• Presbyterian Healthcare Services (Albuquerque, NM)
    health plan serves more than 640,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care) and Commercial health plans. ... global grasp of situations, critical thinking, decision making, critical actions, priority setting, and escalation of concerns with associated knowledge, skills, and… more
    Talent (10/10/25)
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  • Presbyterian Healthcare Services (Albuquerque, NM)
    health plan serves more than 640,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care) and Commercial health plans. ... a global grasp of situations, critical thinking, decision-making, critical actions, priority setting, and escalation of concerns with associated knowledge, skills,… more
    Talent (10/10/25)
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  • Priority Health Medicare

    Corewell Health (Grand Rapids, MI)
    …of the Medicare Quality pharmacist, the pharmacy intern will engage Priority Health Medicare members to improve medication adherence to cholesterol, ... Pharmacy Intern, under the direct supervision of a licensed Medicare Quality pharmacist, will engage with ...by employment type and status Primary Location SITE - Priority Health - 1231 E Beltline -… more
    Corewell Health (10/09/25)
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  • Manager, Medicare Compliance

    Medical Mutual of Ohio (OH)
    …We provide peace of mind to more than 1.2 million members through our high- quality health , life, disability, dental, vision and indemnity plans. We offer fully ... we are trusted by businesses and nonprofit organizations throughout Ohio to provide high- quality health , life, disability, dental, vision and indemnity plans. We… more
    Medical Mutual of Ohio (09/23/25)
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  • Patient Services Specialist I

    Priority Health Care (Gretna, LA)
    …+ Intellectual Capacity + Technical/Business Knowledge + Planning/Organization ACKNOWLEDGEMENT: Priority Health Care is an equal opportunity employer. ... reports, and data entry. The Patient Service Specialist will provide quality customer service to internal and external customers; review patient documentation… more
    Priority Health Care (10/06/25)
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  • STARS Quality Improvement Specialist…

    Corewell Health (Grand Rapids, MI)
    …execution of quality improvement strategies and reporting requirements for Priority Health 's Highly Integrated Dual Eligible Special Needs Plan (HIDE-SNP) ... Health and Human Services (MDHHS) and Centers for Medicare and Medicaid Services quality metrics and...by employment type and status Primary Location SITE - Priority Health - 1239 E Beltline -… more
    Corewell Health (10/09/25)
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  • Audit & Reimbursement III (US)

    Elevance Health (Harrisburg, PA)
    …government contracts for Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs. The **Audit ... and Reimbursement III** will support our Medicare Administrative Contract (MAC) with the federal government (The... of our associates and communities is a top priority for Elevance Health . We require all… more
    Elevance Health (09/27/25)
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  • Audit & Reimbursement Senior

    Elevance Health (Houston, TX)
    …government contracts for Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs. The **Audit ... and Reimbursement Senior** will support our Medicare Administrative Contract (MAC) with the federal government (The... of our associates and communities is a top priority for Elevance Health . We require all… more
    Elevance Health (10/09/25)
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  • Diagnostic Imaging Education, Quality

    Alameda Health System (Oakland, CA)
    …(CMS), and the California Department of Public Health - Radiologic Health Branch (CDPH-RHB). The Diagnostic Imaging Education, Quality & Informatics ... Diagnostic Imaging Education, Quality -Informatics Administrator + Oakland, CA + Highland General Hospital + SYS Imaging Administration + Full Time - Day + Business… more
    Alameda Health System (10/07/25)
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  • Physical Therapist - Home Health - 40 Hours…

    Henry Ford Health System (Jackson, MI)
    …certified by both Medicare and The Joint Commission, we deliver affordable, high- quality care across a wide range of insurance plans including Medicare , ... Henry Ford Jackson Hospital At Home provides compassionate, personalized health care services in the comfort of patients' homes....and overall well-being of our team members is our priority . That's why we offer support in the various… more
    Henry Ford Health System (10/09/25)
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  • Physical Therapist - Home Health - 40 Hours…

