• RVO Health (Charlotte, NC)
    AT A GLANCE RVO Health is looking for a Senior Product Manager - Medicare to play a key role in shaping innovative multi-channel customer journeys and enhancing ... customer service for millions of healthcare consumers. In this role you`ll be responsible for overseeing machine learning-driven voice experiences, managing the product roadmap for contact center technology and driving continuous improvements. We are seeking a… more
    Upward (07/26/25)
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  • Blue Cross Blue Shield of Massachusetts (Boston, MA)
    Ready to help us transform healthcare? Bring your true colors to blue. The Medicare Risk Adjustment Strategy Program Manager will report to the Senior Director ... ensure complete and accurate medical record documentation and coding. The Program Manager will contribute to the development of strategies and facilitate discussion… more
    Upward (07/03/25)
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  • Avamere Health Services (Seattle, WA)
    Full-Time Business Office Manager Status: Full-Time Wage: $29.84 - $36.07 / hour Location : Avamere Rehabilitation of Park West - 1703 California Ave SW, Seattle, WA ... 98116 We are seeking an experienced Business Office Manager to oversee the financial and administrative operations of our Skilled Nursing Facility. The ideal… more
    Upward (07/11/25)
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  • Lundbeck (Waco, TX)
    …to stakeholders in the primary care and neurology settings. As an Account Manager , you lead the promotion of our psychiatry portfolio, executing sales and marketing ... dynamics, anticipate and effectively address payer access issues (IDNs, Medicare , Medicaid, Commercial) using Lundbeck resources. Pharmaceutical Environment/Compliance -… more
    HireLifeScience (07/29/25)
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  • Lundbeck (Fort Wayne, IN)
    …the way in creating positive customer experiences! As a BioPharmaceuticals Account Manager , you lead the promotion of our infusion product, driving demand creation ... internal and external partners and effectively addresses payer access issues ( Medicare , Medicaid, Commercial) using Lundbeck resources. Local Market & Therapeutic… more
    HireLifeScience (07/29/25)
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  • Lundbeck (Joliet, IL)
    …transform lives. Join us on our journey of growth! As a Psychiatry Account Manager , you lead the promotion of our psychiatry portfolio, executing sales and marketing ... dynamics, anticipate and effectively address payer access issues (IDNs, Medicare , Medicaid, Commercial) using Lundbeck resources. Pharmaceutical Environment/Compliance -… more
    HireLifeScience (07/29/25)
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  • Novo Nordisk Inc. (Traverse City, MI)
    …current co-promotion partners. Internally, the DCS report to the District Business Manager of the specific sales territory. The DCS also interact and collaborates ... level impact Demonstrates understanding of the local payer market including Medicare , Commercial and Medicaid benefit designs, Payer Coverage, Prescription Coverage… more
    HireLifeScience (07/17/25)
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  • Airetel Staffing, Inc. (Kansas City, MO)
    …meetings Maintain friendly and welcoming environment within the centers Work closely with Medicare Center manager to ensure smooth operations and provide daily ... Responsibility: Individuals in this role Welcome customers into the Medicare Center and point them in the right direction...corporate office Greet and assist customers coming to the Medicare Center for sales or support Connect customers with… more
    Upward (07/28/25)
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  • The Judge Group Inc. (Bridgeport, PA)
    Our client is currently seeking a Senior Program Manager - Reimbursement for a 3 months + contract.Senior Program Manager - Reimbursement - Acute Must have GME ... Reimbursement experience. Responsibilities Reimbursement - Acute to manage the Medicare and Medicaid fee-for-service reimbursement functions for multiple assigned… more
    Upward (07/16/25)
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  • PIH Health (Whittier, CA)
    Job Description Under the supervision of the Insurance Follow up Supervisor / Manager , this position is responsible for training employees to perform accurate and ... Care HMO Plans. Review of Medi-Cal and Managed Care HMO secondary to Primary Medicare and or Commercial Insurances. Using PM software and tools provided to read and… more
    Upward (07/15/25)
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  • Accident Fund Holdings, Inc. (Lansing, MI)
