• myPlace Health (Los Angeles, CA)
    …Care for the Elderly) model, which provides seamless primary care, integrated health plan coverage, personalized social engagement, and customized services ... About myPlace Health myPlace Health was founded in...care. You'll coordinate and manage healthcare transitions for our PACE (Program of All-Inclusive Care for the Elderly) participants,… more
    Upward (07/17/25)
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  • TEKsystems (Earth City, MO)
    …and process mechanical claims . This opportunity offers a refreshing change of pace , allowing you to work in the comfort of a modern workspace, while enjoying ... gears in your career? We are seeking a Mechanical Claims Specialist to join our expanding customer contact team....to change and may be subject to specific elections, plan , or program terms. If eligible, the benefits available… more
    Upward (07/19/25)
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  • Renton Technical College (Renton, WA)
    …To learn more about this benefit, please visit the ESD PFML website at Resources: Health Benefits / Plan Comparisons / Plan Contact Information: Retirement ... entry and mid-level training in the areas of allied health , trades and industry, culinary, business, technology, and automotive....The employee premium is based on the choice of plan and coverage for lawful spouses, same-sex domestic partners,… more
    Upward (07/15/25)
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  • Renton Technical College (Renton, WA)
    …To learn more about this benefit, please visit the ESD PFML website at Resources: Health Benefits / Plan Comparisons / Plan Contact Information: Retirement ... entry and mid-level training in the areas of allied health , trades and industry, culinary, business, technology, and automotive....The employee premium is based on the choice of plan and coverage for lawful spouses, same-sex domestic partners,… more
    Upward (07/19/25)
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  • PHP Financial Services (Corona, CA)
    …and stay on track. Upside Earning Potential Our commission-based compensation plan includes performance bonuses with no income ceiling-your effort determines your ... the freedom to set your own schedule and work at your own pace , whether full-time or part-time. Ongoing Professional Development Access ongoing coaching, leadership… more
    Upward (07/03/25)
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  • Claims Analyst

    Trinity Health (Livonia, MI)
    …reimbursement rules and CMS-1500 & UB-04 claims preferred. + Previous experience with PACE Health Plan Operation, preferred. + A combination of education ... Type:** Full time **Shift:** **Description:** ** Claims Analyst** **Location:** Trinity Health PACE Corp Michigan, Livonia, MI **Status:** Full time… more
    Trinity Health (06/11/25)
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  • Automotive Technician - Mechanical Claims

    TEKsystems (Earth City, MO)
    …and process mechanical claims . This opportunity offers a refreshing change of pace , allowing you to work in the comfort of a modern workspace, while enjoying ... claims . This opportunity offers a refreshing change of pace , allowing you to work in the comfort of...to change and may be subject to specific elections, plan , or program terms. If eligible, the benefits available… more
    TEKsystems (07/23/25)
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  • Mechanical Claims Analyst

    TEKsystems (Earth City, MO)
    …expertise in a professional setting, helping customers and dealerships navigate vehicle repair claims . As a Mechanical Claims Analyst, you'll use your knowledge ... of engines, transmissions, and electrical systems to evaluate mechanical claims , communicate with customers and repair facilities, and ensure...claim resolutions. This role offers a refreshing change of pace , a hybrid work schedule, and a path to… more
    TEKsystems (07/19/25)
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  • Healthcare Operations Support Manager-Regulatory…

    Fallon Health (Buffalo, NY)
    …Fallon Health Weinberg offers a Program of All Inclusive Care for the Elderly ( PACE ) to serve the health needs of dual-eligible residents of the Western New ... **Overview** **About us:** Fallon Health Weinberg is a partnership between Fallon ...Service Quality Meeting quarterly and works with leadership and PACE sites to plan interventions and improvement… more
    Fallon Health (07/04/25)
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  • Business Analyst - ASG

    Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
    …a passionate, results-oriented Business Analyst in the healthcare payer domain with Health Plan administration experience of self-funded clients who excels in ... in onboarding new self-funded clients or implement product in Multi-employer Trust or Health Plan Administration. + Healthcare industry knowledge + Familiar with… more
    Brighton Health Plan Solutions, LLC (06/18/25)
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  • Transitions of Care Coordinator- RN…

