• Novo Nordisk Inc. (Bronx, NY)
    …current co-promotion partners. Internally, the CMCS I reports to the District Business Manager of the specific sales territory. The CMCS I also interacts and ... level impact Demonstrates understanding of the local payer market including Medicare , Commercial and Medicaid benefit designs, Payer Coverage, Prescription Coverage… more
    HireLifeScience (12/06/25)
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  • Novo Nordisk Inc. (Salinas, CA)
    …co-promotion partners. Internally, the CMCS I reports to the Portfolio District Business Manager of the specific sales territory. The CMCS I also interacts and ... level impact Demonstrates understanding of the local payer market including Medicare , Commercial and Medicaid benefit designs, Payer Coverage, Prescription Coverage… more
    HireLifeScience (11/20/25)
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  • Merck & Co. (SD)
    …with the in-scope customer team: Customer Team Leader, Key Account Manager , Nurse Educator, Field Reimbursement Associate, Medicare Account Executive, ... Job Description Oncology Sales Representative / Specialist Grow and accelerate your career with our...plans in collaboration with the local team and district manager (known as the Oncology Customer Team Leader). Ask… more
    HireLifeScience (12/06/25)
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  • Carle Health (Peoria, IL)
    …follow patients monitoring disease status. Schedule referrals for patients with specialist or outpatient as requested by the provider. Complete appropriate forms ... follow patients monitoring disease status. Schedule referrals for patients with specialist or outpatient as requested by the provider. Complete appropriate forms… more
    Appcast IO CPA (11/29/25)
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  • Medicare Member Engagement…

    Molina Healthcare (Warren, MI)
    …and manager . Basic understanding of managed healthcare systems and Medicare . **PREFERRED EDUCATION:** Associate's or Bachelor's Degree in Social Work, Human ... of Member Materials. **Knowledge/Skills/Abilities** + Conducts direct outreach to new Medicare members to provide personal assistance with their new MAPD, DSNP,… more
    Molina Healthcare (11/13/25)
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  • Care Manager Specialist (Remote,…

    CVS Health (Columbus, OH)
    …As an essential member of our Special Needs Plan (SNP) care team, the telephonic Care Manager Specialist (CMS) plays a key role in coordinating the care of our ... conditions. The CMS collaborates closely with the Registered Nurse Care Manager , Care Coordinator, Social Worker, and other interdisciplinary care team participants… more
    CVS Health (12/06/25)
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  • Patient Care Manager Specialist

    Gentiva (Conyers, GA)
    …Compassion. Inspire Excellence. Elevate Hospice Care.** We are seeking a Patient Care Manager Specialist to join our team, reporting to the Regional Director ... supporting compliance with company policies and regulatory requirements. **As a Patient Care Manager Specialist , You Will:** + Provide oversight for patient care… more
    Gentiva (11/06/25)
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  • Facility Financial Specialist

    Heritage Ministries (Greenhurst, NY)
    …in a human services related field. + Preferred experience as a caseworker, case manager , intake specialist , or related work experience with the long-term care ... Job Description The Facility Financial Specialist is responsible for welcoming and directing new...face sheet, and the primary insurance coverage (other than Medicare ). Verifies the Medicare benefit and coverage… more
    Heritage Ministries (10/27/25)
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  • Red Shirt Promotion Specialist

    Independent Health (Cheektowaga, NY)
    …fosters growth, innovation and collaboration. **Overview** The Red Shirt Promotion Specialist will be responsible for sales acquisition and retention strategies for ... Medicare . They will be responsible for identifying, contacting, and...and ensure PHI and security metrics are met. The Specialist will be responsible for compliance/adherence to CMS sales… more
    Independent Health (09/13/25)
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  • Health Insurance Specialist , One Big…

    Centers for Medicare & Medicaid Services (Washington, DC)
    …in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Office of Strategic Operations and Regulatory Affairs,(OSORA) ... . As a Health Insurance Specialist , referred to here as a Health Insurance ...Assisting in monitoring national health insurance programs (such as Medicare , Medicaid, or private marketplaces) to support executive decision-making.… more
    Centers for Medicare & Medicaid Services (12/03/25)
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  • Sr Sourcing Specialist