    …website. Assist in preparation of worker's compensation files for hearing. Assist Manager with docket management and case assignment MEDICARE SPECIFIC TASKS: ... Manage MSAs through the Center for Medicare & Medicaid Services (CMS) submission and approval process,...by attorney. Perform special assignments as requested by the Medicare attorneys. Retrieve and analyze information from CMS, vendors,… more
    Upward (07/11/25)
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  • Avera Health (Sioux Falls, SD)
    …and our patients. Work where you matter. A Brief Overview The Underwriting Manager is responsible for overseeing and executing underwriting functions to support the ... methodologies, and ensuring compliance with regulatory requirements. The Underwriting Manager will work collaboratively with internal stakeholders such as product,… more
    Upward (07/21/25)
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  • Lifepoint Health (Jacksonville, FL)
    …your well-being so you can provide exceptional care to others. As a Case Manager joining our team, you're embracing a vital mission dedicated to making communities ... of those we serve. How you'll contribute A Case Manager who excels in this role: Participate in continuing...reimbursement benefits and requirements including but not limited to Medicare , Medicaid and managed care is required Connect with… more
    Upward (07/29/25)
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  • The ODP Corporation (Carol Stream, IL)
    …business scale and career growth in logistics. The Supply Chain Operations Manager is responsible for managing, executing and optimizing Supply Chain strategies as ... work process design and flow to improve performance and overall efficiency. The Manager , as a member of the leadership team, will continually identify ways to… more
    Upward (07/26/25)
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  • In Compass Health (Alpharetta, GA)
    …Professional Fee Services Understand managed care and insurance contractual arrangements Medicare , Medicaid and Managed Care Experience in Multiple States Experience ... Employee Assistance Program 401k with Profit Sharing match Paid Time off KEYWORDS Healthcare Medical Billing Medicare Medicaid Healthcare Management Revenue Cycle more
    Upward (07/13/25)
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  • Magna Health Care (Broken Arrow, OK)
    …Program Description About The Company Magna Health Care, Inc. is a licensed, Medicare and Medicaid certified Health Care Agency, owned, managed and operated by a ... their home for as long as possible. A Case Manager coordinates those services to assure they are beneficial...at least 4 years professional work experience. Certified Case Manager for the ADvantage Program through Department of Human… more
    Upward (07/12/25)
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  • Integrated Resources, Inc. (Detroit, MI)
    Days 8a-4:30p, rotating weekends. Job Summary: The Integrated case Manager for Population Health is an interdependent member of the patient-centered care team or ... preventive service guidelines, clinical practice guidelines, behavior change theory, Medicare and Medicaid regulations and case management principles. -Knowledge of… more
    Upward (07/02/25)
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  • Advocate Aurora Health (Oak Lawn, IL)
    …(ACM) needs to be obtained within 1 year, or RN or SW: Certified Case Manager (CCM) issued by the Commission for Case Manager Certification (CCMC) needs to ... of MS Office products. Demonstrates leadership skills. Knowledge of Medicare A and B guidelines. Knowledge of Managed Care programs/requirements/implications.… more
    Upward (07/01/25)
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  • Convatec Group PLC (Houston, TX)
    Position Overview: The Territory Sales Manager manages an assigned geographic territory by promoting and selling our services to facilities such as Urologists, ... skills by using the SPIN Selling Model and accept coaching by the Sales Manager and Field Trainers. Demonstrate strong skills in "getting past the gatekeeper" and… more
    Upward (07/26/25)
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  • Sun Life Financial, Inc. (Wellesley Hills, MA)
    …Our outcomes-based, cost-effective solutions are designed for Medicaid and CHIP, Medicare Advantage, small and large businesses, and individuals. With a focus ... flexibility of virtual work. The opportunity: The Lead Product Manager will play a critical role on our Product...to delivery. The ideal candidate is a seasoned product manager with healthcare experience is preferred and can demonstrate… more
    Upward (07/25/25)
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