- CenterWell (Houston, TX)
- …home health care. + Participate in daily center huddles. + Display a professional and approachable demeanor. + Follow policies and protocols defined by Clinical ... primary care "on-call" program of CenterWell as needed. + Ensure personal compliance with licensing, certification, and accrediting bodies. + Spend 100% of your… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …risk adjustment and quality analytics models across ACA Commercial, Medicare, and Medicaid . * Develop, lead, and provide strategic direction for a high performing ... and day-to-day management of data submissions for ACA Commercial, Medicare, and Medicaid risk adjustment and quality programs. * Design and execute complex analytic… more
- BrightSpring Health Services (Union City, CA)
- …denials or follow-up of claims , by maintaining current knowledge of Medicaid claim regulations and processes + Participates in orientation, training, competency ... of Business Conduct and Ethics, its policies and procedures, the Corporate Compliance Agreement, applicable federal and state laws, and applicable professional … more
- CVS Health (Springfield, IL)
- …(eg, specialty pharmacy services, clinical product development, Enterprise Analytics, Compliance , Legal, Accreditation) and clients. The Medical Director (Medical ... and decision making. Medical Directors represent the clinical decision making and professional thought process of the prescriber as a partner across the enterprise's… more
- Humana (Miami Lakes, FL)
- …team of 8-12 Medicare Sales Agents, you'll work under the guidance of a Senior Manager and Regional Director who are committed to your success. Together, you'll help ... Join Humana?** + **People-first culture** that supports your personal and professional growth. + **Inclusive and diverse environment** that values multilingual… more
- Commonwealth Care Alliance (Boston, MA)
- …oversight, and efficiency of UM processes and functions. * Ensures compliance with all contract requirements, state and federal regulatory requirements and ... health care delivery Required Knowledge, Skills & Abilities: * Medicare and Medicaid managed care experience * Demonstrated knowledge of federal and state… more
- Sanofi Group (Morristown, NJ)
- …pricing team responsible for executing all government pricing calculations in full compliance with all Medicaid , Medicare and VA Healthcare Act regulations. ... calculation, analysis, and reporting of all government pricing programs in compliance with applicable laws and regulations. Maintaining timely and accurate… more
- Banner Health (Scottsdale, AZ)
- …Health recently earned Great Place To Work(R) Certification (TM) . This recognition reflects our investment in workplace excellence and the happiness, satisfaction, ... across the continuum of care. This position identifies and collaborates with senior leadership to prioritize appropriate resources related to opportunities in Peer… more
- Humana (Sacramento, CA)
- …initiatives, with an emphasis on Medicare Advantage strategy development. As a Senior Strategy Advancement Professional , you will deconstruct issues and ... the majority of the company's total revenue and earnings. Team members partner with senior leaders of the business unit, and more broadly with leaders throughout the… more
- Louisiana Department of State Civil Service (LA)
- STATE FIRE MARSHAL DEPUTY 1/2/ SR Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/5055009) Apply STATE FIRE MARSHAL DEPUTY 1/2/ SR Salary ... Qualifications Location Statewide, LA Job Type Classified Job Number 422-SFMDEPUTY1/2/ SR -CONT8/2025 Department DPS-Office of State Fire Marshal Opening Date… more