• Payor - Partner Programs

    KPH Healthcare Services, Inc. (Syracuse, NY)
    …minimum wage requirements. Connect With Us! (https://kphcareers-kphhealthcareservices.icims.com/jobs/14783/ payor - partner - programs - specialist ... + Serve as subject matter experts on the intricacies of selected payer partner programs and assist patients in ensuring the correct triage and handling +… more
    KPH Healthcare Services, Inc. (10/03/25)
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  • Client Relations Specialist - CA EOR…

    Maxim Healthcare (San Luis Obispo, CA)
    Maxim Healthcare is hiring for a Client Relations Specialist to work with clients, patients and active caregivers to monitor program participants' ability to ... 401(k) savings plan with company matching + Employee discount program ; partnered with hundreds of vendors nationwide + Awards...team + Ensures client's hours/services are authorized by the Payor Source and communicated to the client and client… more
    Maxim Healthcare (09/26/25)
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  • Admissions Specialist I - Nights

    Texas Health Resources (Denton, TX)
    Admissions Specialist I _We're looking for qualified_ **_Admissions Specialist I_** _like you to join our Texas Health family._ **Work Location:** Texas Health ... computer skills, medical terminology, Epic, Microsoft Office, and assorted software programs . . Exhibits a pleasant, professional, polished presence exhibiting the… more
    Texas Health Resources (09/27/25)
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  • Insurance Verification Specialist

    TEKsystems (Baltimore, MD)
    TekSystems is currently hiring for a Medical Insurance Verification Specialist in the Baltimore area! MUST HAVE: 1- 3 years of strong insurance verification or ... Mercy, UMFPI) Must be familiar with all payors and payor portals Must have STRONG Computer skills Pay and...and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this… more
    TEKsystems (10/02/25)
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  • Registration Specialist PRN

    AdventHealth (Glendale Heights, IL)
    …from Day One + Paid Days Off from Day One + Student Loan Repayment Program + Career Development + Whole Person Wellbeing Resources + Mental Health Resources and ... order to offer prompt patient service + and availability for all clinical partner registration needs. Arranges relief coverage during extended + time away from… more
    AdventHealth (09/27/25)
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  • Utilization Management Specialist , ED (RN…

    Vanderbilt University Medical Center (Tullahoma, TN)
    …Vanderbilt's mission is to advance health and wellness through preeminent programs in patient care, education, and research. **Organization:** Utilization Management ... urgently or emergently through the emergency department. + Participates as an active partner with multidisciplinary team members to ensure case is in the appropriate… more
    Vanderbilt University Medical Center (09/22/25)
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  • Physician Advisor

    Mohawk Valley Health System (Utica, NY)
    …admission. + Monitor observation and the application of the 2nd Midnight across payor types (CMS regulation). + Perform concurrent review and escalation of cases not ... and advisory services to physicians, case managers and clinical documentation specialist regarding correct level of care and reimbursement. Apply knowledge of… more
    Mohawk Valley Health System (07/09/25)
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  • Wound Care Medical Director (MD/DO)

    Munson Healthcare (Traverse City, MI)
    …other staff + Educational Support : + Supervise clinical services provided by all program staff and provide in-service education programs as necessary. + Serve ... and personal consulting + Wellness plans, an employee assistance program and employee discounts Ready to make a difference?...the foregoing and with quality assurance and medical audit programs of the Health System. + Clinical Advice and… more
    Munson Healthcare (09/16/25)
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  • Clinical Coordinator

    BrightSpring Health Services (Lansing, MI)
    …per visit) + Driving, Travel, Mileage Reimbursement + Educational Programs + Growth/Advancement Opportunities Responsibilities TheClinical Coordinator (CC)is a ... rehab hospitals, the CC drives anefficient, effective, and transdisciplinary rehabilitation program , ensuring every patient's needs are met with precision and… more
    BrightSpring Health Services (08/08/25)
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  • Clinical Coordinator

    BrightSpring Health Services (San Jose, CA)
    …supports a more efficient, effective and comprehensive transdisciplinary rehabilitation program similar to case managers utilized within inpatient rehab hospitals. ... and service delivery for referred patients in conjunction with the patient/care partner and the clinical team.. Completes CC evaluation and develops patient initial,… more
    BrightSpring Health Services (10/03/25)
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  • Human Services Counselor III

    MyFlorida (Orlando, FL)
    …Florida Department of Health in Orange County. The incumbent serves as a Referral Specialist for the Ryan White HIV/AIDS Program (RWHAP) ensuring all clients of ... Duty . PREFERRED QUALIFICATIONS: + Eligibility Experience + Experience conducting program assessments and home visits. + Current HIV 500/501 certification. +… more
    MyFlorida (07/09/25)
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  • Sr./System Account Executive - Froedert Health…

    Boehringer Ingelheim (Milwaukee, WI)
    **Description** The System Account Executive (SAE) is a specialist role responsible for pull-through of the account plan (developed by the Account Manager) at the ... mobility, networking and work-life balance. Our competitive compensation and benefit programs reflect Boehringer Ingelheim's high regard for our employees. **Duties… more
    Boehringer Ingelheim (09/13/25)
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  • Director of Care Management

    Children's Mercy Kansas City (Kansas City, MO)
    …thanks by giving back. As a leader in children's health, we engage in meaningful programs and partnerships throughout the region so that we can improve the lives of ... pre-bill denial avoidance and denial management. + Partners with Revenue Cycle, Payor Relations, HIM and Risk Management in support of utilization management and… more
    Children's Mercy Kansas City (08/29/25)
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