• Genmab (Berkeley Heights, NJ)
    …feel like a fit? Then we would love to have you join us!Patient Access Specialist , Call Center Operations The Patient Access Specialist will be the dedicated ... as it pertains to access and reimbursement of prescribed medications. The Patient Access Specialist will be the voice of Genmab to our customers and will maintain… more
    HireLifeScience (09/16/25)
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  • Novo Nordisk Inc. (Lima, OH)
    …current co-promotion partners. Internally, the DCS I report to the District Business Manager of the specific sales territory. The DCS I also interact and ... level impact Demonstrates understanding of the local payer market including Medicare , Commercial and Medicaid benefit designs, Payer Coverage, Prescription Coverage… more
    HireLifeScience (10/07/25)
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  • Accessia Health (Midlothian, VA)
    POSITION TITLE : Case Management Specialist REPORTS TO : Patient Services Supervisor POSITIONS MANAGED : None STATUS : Non-Exempt SUMMARY: The Case Management ... Specialist is responsible for acting as a bridge between...In-depth knowledge of private and public health insurance plans ( Medicare , Medicaid, COBRA, Marketplace) and related terminology. Ability to… more
    Upward (08/10/25)
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  • Knox Community Hospital (Mount Vernon, OH)
    …System ( MIPS ) and alternative payment models offered by Centers for Medicare and Medicaid Services (CMS) and patient centered medical home models. Ability to ... to abstract data for core measures and quality indicators; Assist Operations Manager by participating in the DPSC quality committee meetings by guiding discussions… more
    Upward (07/31/25)
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  • PharmaCord (Cincinnati, OH)
    …reside in the state of Ohio. When you join the team as an Executive Case Manager , you'll have the opportunity to make a difference in the lives of our patients each ... prescriptions or cases are handled in a timely manner. An Executive Case Manager has the ability to translate knowledge into patient friendly language and education.… more
    Upward (08/01/25)
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  • Specialist , Medicare Member…

    Molina Healthcare (Bellevue, WA)
    …and manager . Basic understanding of managed healthcare systems and Medicare . **PREFERRED EDUCATION:** Associate's or Bachelor's Degree in Social Work, Human ... of Member Materials. **Knowledge/Skills/Abilities** + Conducts direct outreach to new Medicare members to provide personal assistance with their new MAPD, DSNP,… more
    Molina Healthcare (09/28/25)
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  • Crisis Response Specialist (Case…

    State of Georgia (Gwinnett County, GA)
    Crisis Response Specialist (Case Manager ) - Lawrenceville Outpatient Center - Lawrenceville, GA. Georgia - Gwinnett ... emergency walk-in basis. TO APPLY PLEASE USE THE LINK PROVIDED Crisis Response Specialist (Case Manager ) - Lawrenceville Outpatient Center - Lawrenceville, GA.… more
    State of Georgia (10/03/25)
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  • Manager of Clinical Documentation…

    Prime Healthcare (Inglewood, CA)
    …With Us! (https://careers-primehealthcare.icims.com/jobs/226192/ manager -of-clinical-documentation- specialist ... The Leapfrog Group. For more information, visitwww.centinelamed.com. Responsibilities CDS Manager is responsible for implementation and improvement of clinical… more
    Prime Healthcare (09/17/25)
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  • Business Office Manager / Medical…

    National Health Care Associates (Naugatuck, CT)
    …Brook Center for Health & Rehabilitation! **-** **Business Office / Medicaid Specialist ** **Full-Time** The position is responsible to support the Business Office in ... deposits for Resident Trust Account + Other duties as directed by Business Office Manager Our candidate should be a team player to work with the Business Office… more
    National Health Care Associates (09/17/25)
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  • Health Insurance Specialist

    Centers for Medicare & Medicaid Services (Woodlawn, MD)
    …position is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Center for Medicare , (CM), Medicare ... Drug Rebate and Negotiations Group (MDRNG). As a Health Insurance Specialist , GS-0107-12, you will develop, evaluate and implement compliance, audit and oversight… more
    Centers for Medicare & Medicaid Services (10/03/25)
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  • Facility Financial Specialist