    Henry Ford Health System (Jackson, MI)
    …certified by both Medicare and The Joint Commission, we deliver affordable, high- quality care across a wide range of insurance plans including Medicare , ... Henry Ford Jackson Hospital At Home provides compassionate, personalized health care services in the comfort of patients' homes....and overall well-being of our team members is our priority . That's why we offer support in the various… more
    Henry Ford Health System (10/09/25)
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  • Occupational Therapist-Home Health Care…

    Henry Ford Health System (Jackson, MI)
    …certified by both Medicare and The Joint Commission, we deliver affordable, high- quality care across a wide range of insurance plans including Medicare , ... Henry Ford Jackson Hospital At Home provides compassionate, personalized health care services in the comfort of patients' homes....and overall well-being of our team members is our priority . That's why we offer support in the various… more
    Henry Ford Health System (10/09/25)
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  • Physical Therapist - Home Health Care - 40…

    Henry Ford Health System (Jackson, MI)
    …certified by both Medicare and The Joint Commission, we deliver affordable, high- quality care across a wide range of insurance plans including Medicare , ... Henry Ford Jackson Hospital At Home provides compassionate, personalized health care services in the comfort of patients' homes....and overall well-being of our team members is our priority . That's why we offer support in the various… more
    Henry Ford Health System (07/21/25)
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  • Clinical Pharmacist, Population Health

    Elevance Health (Seven Hills, OH)
    …support to Medicare , Commercial, and Medicaid providers, focusing on improving quality (STAR and HEDIS) and cost measures. You will work closely with providers ... pharmaceuticals to assist contracted providers in achieving cost and quality goals. + Evaluate pharmacy quality program... of our associates and communities is a top priority for Elevance Health . We require all… more
    Elevance Health (10/04/25)
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  • Pharmacy Customer Service Representative…

    Corewell Health (Grand Rapids, MI)
    …+ Adheres to established procedure and quality guidelines in support of Priority Health service promise, key drivers, performance indicators, as well as ... colleagues, agents, Elite agents, and different customer types across multiple Priority Health products within departmental guidelines. Professional and pleasant… more
    Corewell Health (08/29/25)
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  • RN Unit Manager - Taylor Health

    Arnot Health (Bath, NY)
    …care delivery of unit staff. Coordinates care plan with physicians, nursing and other health care professionals to ensure highest quality care delivery to our ... nursing care activities based on the philosophy of Arnot Health using initiative and independent judgment to provide the...Care staff, attends weekly care conference meetings, and weekly Medicare A review with care team and therapies. +… more
    Arnot Health (07/28/25)
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  • Program Manager- Population Health

    Henry Ford Health System (Troy, MI)
    The Program Manager- Population Health & Value-Based Payment has an important role in a high-profile group tasked with implementing system-wide improvements within ... of autonomy focusing on improving Revenue Cycle processes, Population Health program management, Accountable Care Organization participation, and other alternative… more
    Henry Ford Health System (09/23/25)
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  • Home Health RN Clinical Manager

    Sea Mar Community Health Centers (Seattle, WA)
    …(FQHC) founded in 1978, is a community-based organization committed to providing quality , comprehensive health , human, housing, educational and cultural services ... Recommend clinical objectives and participate in the designation of priority objectives for the Home Health Division.... risk management protocols. + Participate in the organizational Quality Improvement Program as it relates to patient care.… more
    Sea Mar Community Health Centers (07/22/25)
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  • Supervisory Health Insurance Specialist

    Centers for Medicare & Medicaid Services (Woodlawn, MD)
    Summary This position is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Center for Medicare and ... performance, handling HR tasks, addressing issues, and improving work quality and efficiency. Leads testing and implementation of preventive...and population health models to improve care, health , and costs in Medicare , Medicaid, and… more
    Centers for Medicare & Medicaid Services (10/07/25)
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  • RN - Behavioral Health

    UnityPoint Health (Cedar Rapids, IA)
    …assessment, planning, implementation and evaluation of patient care on the behavioral health units. Responsible for the delivery of patient care through a ... in need of the secure setting of a locked behavioral health unit. St. Luke's CARE delivery model (Continuity, Accountability, Relationship-based, Evidence-based)… more
    UnityPoint Health (09/19/25)
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