• Novo Nordisk Inc. (San Mateo, CA)
    …current co-promotion partners. Internally, the DCS reports to the District Business Manager of the specific sales territory. The DCS also interacts and collaborates ... level impact Demonstrates understanding of the local payer market including Medicare , Commercial and Medicaid benefit designs, Payer Coverage, Prescription Coverage… more
    HireLifeScience (05/23/25)
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  • Atlantic Health System (Morristown, NJ)
    …2. Maintains nursing operations by initiating, coordinating, and enforcing program , operational, and personnel policies and procedures. 3. Assures quality ... assigned. Qualifications Required: 1. Graduate of an accredited Nursing Program - BSN required 2. Current state licensure as...highest - twelve consecutive times, and the Centers for Medicare and Medicaid Services awarded us again with its… more
    Upward (07/01/25)
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  • Duke Health (Durham, NC)
    …region, as well as serves as the home forthe Duke Caregiver Support Program . Team members work closely with a patient's physician to provide comprehensive, ... are provided to the patient. Maintain up to date knowledge of Medicare /Medicaid/JCAHO standards thru inservices and workshop attendance. Assesses the severity of… more
    Upward (07/20/25)
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  • State of Colorado (Denver, CO)
    …conflict or staff shortage) and communicates this with the supervisor and Food Service Manager II and reschedules training to be completed another day before ... Background - Name and fingerprint check, ICON Colorado court database, Medicare fraud database, Reference Checks, Professional License verification, Drug Screen,… more
    Upward (07/11/25)
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  • Atlantic Health System (Morristown, NJ)
    …Job Function 02: Provides ongoing development/continuing education. Collaborates with manager , peers, and coordinators to establish initial and ongoing developmental ... and accreditation (DOH, TJC). Utilizes NJSNA guidelines for major program development and maintains records accordingly. Participates in committees, subcommittees,… more
    Upward (07/19/25)
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  • MorseLife Health Systems (West Palm Beach, FL)
    …as well as Medicare Fraud, Waste, and Abuse *Completion of Level II reporting as needed and Quality reporting for CMS quarterly reporting. *Integral part of ... the CMS/SAA Audit of the PACE program SUPERVISORY RESPONSIBILITIES Supervise Quality team on assigned projects...the laws, standards, and regulations that apply to PACE, Medicare , Medicaid, managed care, and long-term care *Excellent written,… more
    Upward (07/18/25)
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  • City of Palmdale, CA (Palmdale, CA)
    …or Economic and Development Services engineering division and/or serve as project manager on a major engineering project; and perform the more complex professional ... responsibility assumed for overseeing a major engineering unit or program within the engineering division, or serving as a...within the engineering division, or serving as a project manager on a major engineering project which involves supervision… more
    Upward (07/19/25)
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  • Mental Health Program Manager

    The County of Los Angeles (Los Angeles, CA)
    MENTAL HEALTH PROGRAM MANAGER II / EMERGENCY APPOINTMENTS HOMELESSNESS Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4659662) Apply  ... MENTAL HEALTH PROGRAM MANAGER II / EMERGENCY...program administration, ensuring compliance with Federal and State Medicare and Medicaid regulations for reimbursement claiming and maximum… more
    The County of Los Angeles (07/24/25)
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  • Manager II , Facilities Operations…

    The County of Los Angeles (Los Angeles, CA)
    MANAGER II , FACILITIES OPERATIONS AND CRAFTS, ENVIRONMENTAL SERVICES Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4762503) Apply  ... MANAGER II , FACILITIES OPERATIONS AND CRAFTS, ENVIRONMENTAL...Opening Date 12/16/2024 + Description + Benefits + Questions Position/ Program Information EXAM NUMBER Y6686I TYPE OF RECRUITMENT Open… more
    The County of Los Angeles (06/05/25)
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  • Manager II GBD Special Programs,…

    Elevance Health (Scottsburg, IN)
    ** Manager II GBD Special Programs, LTSS/Service Coordination (RN, LSW, LCSW, LMHC) - South East Indiana** **Location:** **State of Indiana - South East Indiana ... ensures flexibility, responsiveness to client needs, and direct, hands-on engagement. The ** Manager II GBD Special Programs, LTSS/Service Coordination** will be… more
    Elevance Health (07/03/25)
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  • Associate Manager II , Field Health…

