• 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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  • Supervisor - Call Center Operations (11:30 am…

    Henry Ford Health System (Troy, MI)
    …years of experience in health care or insurance environment with focus on Medicare managed care products. + Minimum of two (2) years of recent supervisory or ... of health care delivery systems. + Working knowledge of Medicare Advantage Programs. + Knowledge of CMS Compliance regarding customer satisfaction. +… more
    Henry Ford Health System (11/27/25)
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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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  • RN Case Manager (Hybrid) - SNP Special Needs Plan…

    Henry Ford Health System (Troy, MI)
    …care team, coordinates care, monitors outcomes and evaluates the delivery of quality , cost effective health care services across the continuum of ... PLAN - 40 HOURS - DAY SHIFT - HAP HEALTH ALLIANCE PLAN Full Time Benefit Eligible Schedule: Monday...Dual-Special Needs Program (D-SNP) group. We provide services to Medicare eligible patients based on the standard criteria for… more
    Henry Ford Health System (11/25/25)
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  • Health Plan Operations Analyst, Michigan…

    McLaren Health Care (Flint, MI)
    …considers all our employees as leaders in driving the organization forward and delivering quality service to all our members. McLaren Health Plan is our ... Group (MIG) is a fully owned subsidiary of McLaren Health Care Corporation and is the parent company of...working with the State of Indiana and Centers for Medicare and Medicaid Services to bring you the Hoosier… more
    McLaren Health Care (10/22/25)
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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 (10/21/25)
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  • Behavioral Health Case Manager I (Southwest…

    Elevance Health (Roanoke, VA)
    …process. The health of our associates and communities is a top priority for Elevance Health . We require all new candidates in certain patient/member-facing ... **Behavioral Health Case Manager I** **Work location:** Virginia **Virtual:**...plan as needed. + Supports member access to appropriate quality and cost effective care. + Coordinates with internal… more
    Elevance Health (11/21/25)
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  • Behavioral Health Case Manager 1 - Adults

    Elevance Health (Richmond, VA)
    …process. The health of our associates and communities is a top priority for Elevance Health . We require all new candidates in certain patient/member-facing ... **Behavioral Health Case Manager I** **Work location** : **Virginia...plan as needed. + Supports member access to appropriate quality and cost effective care. + Coordinates with internal… more
    Elevance Health (11/15/25)
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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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  • Special Assistant

    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 ... projects and tasks on the Medicare Part D prescription drug benefit or on quality measurement and improvement activities in the Medicare Part C or Part D… more
    Centers for Medicare & Medicaid Services (11/21/25)
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  • Provider Success Consultant Sr. West Virginia…

    Elevance Health (Charleston, WV)
    …and own strong, long-term relationships with executive leadership across population health , quality , finance, and clinical teams. Additionally, serve as ... value-based provider organizations to achieve their targets across quality , utilization of resources, and patient experience. This individual... of our associates and communities is a top priority for Elevance Health . We require all… more
    Elevance Health (11/19/25)
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  • Care Consultant Sr

    Elevance Health (Seattle, WA)
    …and own strong, long-term relationships with executive leadership across population health , quality , finance, and clinical teams. Additionally, serve as ... value-based provider organizations to achieve their targets across quality , utilization of resources, and patient experience. This individual... of our associates and communities is a top priority for Elevance Health . We require all… more
    Elevance Health (11/12/25)
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  • Registered Nurse (RN) Manager, Appeals…

    LA Care Health Plan (Los Angeles, CA)
    …at the right time. Mission: LA Care's mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and ... be willing to relocate Established in 1997, LA Care Health Plan is an independent public agency created by...judgement, and critical thinking, to promote the delivery of quality , cost-effective care. + Time management and priority more
    LA Care Health Plan (09/09/25)
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  • Provider Success Consultant Sr. (Ohio Market)

    Elevance Health (Columbus, OH)
    …Support:** Assist providers with executing action plans focused on population health management, patient satisfaction, and optimizing quality and cost ... physicians, providers, and healthcare systems to support financial and quality improvements within the health plan contract.... of our associates and communities is a top priority for Elevance Health . We require all… more
    Elevance Health (11/21/25)
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  • RRT/Registered Respiratory Therapist PRN Night…

    Texas Health Resources (Fort Worth, TX)
    RRT/Registered Respiratory Therapist PRN _Bring your passion to Texas Health so we are Better + Together_ + Work location: Texas Health Fort Worth 1301 ... + Applies appropriate patient care interventions according to protocol guidelines and priority of care. + Demonstrates competence in the performance of age… more
    Texas Health Resources (11/19/25)
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  • Cath Lab Technologist

    UnityPoint Health (Sioux City, IA)
    …direction of Physicians. The Technologist promotes and restores patients' cardiovascular health by collaborating with physicians and the multidisciplinary team while ... 30-minute response time from activation/call to hospital. Why UnityPoint Health ? At UnityPoint Health , you matter. We're...and facilitate initiatives to strive for positive outcomes in quality and care of patients. + Complies with all… more
    UnityPoint Health (11/13/25)
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  • 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), Office of the Actuary ... (OACT), Medicare and Medicaid Cost Estimates Group (MMCEG). As a Health Insurance Specialist, GS-0107-13, you will serve as a Health Insurance Specialist and… more
    Centers for Medicare & Medicaid Services (11/24/25)
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  • Nurse Appeals

    Elevance Health (Indianapolis, IN)
    …process. The health of our associates and communities is a top priority for Elevance Health . We require all new candidates in certain patient/member-facing ... skills and serves as a subject matter expert for appeals/grievances/ quality of care issues and is a resource for...Current active unrestricted RN license to practice as a health professional within the scope of licensure in Indiana… more
    Elevance Health (11/26/25)
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