• Sr Investigator

    Elevance Health (Indianapolis, IN)
    …referral, and use of proprietary data and claim systems for review of facility, professional and pharmacy claims . + Responsible for independently identifying ... healthcare fraud in order to recover corporate and client funds paid on fraudulent claims . **Primary duties may include, but are not limited to:** + Claim reviews… more
    Elevance Health (11/26/25)
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  • PCO Medical Director- UM - Full Time

    CenterWell (Boston, MA)
    …Medical Director, Primary Care relies on medical background and reviews health claims . The Medical Director, Primary Care work assignments involve moderately complex ... factors. The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex… more
    CenterWell (11/06/25)
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  • Chief Public Health Hospital Bureau Counsel

    State of Massachusetts (Boston, MA)
    …partner to the state hospital system and the State Office of Pharmacy Services (SOPS). This leadership role ensures that the Commonwealth's multi-specialty hospitals ... (PHH) Bureau, including the public health hospitals and the State Office of Pharmacy Services (SOPS). . Provide comprehensive legal counsel and written opinions to… more
    State of Massachusetts (11/13/25)
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  • Dir Clinical Risk Management Operations EverGreen

    PeaceHealth (Vancouver, WA)
    …conferences_ + _Internal training with CE eligibility_ + _Connections to top professional affiliations_ + _Access to resource libraries, webinars, and subject matter ... operational leadership to a team of clinical risk managers and senior clinical risk managers, ensuring effective identification, evaluation, mitigation, and… more
    PeaceHealth (11/20/25)
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  • Data Science Analyst III - Enterprise Data…

    Mount Sinai Health System (New York, NY)
    …**Responsibilities** 1. Analyzes data requests using information technology, enrollment, claims , pharmacy , clinical, contract, medical management, financial, ... Corporate Offices** The Data Science Analyst III is a senior role, collaborating with stakeholders from across the organization...care EMR such as Epic/Clarity, eCW, etc.; a payor claims system such as Facets, Amisys, etc.; or a… more
    Mount Sinai Health System (11/14/25)
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  • Director, Health Care Benefits

    Ford Motor Company (Dearborn, MI)
    …competitive positioning. + Develop business cases and financial models for senior leadership on benefit investments, plan redesign, and transformational initiatives. ... & Collective Bargaining Leadership:** + Serve as the lead strategist and senior negotiator for health care benefits in collective bargaining, shaping proposals that… more
    Ford Motor Company (11/24/25)
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  • Project Analyst, Sr - Revenue Cycle

    Hawaii Pacific Health (Honolulu, HI)
    …Revenue Cycle Task Force committees and processes for Hospital, Physician, Pharmacy , Pacific Islanders, Worker compensation, and direct oversight and management of ... regulations, government billing requirements, collection laws and reimbursement procedures. As the Senior Project Analyst, your role will be to build and implement… more
    Hawaii Pacific Health (09/10/25)
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  • Attending Physician

    Genesis Healthcare (Moline, IL)
    …to improving health outcomes among residents of skilled nursing and senior living facilities. Our physicians, nurse practitioners (NPs) and physician assistants ... Help articulate the AlignMed Partners mission to the community and professional organizations Help the center establish appropriate relationships, and coordinate… more
    Genesis Healthcare (11/19/25)
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  • Mental Health/Psychiatric Advanced Practice…

    Genesis Healthcare (Kennebunk, ME)
    …to improving health outcomes among residents of skilled nursing and senior living facilities. Our physicians, nurse practitioners (NPs) and physician assistants ... improve quality measures related to psychiatric care. 1. Demonstrates continued professional competence 2. Recognizes the importance of continued learning through:… more
    Genesis Healthcare (10/24/25)
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  • Lead Counsel, Market Access, Oncology

    Takeda Pharmaceuticals (Cambridge, MA)
    …**Job Description** **About the role:** As Counsel, Market Access, at the senior director level, you will be responsible for providing day-to-day legal support ... committees. + Preparing, reviewing, and negotiating complex government, payer, pharmacy and distributor agreements, including agreements with: commercial and… more
    Takeda Pharmaceuticals (10/23/25)
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