• Community Relations Specialist - Bronx…

    Centene Corporation (Bronx, NY)
    …Hindi, Bengali or Urdu** **Position Purpose:** The Community Relations Specialist is responsible for leading activities to achieve membership/enrollment goals ... retention activities, sales visibility and business, broker, provider, market, lead generation, vendor outreach and networking opportunities. This position may… more
    Centene Corporation (10/03/25)
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  • Healthcare Resource Specialist Full-Time…

    Trinity Health (Boise, ID)
    …and the highest quality of care. We are looking for a **Healthcare Resource Specialist ** to join our referral team , providing exceptional customer service to our ... you must have a strong passion for customer service as well as working within a team . Training will be up to 6 months, with the move to independent work based upon… more
    Trinity Health (10/10/25)
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  • Research and Development Specialist - IT…

    WellSpan Health (York, PA)
    …workshops leading to the creation of new products and processes. The Specialist brings an empathy-first approach to understanding and solving for healthcare's most ... and communicates status and updates as needed to project lead . Obtains and applies feedback. + Fosters collaboration with...to the growing library of tools and techniques the team uses to complete projects. + Ability to identify… more
    WellSpan Health (10/08/25)
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  • Billing Specialist - Finance (On-Site)

    Access: Supports For Living (Middletown, NY)
    …and judgment to plan and accomplish agency's goals and objectives. + Responsible to lead and work effectively in a team environment as well as independently. ... Billing Specialist - Finance (On-Site) Location: Middletown, NY, United...3 years' commensurate experience required. + Prior experience with medicar/ Medicare managed care billing + Behavioral Health Insurance billing… more
    Access: Supports For Living (10/15/25)
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  • Accounts Receivable (AR) Specialist

    FlexStaff (Chappaqua, NY)
    …Monitor denied claims for trends and issues, reporting findings to the Senior Team Lead . * Daily Correspondence: Review and address daily correspondence ... **Req Number** 167939 FlexStaff is seeking an Account Receivable Specialist with experience in physician medical billing for one of our clients, a medical… more
    FlexStaff (09/20/25)
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  • RN , Peer Review Specialist

    Trinity Health (Columbus, OH)
    …, a college of nursing (https://www.mccn.edu/) , a Medicare Advantage plan (https://www.medigold.com/) , and extensive outreach and ... own in Columbus. Learn more at www.experiencecolumbus.com ! The Peer Review Specialist provides leadership and coordination for the provider peer review processes… more
    Trinity Health (08/27/25)
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  • Medical Staff Specialist - St. Mary - Full…

    Ochsner Health (Morgan City, LA)
    …1942, but one thing has never changed - our commitment to serve, heal, lead , educate,** **and innovate. We believe** **that every award earned, every record broken ... communication with staff, management, physician members and executive leadership team . Coordinates physician quality information and managed care audits and… more
    Ochsner Health (09/20/25)
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  • Pre-Arrival Scheduling Specialist I

    UNC Health Care (Goldsboro, NC)
    …appointments. 7. Escalate matters/scheduled accounts that require attention to Pre-Arrival Team Lead /Manager. 8. Notify various departments with updates ... **Description** Summary: The Pre-Arrival Scheduling Specialist I will serve patients/customers and physician offices...good attention to detail. * Must have knowledge of Medicare /Medicaid and Commercial Insurance payers. * Ability to prioritize… more
    UNC Health Care (07/30/25)
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  • Value-Based Reimbursement Specialist

    Highmark Health (Montpelier, VT)
    …to include elements of project leadership, problem-solving, data analytics, team development, communication, implementation, and project management. The incumbent ... for the Organization's value-based reimbursement programs and continuous improvement models. Lead or support key strategic initiatives across Enterprise and Markets… more
    Highmark Health (08/20/25)
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  • Regulatory Specialist Senior

    SSM Health (Fond Du Lac, WI)
    …a working knowledge of all The Joint Commission (TJC), Centers for Medicare & Medicaid Services (CMS) Conditions of Participation and State Hospital Licensing ... of continual readiness related to The Joint Commission (TJC), Centers for Medicare and Medicaid Services (CMS) Conditions of Participations (CoPs) and State specific… more
    SSM Health (09/16/25)
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