• Medicare /Medicaid Claims Editing…

    Commonwealth Care Alliance (Boston, MA)
    011250 CCA-Claims Hiring for One Year Term **_This position is available to remote employees residing in Massachusetts. Applicants residing in other states will not ... This role will ensure that the applicable edits are compliant with applicable Medicare and Massachusetts Medicaid regulations. The role will also be responsible for… more
    Commonwealth Care Alliance (08/26/25)
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  • Compliance Specialist - Clinical Research…

    Ochsner Health (New Orleans, LA)
    …in applying and improving compliance policies, procedures and processes. Perform Medicare Coverage Analysis (MCA) for sponsored research projects. Configure studies ... Research Compliance (CHRC), Certified Professional Coder (CPC), Certified Coding Specialist (CCS) or related certification. **Knowledge Skills and Abilities (KSAs)**… more
    Ochsner Health (09/28/25)
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  • Specialist , Community Engagement…

    Molina Healthcare (Oshkosh, WI)
    **JOB DESCRIPTION** Candidate must reside in Wisconsin. Remote with field travel required in assigned territory. **Job Summary** Responsible for increasing ... membership through direct sales and marketing of Molina Medicare products to dual eligible, Medicare -Medicaid recipients within approved market areas to achieve… more
    Molina Healthcare (10/12/25)
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  • Senior Healthcare Program Specialist

    Staffing Solutions Organization (Albany, NY)
    …a reflection of our clients and the people they serve. **Senior Healthcare Program Specialist (Level 2 or 3) - Albany, NY** **Division of Eligibility & Marketplace ... Integration (DEMI)** **Bureau of Third-Party Health Insurance, Medicare Savings Program and Recoveries** **Telecommuting Option:** This position is eligible for… more
    Staffing Solutions Organization (07/23/25)
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  • MassHealth & Medicare Regulatory Compliance…

    Commonwealth Care Alliance (Boston, MA)
    011250 CCA-Claims **_This position is available to remote employees residing in Massachusetts. Applicants residing in other states will not be considered at this ... Claims Operations & Quality Assurance, the Regulatory Compliance & Audits Sr. Specialist II is responsible for ensuring CCA's operational compliance with state and… more
    Commonwealth Care Alliance (09/01/25)
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  • Medicare /Medicaid Claims Reimbursement…

    Commonwealth Care Alliance (Boston, MA)
    011250 CCA-Claims **_This position is available to remote employees residing in Massachusetts. Applicants residing in other states will not be considered at this ... accurate, compliant, and timely reimbursements within the scope of MassHealth and Medicare Advantage programs. Under the direction of the Director of Claims… more
    Commonwealth Care Alliance (08/31/25)
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  • Remote Program Specialist

    TEKsystems (Akron, OH)
    Program Specialist REMOTE Pay Rate: $21/hr Schedule: Ranges M-F 8am-8:30pm EST Anticipated Start Date: 12/1/2025 End Date: 3/31/2026 Contract length: 4 months ... Training period: 8 weeks (December 1 - February 1) Description The Program Specialist is responsible for serving as the customer's primary point of contact providing… more
    TEKsystems (10/10/25)
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  • Hospital Coding Specialist III…

    Marshfield Clinic (Marshfield, WI)
    …the most exciting missions in the world!** **Job Title:** Hospital Coding Specialist III ( Remote ) **Cost Center:** 101651098 System Support-Facility Coding ... be eligible for a sign-on bonus!**_** **JOB SUMMARY** The Hospital Coding Specialist III accurately codes inpatient conditions and procedures as documented in the… more
    Marshfield Clinic (08/01/25)
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  • Remote Credentialing Specialist

    TEKsystems (St. Louis, MO)
    …Credentialing Specialist to support short-term, high-priority projects focused on Medicare applications. This role plays a critical part in ensuring timely and ... Temporary Credentialing Specialist Overview: We are seeking a meticulous and...PECOS, including both individual and group submissions. + Execute Medicare credentialing tasks in alignment with federal regulations and… more
    TEKsystems (10/09/25)
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  • Billing Specialist ( Remote )

    Aveanna Healthcare (Chandler, AZ)
    Billing Specialist ( REMOTE ) ApplyRefer a FriendBack Job Details Requisition #: 208121 Location: Chandler, AZ 85286 Category: Medical Billing/Collections Salary: ... Accountability, Trust, Innovation, Compliance, and Fun. Position Overview The Billing Specialist reports directly to the Reimbursement Supervisor and is responsible… more
    Aveanna Healthcare (09/18/25)
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