- 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
- 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
- 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
- AdventHealth (Orlando, FL)
- …record, applying appropriate ICD-10-CM/PCS coding conventions and MS-DRG Medicare Prospective Payment System requirements. Actively participates in outstanding ... responsibility for maintaining relationships that are equally respectful to all. The Senior Coder demonstrates experience and expertise, so coding quality review is… more
- City and County of San Francisco (San Francisco, CA)
- …or the Osteopathic Medical Board of California. **Applicants enrolled in a residency program may apply, but if selected, the candidate will NOT be appointed/hired ... until they demonstrate successful completion of a residency program accredited by the Accreditation Council for Graduate Medical Education or American Osteopathic… more
- AmeriHealth Caritas (Newtown Square, PA)
- …the AmeriHealth Caritas Family of Companies Enterprise Business Continuity Management Program . The Business Continuity Management Program builds operational ... and templates for business continuity and crisis management + Support program management, including the development and maintenance of business continuity policies,… more
- Corewell Health (Grand Rapids, MI)
- …with participation on improvement initiatives + Proven experience working in Medicare environment + Certification from the Institute of Healthcare Improvement, ... Institute of Healthcare Improvement Coach Program , Professional in Healthcare Quality, or National Association for Healthcare Quality Certified Professional in… more
- New York State Civil Service (NY)
- … program of care. Medical Specialists 2 serve as senior practicing specialists, within a recognized discipline of medicine.Other responsibilities include:* ... Yes Agency People With Developmental Disabilities, Office for Title Medical Specialist 2 Occupational Category Health Care, Human/Social Services Salary Grade 38… more
- UPMC (Pittsburgh, PA)
- UPMC's Health Plan and WorkPartners are hiring an EAP Specialist for their LifeSolutions Clinical Services Team. This is a hybrid role that will work partially ... experience working with geriatric behavioral health and dual eligible (Medicaid and Medicare ) populations. Under the direction of LS Clinical Director and/or the… more
- Henry Ford Health System (Troy, MI)
- …SUMMARY: Reporting to the Manager, Revenue Integrity, the Revenue Integrity Principal Specialist has an important role in a high-profile group tasked with improving ... Under minimal supervision from the Manager, Revenue Integrity or other more senior Revenue Integrity leaders, the Revenue Integrity (RI) Principal Specialist … more