    Medical Mutual of Ohio (Brooklyn, OH)
    …insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. **Provides expertise to ... or related field. + 5 years of experience as a Sourcing Specialist or equivalent experience. **Professional Certification(s)** + Certified Purchasing Manager more
    Medical Mutual of Ohio (10/21/25)
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  • LTSS Program Specialist , Hybrid

    Commonwealth Care Alliance (Boston, MA)
    …appropriateness, efficiency and quality of the services provided. The LTSS Program Specialist will have a wide range of responsibilities including project management ... capabilities. The position will report to the LTSS Program Manager . Reporting to the Manager , LTSS Program,...and (e)assistance to these external partners as necessary. The Specialist is expected to work with managers and staff… more
    Commonwealth Care Alliance (10/18/25)
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  • Health Insurance Specialist

    Centers for Medicare & Medicaid Services (Woodlawn, MD)
    …is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Center for Program Integrity (CPI). As a Health ... Insurance Specialist , GS-0107-14, you will serve as an advisor to...on critical healthcare policy issues that impact billions in Medicare and Medicaid spending. Lead and coordinate the Center's… more
    Centers for Medicare & Medicaid Services (12/03/25)
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  • Verification Specialist - PMPH

    Penn Medicine (Plainsboro, NJ)
    …Are you living your life's work? **Looking for a FT Verification Specialist ** **Schedule: M-F Day** **Department: Multi Specialty** **Location: 5 Plainsboro Rd** ... Summary: Under supervision from the Director and/or the Clinical Manager of Admissions provide insurance verification and coordination for all commercial, Medicaid… more
    Penn Medicine (12/03/25)
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  • Senior Billing Specialist

    Access: Supports For Living (Middletown, NY)
    …$26.44 per hour Hours: Monday-Friday 8:00AM-4:30PM (40hrs) Job Description: Reporting to the A/R Manager , the Senior Billing Specialist is a key position in the ... Senior Billing Specialist Location: Middletown, NY, United StatesDate Posted: Nov...portals. + Maintain a working knowledge of OMH, OASAS, Medicare , Medicaid, Medicaid Managed Care and other payers' billing… more
    Access: Supports For Living (12/04/25)
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  • Hospital Coding Specialist III (Remote)

    Marshfield Clinic (Marshfield, WI)
    …most exciting missions in the world!** **Job Title:** Hospital Coding Specialist III (Remote) **Cost Center:** 101651098 System Support-Facility Coding **Scheduled ... be eligible for a sign-on bonus!**_** **JOB SUMMARY** The Hospital Coding Specialist III accurately codes inpatient conditions and procedures as documented in the… more
    Marshfield Clinic (11/13/25)
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  • eCOB Specialist II

    Elevance Health (Nashville, TN)
    **eCOB Specialist II** **Location** : This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing ... from 8:00 am - 4:30 pm EST. The **eCOB Specialist II** is responsible for researching and investigating other...in other coverage. + Aides members in enrolling in Medicare when they are entitled. + Determines primacy on… more
    Elevance Health (12/05/25)
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  • Payroll and Data Specialist - Remote

    Aveanna Healthcare (Los Angeles, CA)
    Payroll and Data Specialist - Remote ApplyRefer a FriendBack Job Details Requisition #: 209131 Location: Los Angeles, CA 90005 Category: Accounting/Finance Salary: ... - $24.00 per hour Position Details Payroll and Data Specialist Summary & Key Responsibilities The Aveanna Healthcare Support...team! Provides back up Payroll duties for the Payroll Manager . Also, performs various and more complex duties such… more
    Aveanna Healthcare (11/15/25)
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  • Quality Assurance Specialist /Certified…

    WestCare Foundation (Pikeville, KY)
    …for assisting the agency in ensuring that documentation requirements for Medicaid, Medicare and other funding sources per chapter and contract guidelines are adhered ... in the areas of quality documentation and records review in relation to Medicaid/ Medicare regulations and all other federal, state and local rules and regulations… more
    WestCare Foundation (10/23/25)
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  • Health Information Specialist

    MyFlorida (Moore Haven, FL)
    HEALTH INFORMATION SPECIALIST - 64051386 Date: Nov 25, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... No: 865304 Agency: Department of Health Working Title: HEALTH INFORMATION SPECIALIST - 64051386 Pay Plan: Career Service Position Number: 64051386 Salary:… more
    MyFlorida (12/06/25)
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