• Sr Managed Care Contracting…

    Kaleida Health (Buffalo, NY)
    …equity, and any applicable collective bargaining agreement.* **Grade:** 12 **Position:** Sr Managed Care Contracting Specialist **Union Code:** 00 - Non ... special projects as required related to Payer Strategy and revenue recognition . **Buffalo, NY** **Location:** Larkin Bldg @ Exchange Street **Recruiter:** Salihah… more
    Kaleida Health (04/23/24)
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  • Managed Care , Gov Contracts…

    Molina Healthcare (Las Vegas, NV)
    **Molina Healthcare of Nevada** is hiring for a ** Managed Care , Gov Contracts Sr . Specialist ** . This role can be worked remotely from anywhere in the ... state of Nevada.. The Sr . Specialist role will involve coordination of...The Following Experience:** + Reading, interpreting, and responding to Managed Care regulatory bodies and contracts. +… more
    Molina Healthcare (04/06/24)
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  • Managed Care Coordinator - Referrals

    Beth Israel Lahey Health (Plymouth, MA)
    …is subject to change at any point. Job Summary: Under the direction of the Sr . Managed Care Coordinator and Surgery Practice Manager initiate and process ... managed care insurance referral requests for patients... managed care insurance referral requests for patients of the practice,...physicians and support staff on APG managed care related issues. Communicate to the specialist more
    Beth Israel Lahey Health (03/24/24)
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  • Financial Specialist Sr . - Medicaid…

    Idaho Division of Human Resources (Boise, ID)
    Financial Specialist Sr . - Medicaid Reimbursement Analyst Posting Begin Date: 2024/04/23 Posting End Date: 2024/05/23 Category: Business Sub Category: Accounting ... and Welfare, Division of Medicaid, is currently seeking aMedicaid Reimbursement Analyst(Financial Specialist Senior ) with experience in Medicaid or other health … more
    Idaho Division of Human Resources (04/24/24)
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  • Provider Communications Specialist

    AmeriHealth Caritas (Manchester, NH)
    **Provider Communications Specialist Sr (Hybrid)** Location: Manchester, NH Primary Job Function: Marketing & Communications ID**: 29333 **Job Brief** This ... working with project deadlines will be required. **Responsibilities:** The Senior Communications Specialist Senior is...in member and/or provider operations in a healthcare or Managed Care Organization to include experience in… more
    AmeriHealth Caritas (04/03/24)
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  • Sr Specialist , Quality Management…

    Molina Healthcare (Phoenix, AZ)
    …travel throughout the state and may require occasional overnight. **Job Duties** The Sr Specialist , Quality Management (RN) contributes to the quality management ... in processes that may require remediation. In particular, the Senior Specialist may be asked to focus...Experience** * 2 years auditing experience. * 1 year managed care experience. * Ability to work… more
    Molina Healthcare (03/20/24)
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  • Sr Specialist , Quality…

    Molina Healthcare (Albuquerque, NM)
    …New Mexico market. This could be a weekly occurrence. **KNOWLEDGE/SKILLS/ABILITIES** The Senior Specialist , Quality Interventions / QI Compliance contributes to ... and Quality Improvement Compliance. + Acts as a lead specialist to provide project-, program-, and / or initiative-related...minimum 2 years' experience in health plan quality improvement, managed care or equivalent experience. + Demonstrated… more
    Molina Healthcare (04/03/24)
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  • Sr . Category Business Specialist

    Compass Group, North America (Charlotte, NC)
    …and interact with our clients, business partners and fellow associates. Job Summary The Sr . Category Business Specialist will work on 3rd party member requests ... the world's largest contract food and support services provider. Why Foodbuy? We care about our associates, our clients, and our community. We think big, encourage… more
    Compass Group, North America (04/20/24)
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  • Sr Specialist -PI-Quality/Safety…

    Sharp HealthCare (Chula Vista, CA)
    …and employer business practices. **What You Will Do** The purpose of the Sr . Performance Improvement Specialist is to improve clinical outcomes including ... Supervisory Committee Chair, facilitates evaluation of the medical staff's quality of care and leads improvement projects to decrease variation in physician practice… more
    Sharp HealthCare (03/13/24)
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  • Sr . Program Specialist - TMTI…

    Abbott (Santa Clara, CA)
    …**Working at Abbott** At Abbott, you can do work that matters, grow, and learn, care for yourself and family, be your true self and live a full life. You'll ... Our location in Santa Clara, CA, currently has an opportunity for a Sr . Training Program Coordinator. The Training Program Coordinator is responsible for executing… more
    Abbott (04/09/24)
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  • Pursuits Specialist Sr . Program…

