• SCAN (Long Beach, CA)
    …issues facing older adults in the United States. SCAN Group is the sole corporate member of SCAN Health Plan, one of the nation's leading not-for-profit Medicare ... throughout the healthcare industry and nationally as a leading expert in senior healthcare. SCAN employees are a group of talented, passionate professionals who… more
    Upward (07/12/25)
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  • CareSource (Dayton, OH)
    Job Summary: The National Broker Account Manager is responsible for creating and overseeing execution of a winning CareSource sales strategy for Marketplace and ... Medicare or other related products. (Eligible candidates must reside...champions a collaborative and integrative work environment Manage annual training/ recognition meetings for high performing brokers and FMOs Develop… more
    Upward (07/29/25)
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  • SCAN (Long Beach, CA)
    …issues facing older adults in the United States. SCAN Group is the sole corporate member of SCAN Health Plan, one of the nation's leading not-for-profit Medicare ... healthcare industry and nationally as a leading expert in senior healthcare. SCAN employees are a group of talented,...Position supports the Clinical Center of Excellence as a member of the Health Equity Team in activities related… more
    Upward (07/15/25)
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  • PacificSource (Portland, OR)
    Senior Vice President of Health Plan Operations, Compliance Officer, and Manager of Government Member Services, Enrollment, and Billing. Oversee the drafting ... Claims, Encounters and Payment Integrity Operations is a key member of the Executive Management Group reporting to the... of the Executive Management Group reporting to the Senior Vice President of Health Plan Operations. This position… more
    Upward (07/16/25)
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  • City of Orange, CA (Orange, CA)
    …who want to make a difference in the community they serve by becoming a member of one of the best Police Departments in Orange County. The successful candidates will ... month Crime Scene Investigators: additional $250 per month Drug Recognition Expert: additional $250 per month Field Training Officers:...Shift Differential: additional 2% of base salary per month Senior Officer Pay: officers with over 6 years of… more
    Upward (07/04/25)
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  • University of Maryland Medical System (La Plata, MD)
    …up to $20,000 Sign-On Bonus!! Join UM Charles Regional Medical Center, a proud member of the University of Maryland Medical System, where we combine the resources of ... Commitment to Excellence - Recognized as a 4-star hospital by the Centers for Medicare and Medicaid Services (CMS) and honored with the Get With The Guidelines -… more
    Upward (07/28/25)
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  • CenterWell Primary Care (Las Vegas, NV)
    …for the development, implementation and management oversight of the company's Medicare /Medicaid Stars Program. The Quality RN Professional work assignments are ... Documentation and coding Additional areas related to provider performance, member experience, market growth, provider experience and operational excellence Use… more
    Upward (07/01/25)
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  • SR COMPANIES LLC (Jacksonville Beach, FL)
    …health team, such as the Home Health Aide, the Physical Therapist, the Speech Therapist, the Occupational Therapist, The Medical Social Worker, etc. Cooperate with ... current drug therapy. Adhere to federal, state, and accreditation requirements, including Medicare and Medicaid regulations. May be requested, by Clinical Manager more
    Upward (07/18/25)
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  • Sr . Manager , Medicare

    Blue Cross Blue Shield of Massachusetts (Boston, MA)
    Ready to help us transform healthcare? Bring your true colors to blue. The Senior Manager of Medicare Strategy and Business Planning will report to the ... Vice-President of Medicare Strategy and oversee critical business reporting and data...opportunities for improvement or variance from expected outcomes. The senior manager will create multiple presentations on… more
    Blue Cross Blue Shield of Massachusetts (06/26/25)
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  • Sr Manager , Commercial Contracting

    Gilead Sciences, Inc. (Foster City, CA)
    …help create possible, together. **Job Description** Gilead Sciences Inc. is seeking a Sr . Manager Rebates to help lead in managing Gilead's day-to-day ... and a relentless drive to make a difference. Every member of Gilead's team plays a critical role in...administration, project management and processing of all Managed Care Commercial/ Medicare Part D contract payments. This position has primary… more
    Gilead Sciences, Inc. (07/16/25)
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  • Sr . Manager , Provider Contract…

