• Pharmacist - Utilization Management (UM) -…

    Highmark Health (Olympia, WA)
    …the incumbent evaluates clinical information provided by the physician against medical policy criteria. The incumbent then uses his/her clinical knowledge compared ... determination. At times, the incumbent may conduct additional research beyond medical policy review to make coverage determinations. **ESSENTIAL RESPONSIBILITIES** +… more
    Highmark Health (09/19/25)
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  • Self-Pay Integrity Analyst - REMOTE

    Community Health Systems (Franklin, TN)
    …we serve. Our team members enjoy a robust benefits package including medical , dental and vision, insurance, and 401k. **Essential Functions** + Performs follow-up ... or a related field preferred + 0-2 years of experience in medical collections, accounts receivable, billing, or healthcare revenue cycle operations required +… more
    Community Health Systems (09/19/25)
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  • Refill Pharmacy Technician (CSR) - Freedom…

    The Cigna Group (Newburyport, MA)
    …skills to handle inbound calls from patients and learn more about their medical history and challenges with fertility. This is not your average customer service ... for appropriate action. **Why join us?** + Health coverage effective day 1 (including medical , dental, vision) + Holiday, PTO, and OT pay + 401K with company match… more
    The Cigna Group (09/19/25)
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  • Area Sales Director, Chronic Therapies…

    Option Care Health (Trenton, NJ)
    …Ambulatory Infusion Suite strategy, Patient Advocacy partnerships, Professional Medical Society partnerships, Field Force alignment, Market Access coordination, ... within the Area. + Establish and develop relationships with the Professional Medical Societies within the Area and create strategies to drive business results.… more
    Option Care Health (09/17/25)
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  • Child and Family Licensed Mental Health Therapist…

    aptihealth (Clifton Park, NY)
    …behavioral healthcare. aptihealth is a digital technology platform with an affiliated medical group that makes it easier for people to access speedy high ... teams + Track and document patient progress and clinical findings Benefits + Comprehensive Medical , Dental, and Vision plans available + Paid Time off, Sick Time and… more
    aptihealth (09/17/25)
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  • Case Manager Registered Nurse (New York RN…

    CVS Health (Albany, NY)
    …responsible for coordinating care for members who often face multiple chronic medical and behavioral health conditions, as well as various social determinants of ... * Experience working with individuals with SDoH needs, chronic medical conditions, and/or behavioral health. * Experience conducting health-related assessments… more
    CVS Health (09/16/25)
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  • Remote Care Manager, Ltss - TX Resident…

    Molina Healthcare (TX)
    …enhance the continuity of care for Molina members. + Assesses for medical necessity and authorize all appropriate waiver services. + Facilitates interdisciplinary ... coordination and assistance to member to address psycho/social, financial, and medical obstacles concerns. + Identifies critical incidents and develops prevention… more
    Molina Healthcare (09/14/25)
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  • *Coding Senior Specialist/Full Time/ Remote

    Henry Ford Health System (Detroit, MI)
    …college or additional course work in Accounting, Business, Healthcare Administration or Medical Record Sciences preferred. + Must have through knowledge of anatomy, ... physiology, pathophysiology, disease processes, medical terminology, pharmacology, and coding systems. Strong organizational and...engage in team meetings and activities. + Proficient in medical terminology. + Proficient in ICD-10 CM, CPT and… more
    Henry Ford Health System (09/09/25)
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  • Remote Senior Inpatient Coding Specialist

    AdventHealth (Orlando, FL)
    …for reviewing, analyzing, and interpreting clinical documentation in the medical record, applying appropriate ICD-10-CM/PCS coding conventions and MS-DRG Medicare ... understanding of the Official Coding Guidelines, Coding Clinic guidance, medical necessity, and coverage determinations Qualifications **The expertise and… more
    AdventHealth (09/06/25)
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  • Information Security Specialist I-Digital…

    Mount Sinai Health System (New York, NY)
    …Sinai Health System:** Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, with more than 48,000 employees working ... developing safer, more effective treatments; educating the next generation of medical leaders and innovators; and supporting local communities by delivering… more
    Mount Sinai Health System (09/06/25)
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