    Amazon (Seattle, WA)
    …Global Business Innovation to Scale (GBITS) team. We are seeking a dynamic, specialist Program Manager for our Strategic Pursuits team. In this role, you will ... and/or Global System Integration partners. Strategic pursuits involve C-level and senior executive level engagement from AWS and our customers/partners. In this… more
    Amazon (04/10/24)
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  • Sr In-Plant Solutions Specialist

    MSC Industrial Supply Co. (Elkhart, IN)
    …:Elkhart, IN State or Province :Indiana (US-IN) BRIEF POSITION SUMMARY: The In-Plant Solutions Specialist is a critical MSC role. The associate is located in a large ... + Manages the MSC ControlPoint Solutions -which could include standard Vendor Managed Inventory, Vending, or Storeroom management programs and may require ordering,… more
    MSC Industrial Supply Co. (04/24/24)
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  • Sr Specialist , Client Service

    Charles Schwab (Boston, MA)
    …has over $320 billion under management in mutual funds, ETFs and SMA's. Products managed include a wide variety of active and indexed equity, fixed income, and asset ... basis. We offer a competitive benefits package that takes care of the whole you - both today and...basis. We offer a competitive benefits package that takes care of the whole you - both today and… more
    Charles Schwab (04/20/24)
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  • Sr ./System Account Executive - Main Line…

    Boehringer Ingelheim (Philadelphia, PA)
    …75% depending upon geography.* Knowledge across portfolio is preferred.* Strong understanding of managed care and its impact on the industry.* Excellent judgment ... **Description** The System Account Executive (SAE) is a specialist role responsible for pull-through of the account...leased vehicle or authorized rental vehicle.* Strong understanding of managed care environment and intricacies of health… more
    Boehringer Ingelheim (03/07/24)
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  • Sr Director Internal Audit

    Commonwealth Care Alliance (Boston, MA)
    …Experience:** + Internal Audit experience of 10+ years health insurance or managed care industry. + Project management experience required. + Management ... **Why This Role is Important to Us:** The Sr . Director of Internal Audit position is a...Audit position is a key member of the Commonwealth Care Alliance's Internal Audit team responsible for the successful… more
    Commonwealth Care Alliance (04/17/24)
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  • CO Sr . Medical Office Coordinator

    Johns Hopkins University (Baltimore, MD)
    …with accuracy and provide up to date insurance information found on Johns Hopkins Managed Care website. + Facilitate scheduling of lab tests and other ... and/or surgical practice within the Department of Otolaryngology. The Sr . Coordinator will ensure a smoothly functioning office and...may include, but not limited to scheduling, registration and care coordination. + Serve as a resource for other… more
    Johns Hopkins University (03/25/24)
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  • Credentialing Spec Sr - CVO

    BayCare Health System (Clearwater, FL)
    …+ **Shift:** 8:00 AM to 4:30 PM + **Days:** Monday through Friday The **Credentialing Specialist Sr - CVO** is a full-time hybrid position. This team member must ... currently reside in Florida. **Responsibilities** + The Credentialing Specialist , Sr - CVO is responsible for...3 years / Preferred experience - 1 year in Managed Care + Equal Opportunity Employer Veterans/Disabled… more
    BayCare Health System (04/17/24)
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  • Sr . Medical Office Coordinator

    Johns Hopkins University (Bethesda, MD)
    …with accuracy and provide up to date insurance information found on Johns Hopkins Managed Care website. + Facilitate scheduling of lab tests and other ... Orthopaedic Surgery is seeking a **_Sr. Medical Office Coordinator ( Sr . MOC)_** who will coordinate day-to-day activities of a...may include, but not limited to scheduling, registration and care coordination. + Serve as a resource for other… more
    Johns Hopkins University (03/05/24)
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  • Sr . Medical Office Coordinator

    Johns Hopkins University (Baltimore, MD)
    …for medical services. + Obtains pre-certifications as required by patient's health care insurers or managed care providers. + Maintains ... extracts chargeable items. + Informs patients of costs of care and guides them to appropriate resources for further...patients need to be evaluated by more than one sub- specialist . Schedules appointments and/or makes referral as app +… more
    Johns Hopkins University (02/08/24)
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  • Credentialing Coordinator/ Sr . - Ob/Gyn

    UT Health (Houston, TX)
    …(3) years of credentialing, database management, or medical staff coordination in managed care environment. **Physical Requirements:** Exerts up to 20 pounds ... Credentialing Coordinator/ Sr . - Ob/Gyn **Location:** Houston, Texas **Category:** Healthcare...healthcare education, innovation, scientific discovery, and excellence in patient care . That's where you come in. **Once you join… more
    UT Health (03/23/24)
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