    Heritage Ministries (Conneautville, PA)
    …in a human services related field. + Preferred experience as a caseworker, case manager , intake specialist , or related work experience with the long-term care ... Job Description The Facility Financial Specialist is responsible for welcoming and directing new...face sheet, and the primary insurance coverage (other than Medicare ). Verifies the Medicare benefit and coverage… more
    Heritage Ministries (08/29/25)
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  • Red Shirt Promotion Specialist

    Independent Health (Buffalo, NY)
    …fosters growth, innovation and collaboration. **Overview** The Red Shirt Promotion Specialist will be responsible for sales acquisition and retention strategies for ... Medicare . They will be responsible for identifying, contacting, and...and ensure PHI and security metrics are met. The Specialist will be responsible for compliance/adherence to CMS sales… more
    Independent Health (09/13/25)
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  • Specimen Receiving/Reference Laboratory…

    Stony Brook University (Stony Brook, NY)
    Specimen Receiving/Reference Laboratory Specialist **Position Summary** At Stony Brook Medicine, a **Specimen Receiving/Reference Laboratory Specialist ** in the ... all lab personnel. **Duties of a** **Specimen Receiving/Reference Laboratory Specialist ** **may include the following but are not limited...c. Lab IT Implementation Team: Specimen Receiving LIS System Manager . As LIS System Manager of the… more
    Stony Brook University (10/03/25)
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  • Full Time Verification Specialist - PMPH…

    Penn Medicine (Plainsboro, NJ)
    …each day. Are you living your life's work? **Job:** Full Time Verification Specialist **Location:** PMPH Specialist Staff - Medical Arts Pavilion (5 Plainsboro ... **Summary** : + Under supervision from the Director and/or the Clinical Manager of Admissions provide insurance verification and coordination for all commercial,… more
    Penn Medicine (08/07/25)
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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 ... or related field. + 5 years of experience as a Sourcing Specialist or equivalent experience. **Professional Certification(s)** + Certified Purchasing Manager more
    Medical Mutual of Ohio (07/22/25)
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  • Transition of Care Integration Specialist

    Sea Mar Community Health Centers (Seattle, WA)
    …by contracted entities such as Accountable Communities of Health and Medicaid/ Medicare organizations. + The TOC Integration Specialist must maintain the ... a mandatory COVID-19 and flu vaccine organization Transition of Care Integration Specialist - Posting #27558 Hourly Rate: $27.32 Position Summary: Sea Mar Community… more
    Sea Mar Community Health Centers (09/11/25)
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  • Supervisory Health Insurance Specialist

    Centers for Medicare & Medicaid Services (Woodlawn, MD)
    …is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Center for Medicare and Medicaid Innovation ... Division of State Based Initiatives (DSBI). As a Supervisory Health Insurance Specialist , GS-0107-15, you will serve as the Division Director responsible for… more
    Centers for Medicare & Medicaid Services (10/07/25)
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  • Senior Billing Specialist

    Access: Supports For Living (Middletown, NY)
    …$26.44 per hour Hours: Monday-Friday 8:00AM-4:30PM (40hrs) Job Description: Reporting to the A/R Manager , the Senior Billing Specialist is a key position in the ... Senior Billing Specialist Location: Middletown, NY, United StatesDate Posted: Jul...portals. + Maintain a working knowledge of OMH, OASAS, Medicare , Medicaid, Medicaid Managed Care and other payers' billing… more
    Access: Supports For Living (09/04/25)
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  • Hospital Coding Specialist III (Remote)

    Marshfield Clinic (Marshfield, WI)
    …most exciting missions in the world!** **Job Title:** Hospital Coding Specialist III (Remote) **Cost Center:** 101651098 System Support-Facility Coding **Scheduled ... 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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  • Budgeting Specialist - Industry Trials

    University of Southern California (Los Angeles, CA)
    …and negotiation of budgets for industry sponsored clinical trials. The budget specialist is responsible for reviewing the Medicare coverage analysis, protocol, ... obtain full funding for industry sponsored studies. The budget specialist also communicates with the CTO Contracts Manager... specialist also communicates with the CTO Contracts Manager to ensure that all costs and subject reimbursement… more
    University of Southern California (07/30/25)
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