• Senior Fraud & Waste Investigator

    Humana (Oklahoma City, OK)
    …and help us put health first** Humana's Special Investigations Unit is seeking a Senior Fraud & Waste Investigator to join the Oklahoma Medicaid Team. This team of ... to Humana's Oklahoma Medicaid line of business. As the Senior Fraud and Waste Investigator, you will serve as...transparency and accountability. You will report to the SIU Director and work closely with Humana's Oklahoma Market. **Key… more
    Humana (10/10/25)
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  • Senior Coding Denials Management Specialist…

    University of Southern California (Alhambra, CA)
    …specific to ICD-10-CM, ICD-10-PCS, CPT/HCPCS, DRGs, APCs, and Modifiers-from Medicare , Medi-Cal, MAC, RAC, and commercial insurance companies -when there ... Inpatient coding of all diagnostic and procedural information from the medical records using ICD-10-CM, ICD-10-PCS, and CPT/HCPCS, and Modifier classification… more
    University of Southern California (11/19/25)
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  • Emergency Medicine (Non-ACGME Fellowship)…

    Emory Healthcare/Emory University (Atlanta, GA)
    …Medicine. The clinical performance will be evaluated by the Emergency Department Medical Director /Service Chief of the fellow's base hospital and reviewed ... Health System. Fellows must be eligible at participants in Medicare , Medicaid and other third-party payers contracted with Emory...programs affiliated hospitals under the direction of the ED director of that hospital + May supervise medical more
    Emory Healthcare/Emory University (09/13/25)
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  • Access Associate Senior

    University of Virginia (Manassas, VA)
    …should be complete and accurate. + Collaborates with appropriate Clinic Triad team ( Medical Director , Access and Clinic Managers) to review requested schedule ... and communicates with care team and management. + Utilizes electronic medical record functionality (eg, InBasket, telephone encounters, prescription requests, pools,… more
    University of Virginia (11/14/25)
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  • Senior Net Revenue & Reimbursement Analyst

    Omaha Children's Hospital (Omaha, NE)
    …members. **Essential Functions** Cost Reporting + Coordinates preparation of all Medicare and Medicaid cost reports. + Analyzes, interprets, and utilizes statistics ... works with DHHS as needed + Coordinates with Graduate Medical Education office to ensure compliance with Resident reporting...to understand impact to the organization + Work with Director of Managed Care to aid in understanding of… more
    Omaha Children's Hospital (10/06/25)
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  • Pharmacy Svcs Payor Credentialing & Enrollment Sr…

    Fairview Health Services (Minneapolis, MN)
    …at the national and local level and provides updates to operational leaders and senior management of any Medicare or third-party payor changes that may adversely ... Care Organizations as well as mandatory government requirements for enrollment with Medicare and Medicaid (for all 50 states) to ensure uninterrupted patient access… more
    Fairview Health Services (11/15/25)
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  • Nurse Practitioner / Physician Assistant

    CenterWell (Marietta, GA)
    …participant and lead with the care team through daily huddles. . Helps Regional Medical Director (RMD), Physician and Center Administrator in setting a tone of ... one of the largest and fastest growing value-based care, senior -focused primary care providers in the country, operating over...to write prescriptions under the authority of a collaborating physician/ medical director + This role is considered… more
    CenterWell (11/26/25)
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  • Nurse Practitioner

    CenterWell (Boynton Beach, FL)
    …participant and lead with the care team through daily huddles. + Helps Regional Medical Director (RMD), Physician and Center Administrator in setting a tone of ... Appropriate certification to write prescriptions under the authority of a collaborating physician/ medical director . + This role is considered patient facing and… more
    CenterWell (11/11/25)
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  • RN Case Manager Acute Rehab

    HCA Healthcare (Kansas City, MO)
    …you looking for a place to deliver excellent care patients deserve? At Research Medical Center we support our colleagues in their positions. Join our Team as a(an) ... assist with every stage of your career. **Benefits** Research Medical Center, offers a total rewards package that supports...Rehab patient. The CM collaborates with the Rehab Program Director and Facility Case Management Director regarding… more
    HCA Healthcare (10/18/25)
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  • Nurse Practitioner or Physician Assistant…

    CenterWell (Phoenix, AZ)
    …participant and lead with the care team through daily huddles. + Helps Regional Medical Director (RMD), Physician and Center Administrator in setting a tone of ... one of the largest and fastest growing value-based care, senior -focused primary care providers in the country, operating 310...to write prescriptions under the authority of a collaborating physician/ medical director + This role is considered… more
    CenterWell (10/16/25)
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