    Abbott (Abbott Park, IL)
    …Opportunity** We are looking for a **Field Health Economics & Reimbursement, Associate Manager II ,** to support our Cardiac Rhythm Management division. This ... (https://www.abbott.com/corpnewsroom/strategy-and-strength/tackling-student-debt-for-our-employees.html) student debt program and FreeU… more
    Abbott (06/19/25)
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  • RN Manager II . Patient Safety team,…

    Amazon (San Francisco, CA)
    …among clinical and operational teams to eliminate avoidable harm. As the RN Program Manager , you will leverage your clinical and patient safety backgrounds ... Description Amazon One Medical is seeking an experienced RN Patient Safety Manager to ensure the organization's systems and processes align with regulatory standards… more
    Amazon (07/16/25)
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  • Managed Care Case Manager Nurse II

    Sutter Health (Goleta, CA)
    …& LICENSURE:** + RN-Registered Nurse of California + CCM - Certified Case Manager (certification may be required by entity and time to acquire within 2 ... delivery system: including but not limited to: Centers for Medicare and Medicaid Services (GR) Grouper (CMS), Department of...pay is just one piece of the total rewards program offered by Sutter Health. Eligible roles also qualify… more
    Sutter Health (07/25/25)
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  • Benefits Analyst - I, II , Senior or Lead

    Tucson Electric Power (Tucson, AZ)
    **Benefits Analyst - I, II , Senior or Lead** Company **Tucson Electric Power** Location **Tucson, AZ** Requisition ID **6015** **About Us** UNS Energy Corporation ... andhere (https://youtu.be/7BECywu-Re4) . **Job Description - Benefits Analyst - I, II , Senior or Lead** **Position Overview** The Benefits Analyst is responsible… more
    Tucson Electric Power (06/09/25)
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  • Case Manager II , Registered Nurse

    Sutter Health (Tracy, CA)
    …in an integrated delivery system: including but not limited to: Centers for Medicare and Medicaid Services (GR) Grouper (CMS), Title 22, CHA Consent Manual, ... and organizational needs. Base pay is just one piece of the total rewards program offered by Sutter Health. Eligible roles also qualify for a comprehensive benefits… more
    Sutter Health (07/17/25)
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  • Provider Account Manager II

    Centene Corporation (Montgomery, AL)
    …health care/medical office environment. Knowledge of health care, managed care, Medicare , Medicaid or commercial insurance products. Prior experience with data ... may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to… more
    Centene Corporation (07/02/25)
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  • IRE Grievance & Appeals Mgr II

    Elevance Health (Durham, NC)
    ** Manager II Grievance/Appeals** **- Claims Support** **Office Locations:** _The selected candidate must reside within a reasonable commuting distance of the ... an accommodation is granted as required by law._ The ** Manager II Grievance/Appeals** responsible for management oversight...regulated audits. + Oversight of the IRE portions of Medicare audits and universe production. + Serves as a… more
    Elevance Health (07/15/25)
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  • Account Service Consultant I/ II

    Excellus BlueCross BlueShield (Buffalo, NY)
    …is expected and required. + Performs other functions as assigned by management. Level II (in addition to Level I Accountabilities) + Acts as the go-to person along ... train new staff. Level III (in addition to Level II Accountabilities) + Identifies issues, patterns and/or trends generated...normal channels. + Acts as a backup to Account Manager when individual is out of the office. +… more
    Excellus BlueCross BlueShield (06/24/25)
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  • Outpatient Clinic Administrator I/ II

    Ventura County (Ventura, CA)
    Outpatient Clinic Administrator I/ II - Ambulatory Care Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/5019335) Apply  Outpatient Clinic ... Administrator I/ II - Ambulatory Care Salary $85,570.42 - $136,912.62 Annually...care, specialty, behavioral health, dental, and optometry services. The manager reports to the department director and is responsible… more
    Ventura County (07/29/25)
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  • Social Worker II - Framingham/Marlborough-…

    Fallon Health (Worcester, MA)
    …to offering innovative health insurance solutions and a variety of Medicaid and Medicare products, we excel in creating unique health care programs and services that ... by the National Committee for Quality Assurance for its HMO, Medicare Advantage and Medicaid products. For more information, visit fallonhealth.org. **About… more
    Fallon Health (07/16/25)
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