)
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  • Licensed Benefits Advisor (Field Based)

    Centers Plan for Healthy Living (Brooklyn, NY)
    …all equipment issued by Centers Plans for Healthy Living Advantage Care Medicare HMO Plan. Enrollment application process + Ensures prospective members ... need for healthy living. JOB SUMMARY : The Licensed Benefits Advisor- Medicare Sales, Maintains relationships, services our existing customers and secures new… more
    Centers Plan for Healthy Living (07/15/25)
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  • HS/Lhcc Manager - Administrative Services…

    Walworth County (Elkhorn, WI)
    HS/LHCC Manager - Administrative Services (HHS) Print (https://www.governmentjobs.com/careers/walworthco/jobs/newprint/5028505) Apply  HS/LHCC Manager - ... Services (CCS), Case Management (CM) and Wisconsin Medicaid Cost Reporting (WIMCR) program services that are consistent with state requirements. Oversee the accurate… more
    Walworth County (08/01/25)
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  • Care Manager , Telephonic Behavioral Health…

    Humana (Trenton, NJ)
    …of our caring community and help us put health first** The Care Manager , Telephonic Behavioral Health in a telephonic environment, assesses and evaluates members' ... with resources appropriate for the care and wellbeing of members. The Care Manager , Telephonic Behavioral Health 2 work assignments are varied and frequently require… more
    Humana (07/31/25)
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  • Social Work Manager

    Fallon Health (Worcester, MA)
    …experience, service, and clinical quality. Fallon Health's Summit ElderCare(R) is a Program of All-Inclusive Care for the Elderly-PACE for short. PACE, an ... alternative to nursing home care, is a program that helps people 55 and older continue living...be the leading provider of government-sponsored health insurance programs-including Medicare , Medicaid, and PACE- in the region. **Summary of… more
    Fallon Health (06/06/25)
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  • Specialty Pharmacy Financial Access Manager…

    Mount Sinai Health System (New York, NY)
    …regulations and laws (HIPAA, Board of Pharmacy, etc). 15. Oversees eligibility and enrollment in MS PAP program . 16. Processes payroll for Financial Access ... Description** Under direct supervision of the Senior Specialty Clinical Pharmacist Manager , the Specialty Pharmacy Financial Access Manager supervises Financial… more
    Mount Sinai Health System (07/30/25)
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  • Registered Nurse Case Manager - Field…

    CVS Health (Totowa, NJ)
    …Choice Certification = $10,000_** + **_External Hire = $7500_** **Position Summary: Case Manager Registered Nurse - Field in Passaic County, NJ** This is a remote ... Case Manager role with 50-75% field travel in Passaic County...daycare, personal care assistance, nursing facility placement, and MLTSS enrollment . + Collaborate with members, caregivers, primary care providers,… more
    CVS Health (07/12/25)
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  • RN Case Manager

    Humana (Viroqua, WI)
    …seeking a RN Case Manager to serve members in the Wisconsin Family Care (FC) program . As an RN Case Manager , you will be responsible for partnering with your ... plan. + Perform face-to-face health-related assessments for members upon enrollment and at least every six (6) months thereafter...**Driving** This role is part of Humana's driver safety program and therefore requires an individual to have a… more
    Humana (06/27/25)
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  • Case Management Manager - UPMC

    UPMC (Washington, PA)
    The Manager oversees the day-to-day operations of the Case...year of hire & complete within 3 years of enrollment 3 YOE required; 3 YOE in Care Management, ... management department under the direction of the Director. The Manager is accountable for the following Case Management functions: training, auditing, systems… more
    UPMC (07/11/25)
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