- Novo Nordisk Inc. (San Mateo, CA)
- …level impact Demonstrates understanding of the local payer market including Medicare , Commercial and Medicaid benefit designs, Payer Coverage, Prescription Coverage ... and legal requirements. Manages discretionary territory budget and marketing promotional program budget to support territory sales goals Demonstrates a clear and… more
- Halifax Health (Port Orange, FL)
- Day (United States of America) Quality Improvement Specialist Responsible for review/extraction of patient care data related to the Hospice Quality Reporting ... Program (HQRP) entered into the electronic medical record to...completeness of information prior to submission to Centers for Medicare and Medicaid Services (CMS). Responsible for coordinating the… more
- TrackFive (Salem, OR)
- …per weekAbout The PositionA Registered Nurse (RN) - Infection Prevention Specialist is responsible for overseeing infection control practices within healthcare ... to infection control standards and guidelines. The Infection Prevention Specialist collaborates with multidisciplinary teams to maintain compliance with regulatory… more
- Fallon Health (Worcester, MA)
- …strive to be the leading provider of government-sponsored health insurance programs-including Medicare , Medicaid, and PACE ( Program of All-Inclusive Care for the ... for MassHealth programs such as the personal care attendant program , adult foster care, group adult foster care, and...member, the Clinical Integration team, and Primary Care Providers, Specialist and other community partners, to ensure a cost… more
- Healogics (Knoxville, TN)
- …medical personnel to ensure smooth day-to-day operations. Also works closely with Medical, Program and Nursing senior management to develop and annually revise ... would benefit through our out-patient clinic partnerships. Reporting to the Program Director, the Hyperbaric Safety Director administers hyperbaric oxygen therapy to… more
- Molina Healthcare (Atlanta, GA)
- …the benefits, operations, communication, reporting, and data exchange of the Medicare /MMP product in support of strategic and corporate business objectives. Manage ... for all Medicare lines of business the annual Medicare and Medicare -Medicaid Plan Applications and Plan Benefit Package design, as well as provide… more
- Centene Corporation (Cheyenne, WY)
- …anywhere in the Continental United States.** **Position Purpose:** Supports the Medicare Communications Compliance team in the management of regulatory requirements ... associated with the Medicare materials and sales compliance. Participates in the ongoing...additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that… more
- City and County of San Francisco (San Francisco, CA)
- …2232's may include, but are not limited to: + Disease Prevention and Control Senior Specialist /Medical Director + Provides clinical oversight of a unit or clinic ... COVID, influenza, measles, Salmonella, HIV, STIs, Tuberculosis or emerging diseases. + Senior Specialist in Forensic Pathology + Performs medicolegal autopsies… more
- Staffing Solutions Organization (Albany, NY)
- …a diverse workforce, which is a reflection of our clients and the people they serve. ** Senior Healthcare Program Specialist (Level 2 or 3) - Albany, NY** ... support to the other bureaus within the group, if needed. **Basic Qualifications:** + Senior Healthcare Program Specialist - Bachelor's Degree, + 8 years… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. Builds and sustains ... to reconcile discrepancies and identify issues, proposes solutions, and escalates issues to senior leadership as needed. . Prepares and leads weekly, monthly, and ad… more
- Idaho Division of Human Resources (Caldwell, ID)
- Financial Specialist Senior Posting Begin Date: 2025/07/10 Posting End Date: 2025/07/24 Category: Accounting and Finance Work Type: Full Time Location: Caldwell, ... and serve the public? Southwest District Health (SWDH) is recruiting aFinancial Specialist , Senior ,to join the dedicated group of public health professionals… more
- Access: Supports For Living (Middletown, NY)
- Senior Billing Specialist Location: Middletown, NY, United StatesDate Posted: Jul 11, 2025 Share: share to e-mail Apply Now Save JobSaved Description Location: ... (40hrs) Job Description: Reporting to the A/R Manager, the Senior Billing Specialist is a key position...of weekly claims processing + Analyze, billing and processing program claims for accuracy and completeness; submit claims to… more
- Prime Healthcare (Ontario, CA)
- …preparation of various government reports and support their audits. The Corporate Senior Government Reimbursement Specialist is responsible for preparing and ... understanding the complexity of a cost report. The Corporate Senior Government Reimbursement Specialist fully understands how one section of the report is linked… more
- Staffing Solutions Organization (Albany, NY)
- …a diverse workforce, which is a reflection of our clients and the people they serve. ** Senior Healthcare Program Specialist (Level 2 or 3) - Albany, NY** ... professional experience in public health insurance programs, including Medicaid, Medicare and/or Child Health Plus. Preferred candidates will also...the federal laws relating to the F-1 STEM EAD program , SSO may be able to support a STEM… more
- University of Oregon (Eugene, OR)
- …status families, and to students in the DACA program . The Senior Staff Therapist/Psychologist: Latinx Student Specialist adheres to university and department ... Senior Staff Therapist/Psychologist: Latinx Student Specialist ...criminal background check and routine screening of Medicaid and Medicare Exclusion Lists. Employee loses eligibility for employment if… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- *_SUMMARY:_* We are currently seeking a*Registration Specialist Senior *to join our*Admitting and Registration*. This 0.50 FTE (40 hours per pay period) role will ... other weekend, 3:30 PM - 12:00 AM). *Purpose of this position:*Registration Specialist Senior provides revenue cycle services and assumes responsibility for… more
- Molina Healthcare (Santa Fe, NM)
- …and/or collaboratively with other departments. **Job Duties** + Acts as a lead specialist to provide project, program , and/or initiative related direction and ... **Job Description** **Job Summary** The Sr Specialist , Member & Community Interventions oversees and implements new and existing clinical quality member intervention… more
- Marshfield Clinic (Marshfield, WI)
- …most exciting missions in the world!** **Job Title:** Pharmacy Systems Support Specialist Senior **Cost Center:** 301641560 System Ancillary Region-340b Admin ... America) **Job Description:** **JOB SUMMARY** The Pharmacy Systems Support Specialist Senior helps facilitate and support the...or be excluded from participation in any federally funded program , including Medicare and Medicaid. This is… more
- Centene Corporation (Atlanta, GA)
- …flexibility. **Must reside in the state of Georgia.** **Position Purpose:** The Senior Quality Improvement Specialist is responsible for coordinating assigned ... compliance with accreditation and regulatory requirements/ standards and monitors ongoing program performance to maintain compliance. Acts as a resource for… more
- Select Medical (Camp Hill, PA)
- **Overview** ** Senior Claims Resolution Specialist ** **Starting at $18.50.00/hr but flexible for experienced candidates** Do you enjoy puzzles and research? Are ... match. + No Required Weekends Apply for this job (https://jobs-selectmedicalcorp.icims.com/jobs/332413/ senior -claims-resolution- specialist /job?mode=apply&apply=yes&in\_iframe=1&hashed=1374627814) Share this job **Job ID** _332413_… more