    CVS Health (Hartford, CT)
    …compassionate. We do it all with heart, every single day. We are seeking a ** Senior Manager of Provider Contract & Pricing Testing** to join our expanding ... assurance of Provider Contracts and Pricing, ensuring that both Provider and Member Experiences meet or exceed expectations through the use of test automation… more
    CVS Health (06/18/25)
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  • Research Coordinator - Sr . Research…

    University of Pennsylvania (Philadelphia, PA)
    …and resources, and much more. Posted Job Title Research Coordinator - Sr . Research Coordinator Job Profile Title Research Coordinator Job Description Summary This ... proposals and manuscripts for publication. Job Description The Research Coordinator/ Sr . Research Coordinator will be responsible for implementing day-to-day… more
    University of Pennsylvania (06/05/25)
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  • Senior Manager , Medicare

    Humana (Madison, WI)
    …are looking for licensed, highly motivated and self-driven individuals to join our team. Our Senior Manager , Medicare Sales motivates and drives a team of ... motivate and train a team of sales individuals. The Senior Manager , Medicare Sales must...+ A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information **Preferred Qualifications** + College… more
    Humana (07/21/25)
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  • Audit & Reimbursement Sr

    Elevance Health (Indianapolis, IN)
    National Government Services is a proud member of Elevance Health's family of brands. We administer government contracts for Medicare and partner with the ... and Medicaid Services to transform federal health programs. **Audit & Reimbursement Sr ** **Location:** This role enables associates to work virtually full-time, with… more
    Elevance Health (05/20/25)
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  • Sr Sourcing Specialist

    Medical Mutual of Ohio (Brooklyn, OH)
    …insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. **Provides expertise to ... Specialist or equivalent experience. **Professional Certification(s)** + Certified Purchasing Manager (preferred) **Technical Skills and Knowledge:** + Experience with… more
    Medical Mutual of Ohio (07/22/25)
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  • Sr Accountant - Reporting & Analysis

    CareOregon (Portland, OR)
    …Washington, Utah, Idaho, Arizona, Nevada, Texas, Montana, or Wisconsin. Job Title Sr Accountant - Reporting and Analysis Department Finance Exemption Status Exempt ... Requisition # 24971 Direct Reports N/A Manager Title Director, Financial Reporting & Analysis Pay & Benefits Estimated hiring range $88,430 - $108,080 / year, 5%… more
    CareOregon (07/28/25)
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  • Sr . Business Development Manager

    Amazon (Boston, MA)
    …relationships with payer organizations that desire innovation in their end-to-end member experience. This role will manage critical relationships with external ... Partner with counterparts on the Health Insurer's team to create a differentiated member experience. - Identify opportunities to drive member education and… more
    Amazon (06/11/25)
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  • Sr . Data Analyst

    Convey Health Solutions (Chicago, IL)
    Job Description SUMMARY The Sr . Data Analyst will be responsible for utilizing technical and industry knowledge to accelerate analytic insights and new feature ... analytic insights which contribute to new features. + Collaborate with the Manager , Data Analytics and Product team to support analytical architecture for optimal… more
    Convey Health Solutions (05/30/25)
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  • Sr Mgr,Product Implementation

    CVS Health (Frankfort, KY)
    …has an exciting new opportunity! We are seeking a detail-oriented and collaborative Senior Manager to lead the business-side of the design, implementation, and ... goals and regulatory requirements. This position sits within the Medicare product business area, not on an IT team....partners. + Point of contact for questions related to member eligibility files and applicable system data Additionally, this… more
    CVS Health (07/27/25)
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  • Sr . Care Coordinator, Fall River/New…

    Commonwealth Care Alliance (Boston, MA)
    …care system, ensures the members know how to get services and answers member questions on obtaining needed care. The Care Coordinator communicates with members, via ... the method, mechanism and cadence that works best for each member , including in-person visits, to provide engagement, promote establishment of trust, and ensure… more
    Commonwealth Care Alliance (05/23/25)
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