    Fallon Health (Worcester, MA)
    …and inspiring hope, we strive to be the leading provider of government-sponsored health insurance programs-including Medicare, Medicaid, and PACE - in the region. ... **Overview** **About us:** Fallon Health is a company that cares. We prioritize...ElderCare(R) is a Program of All-Inclusive Care for the Elderly- PACE for short. PACE , an alternative to… more
    Fallon Health (07/01/25)
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  • Pharmacy Benefits Plan Consulting…

    Deloitte (Carson City, NV)
    …studies + Implement competitive vendor search and selection initiatives + Review of health plan renewals including assisting in rate negotiation, and analyzing ... functions with AI and emerging technology. With the rapid pace of change in today's world, you will help...+ Prepare financial projections and rate development + Review health plan performance, including reviewing policy year… more
    Deloitte (06/12/25)
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  • VP Performance Insights

    Dignity Health (Bakersfield, CA)
    …class analytics, performance insights and routine reporting to support delivery of population health services. Serving as a member of the population health ... 11. Engage with and develop end to end analytic solutions around population health , value based agreements and capitation. 12. Lead the team through design,… more
    Dignity Health (05/30/25)
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  • Employer Health Senior Consultant

    Deloitte (Fresno, CA)
    …performance guarantees, and renewals. + Analyze claims utilization data and assess health plan performance against strategy. + Act as an extension of the ... functions with AI and emerging technology. With the rapid pace of change in today's world, you will help...you'll do + Prepare self-insured financial projections and support health plan management, including financial reporting, premium… more
    Deloitte (07/23/25)
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  • Patient Access Representative

    East Boston Neighborhood Health Center (East Boston, MA)
    Thank you for your interest in a career at NeighborHealth, formerly East Boston Neighborhood Health Center! As one of the largest community health centers in the ... greater Boston area with a strong commitment to the health and well-being of our patients and communities. Whether...the end of each shift to avoid delay in claims being processed. Alerts supervisor of any issues with… more
    East Boston Neighborhood Health Center (05/14/25)
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  • Psychiatrist

    East Boston Neighborhood Health Center (East Boston, MA)
    …for your interest in a career at NeighborHealth, formerly East Boston Neighborhood Health Center! Everywhere you turn, you can feel the immeasurable level of ... at NeighborHealth! We are one of the largest community health centers in the country, supporting the greater Boston...factors. Serves as an expert consultant and/or supervisor to PACE providers (Program of All-Inclusive Care of the Elderly)… more
    East Boston Neighborhood Health Center (06/12/25)
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  • Senior Provider Relations Representative

    Fallon Health (Worcester, MA)
    …inspiring hope, we strive to be the leading provider of government-sponsored health insurance programs-including Medicare, Medicaid, and PACE (Program of ... **Overview** **About us:** Fallon Health is a company that cares. We prioritize...and outreach initiatives as appropriate **Training/Education of Providers** + Plan , organize and conduct educational training seminars for assigned… more
    Fallon Health (05/31/25)
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  • Physician (Family Medicine)

    Defense Health Agency (Oceanside, CA)
    …for federal civilian healthcare providers as they are covered by the Federal Tort Claims Act (28 USC | 1346(b)) while acting within the scope of their employment. ... area that continues to grow at a very rapid pace . Camp Pendleton area is so large that it...student loan repayments, and retirement package with Thrift Savings Plan to include matching employer contributions. For more information,… more
    Defense Health Agency (04/25/25)
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  • Clinical Care Manager

    Intellatriage (Brentwood, TN)
    …who will oversee a centralized team providing case management and triage services for PACE , Hospice, and Home Health patients. This role is responsible for ... and providers; ensure timely upload into EMR. . Handle claims status inquiries and route appropriately. . Field new...contact. Requirements Qualifications . Minimum 3 years in home health , PACE , or geriatric care . Prior… more
    Intellatriage (06/12/25)
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  • Sr. Director, Global Benefits (US Medical…

    Comcast (Philadelphia, PA)
    …of actual plan payments with actuarial forecasts. + Partners with health plans consultants and Comcast's Data Services team to perform detailed claims ... experiences. As a Fortune 50 leader, we set the pace in a variety of innovative and fascinating businesses...of Global Benefits is responsible for designing and implementing health care programs and strategies with the goal of… more
    Comcast (05/24/25)
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