• Licensing & Regulatory Compliance…

    CenterWell (Blue Springs, MO)
    …in Overland Park, KS.** The role of a **Licensing and Certification Analyst/ Specialist ** will include: + Preparation and submission of required license applications ... governmental and third party agencies, including State Departments of Health, CMS/ Medicare , Medicaid, and local governmental agencies and entities. + Conducting… more
    CenterWell (07/09/25)
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  • E-Referral Specialist Home Health

    CenterWell (Raleigh, NC)
    …is Saturday & Sunday 8am-5pm EST and Monday & Friday 12pm-6pm EST.** The **E-Referral Specialist ** is an integral part of the referral process as this role is the ... the delivery of home health services preferred + Working knowledge of Medicare enrollment and guidelines governing home health agencies preferred + Demonstrate… more
    CenterWell (07/01/25)
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  • Principal Specialist - Reimbursement

    Abbott (Abbott Park, IL)
    …high employer contribution + Tuition reimbursement, the Freedom 2 Save student debt program , and FreeU education benefit - an affordable and convenient path to ... executives, and scientists. **The Opportunity** We are seeking a **Principal Specialist , Clinical Contracts & Reimbursement** who for site budget template… more
    Abbott (05/29/25)
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  • Provider Transformation Specialist (RN-…

    Highmark Health (Buffalo, NY)
    …the other members of the value-based reimbursement team, provider relations, senior markets, analytics, actuary and key internal/external stake holders to provide ... analyzing performance reports and data to inform decision-making, process, and program implementation, as well as the development of process interventions based… more
    Highmark Health (07/29/25)
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  • Billing Specialist

    Goodwin Living (Washington, DC)
    …- 65,000 Annually Job Duties + Clean, review, and submit claims for senior living health providers (specifically assisted living and skilled nursing / nursing home ... software (eg, Point-Click-Care, MatrixCare, or similar). + Strong understanding of Medicare /Medicaid guidelines, managed care plans, and private insurance billing. +… more
    Goodwin Living (07/16/25)
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  • Pharma Field Sales - Diabetes Care…

    Novo Nordisk (San Mateo, CA)
    …impact + Demonstrates understanding of the local payer market including Medicare , Commercial and Medicaid benefit designs, Payer Coverage, Prescription Coverage ... legal requirements. Manages discretionary territory budget and marketing promotional program budget to support territory sales goals + Demonstrates...$103,000 * DCS II - $97,000 to $119,000 * Senior DCS - $118,000 to $144,000 In addition, this… more
    Novo Nordisk (05/23/25)
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  • Insurance Authorization & Verification…

    WesleyLife (Urbandale, IA)
    …values your growth, well-being, and happiness. With over 77 years of excellence in senior living, we believe in empowering our team members to make a difference ... for services ordered including private insurance, Veteran's Association, and Medicare /Medicaid. + Maintains written and verbal communication regarding authorization,… more
    WesleyLife (07/23/25)
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  • Market CMO, Centerwell Senior Primary Care…

    CenterWell (Phoenix, AZ)
    …+ Oversee daily operations of physician services. + Build strong relationship with specialist , hospitalist, SNF and other providers to form a narrow network of ... quality service focused on senior population health + Responsible for medical interpretation, reviews,...facing and is part of our Tuberculosis (TB) screening program . If selected for this role, you will be… more
    CenterWell (07/25/25)
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  • Senior SAS Research Programmer - USC…

    University of Southern California (Los Angeles, CA)
    Senior SAS Research Programmer - USC Schaeffer CenterApply (https://usc.wd5.myworkdayjobs.com/ExternalUSCCareers/job/Los-Angeles-CA University-Park-Campus/ Senior ... projects examining health behavior research and related health policy topics. The Senior SAS Research Programmer will serve as lead programmer and technical … more
    University of Southern California (05/17/25)
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  • Senior Care Options Nurse Case Manager…

    Fallon Health (Berkshire, MA)
    …strive to be the leading provider of government-sponsored health insurance programs-including Medicare , Medicaid, and PACE ( Program of All-Inclusive Care for the ... for MassHealth programs such as the personal care attendant program , adult foster care, group adult foster care, and...member, the Clinical Integration team, and Primary Care Providers, Specialist and other community partners, to ensure a cost… more
    Fallon Health (07/16/25)
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