• Registered Nurse Case Manager - Field…

    CVS Health (Secaucus, NJ)
    …+ **External = $7500** **Position Summary** We are seeking a dedicated **Case Manager (RN)** to join our team, serving members in **Hudson County and surrounding ... and follows a **Monday-Friday, 8:00 AM-5:00 PM EST** schedule. The Case Manager will develop, implement, and support health service strategies, policies, and… more
    CVS Health (07/24/25)
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  • RN Case Manager

    Trinity Health (Westerville, OH)
    …Full time **Shift:** Day Shift **Description:** RN Case Manager , Full-time **Why Mount Carmel?** With five hospitals ... (https://www.mcmg.mountcarmelhealth.com/) , a college of nursing (https://www.mccn.edu) , a Medicare Advantage plan (https://www.medigold.com) , and extensive outreach and… more
    Trinity Health (05/21/25)
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  • Case Manager

    Humana (Baraboo, WI)
    …our caring community and help us put health first** Humana is seeking Case Manager , aka: Community Resource Coordinator (CRC), to join the Inclusa team to serve ... members in the Wisconsin Family Care (FC) program . In this role, you will be responsible for...plan. + Perform face-to-face social-related assessments for members upon enrollment and at least every 6 months thereafter in… more
    Humana (07/31/25)
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  • Account Manager - Bilingual- Healthcare…

    FlexStaff (Bronx, NY)
    **Req Number** 161647 FlexStaff is seeking a Bi-lingual Spanish Account Manager for our client, a non-profit healthcare organization providing home and ... community leaders, providers, participants/caregivers and other audiences on PACE program benefits, identifying differentiators from other healthcare options, and… more
    FlexStaff (06/20/25)
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  • Strategic Partner Success Manager

    Waystar (Atlanta, GA)
    **ABOUT THIS POSITION** The Strategic Partner Support Manager is responsible for managing all aspects of the SPST as well as being able to handle all escalated ... partner needs. This role will collaborate with Channel, Partner Operations, Enrollment , Sales, Support and Implementation to successfully support any area of needs… more
    Waystar (08/01/25)
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  • Premier Manager

    Trinity Health (Reynoldsburg, OH)
    **Employment Type:** Full time **Shift:** **Description:** **Position Purpose:** The Practice Manager oversees the day-to-day operations in two or more practice ... of 3 years of experience as a medical practice manager in a high volume physician practice. + 3...communication systems. + Knowledge of healthcare insurance industry including Medicare , Medicaid Managed Care and other governmental and commercial… more
    Trinity Health (07/26/25)
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  • Strategic Project Manager

    Waystar (Lehi, UT)
    **ABOUT THIS POSITION** The Strategic Project Manager is responsible for the successful implementation of Waystar solutions by leading the team and the client ... an intimate understanding of healthcare specific billing requirements, reimbursement, enrollment , and patient billing and payments. The successful candidate will… more
    Waystar (07/19/25)
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  • Senior Director, Payor Growth

    ChenMed (Miami, FL)
    …to drive local market engagement with identified key distribution partners throughout annual Medicare sales cycle: AEP, OEP, SEP (Annual Enrollment Period, Open ... for ChenMed's sales strategy and overall growth performance with Medicare managed care plan executives, including both Value Based...Enrollment Period and Special Enrollment Period). + Participates in market-level ChenMed business plan… more
    ChenMed (07/22/25)
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  • Lead Director, DSNP Program Management

    CVS Health (Frankfort, KY)
    …all with heart, each and every day. **Position Summary** As the Lead Director, DSNP Program Management you will support the General Manager in all aspects of the ... to specifications and within budgeted costs. + Apply advanced knowledge of the Medicare and Medicaid regulatory landscape to ensure program compliance with… more
    CVS Health (07/27/25)
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  • Account Service Consultant I/II (Buffalo/WNY…

    Excellus BlueCross BlueShield (Buffalo, NY)
    …groups or converted groups as directed. Manages group implementations and supports enrollment meetings. + Acts as a liaison between the group/broker/consultant and ... to support vendor relationships and conversations related to electronic enrollment methods for assigned book of business. + Researches...normal channels. + Acts as a backup to Account Manager when individual is out of the office. +… more
    Excellus BlueCross BlueShield (06/24/25)
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