• Advantage Solutions powered by Daymon

    Advantage Solutions (St. Louis, MO)
    **Summary** Advantage Solutions _powered by Daymon_ Summer Internship 2025 - **REMOTE** The Company is one of North America's leading sales and marketing agencies ... to the best products available in the marketplace today. Advantage Solutions powered by Daymon is hiring for our...and lodging for these trips will be provided by Advantage Solutions. **Skills, Knowledge and Abilities:** + Strong prioritization… more
    Advantage Solutions (11/26/24)
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  • Advantage System Administrator

    HarperCollins Publishers (Depew, NY)
    …can be done partially remotely.** HarperCollins is looking to fill the role of Advantage CS System Administrator. Advantage CS is a third party subscription ... supports the HarperCollins I Can Read Book Club program. Advantage CS provides the core functionality for the back...role will be responsible for the day-to-day operation of Advantage CS and all operational activities, and issue resolutions… more
    HarperCollins Publishers (01/15/25)
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  • Advantage ERP - HRM Consultant

    CGI Technologies and Solutions, Inc. (Henderson, NV)
    ** Advantage ERP - HRM Consultant** **Category:** Business Consulting, Strategy and Digital Transformation **Main location:** United States, Nevada, Henderson ... ID:** J1124-1361 **Employment Type:** Full Time **Position Description:** CGI Advantage is a unified ERP platform featuring a powerful...CGI's global network of experts. CGI is seeking an Advantage ERP HRM Consultant to join our team! Together,… more
    CGI Technologies and Solutions, Inc. (01/08/25)
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  • Senior Advantage Financial Consultant

    CGI Technologies and Solutions, Inc. (Fairfax, VA)
    **Senior Advantage Financial Consultant** **Category:** Business Consulting, Strategy and Digital Transformation **Main location:** United States, Virginia, Fairfax ... **Position ID:** J1124-2643 **Employment Type:** Full Time **Position Description:** CGI Advantage is a unified ERP platform featuring a powerful combination of… more
    CGI Technologies and Solutions, Inc. (12/10/24)
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  • VP, Medicare Advantage (Remote within…

    Molina Healthcare (Columbus, OH)
    **Job Summary** As the leader for Molina's Medicare Advantage product (Non-Dual), this position has P&L, business strategy, sales distribution and provider network ... with senior leadership, determines the annual implementation of Molina's Medicare Advantage product strategic plan. + Has oversight over Molina's Medicare … more
    Molina Healthcare (01/21/25)
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  • Medicare Advantage Collector

    TEKsystems (Plano, TX)
    …Medical billing, Call center, medicaid, Collection calls, Revenue cycle, medicare advantage , Medicaid advantage , Outbound calls, Accounts receivable, Cash ... posting,Collection,Medical collections,Medical,Payment poster,Data entry,Customer service,Medical billing,Call center,medicaid,Collection calls,Revenue cycle,medicare advantage ,Medicaid advantage Additional Skills & Qualifications Collection,… more
    TEKsystems (01/17/25)
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  • Health Services Program Manager, UCLA Health…

    UCLA Health (Los Angeles, CA)
    …role in driving the success of key initiatives for the UCLA Health Medicare Advantage Health Plan. In this role, you will: * Oversee the planning, execution, and ... years of experience in healthcare program management, ideally within a Medicare Advantage plan or health insurance setting, preferred * In-depth knowledge of… more
    UCLA Health (01/19/25)
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  • Sr Actuarial Analyst - Medicare Advantage

    BlueCross BlueShield of North Carolina (NC)
    …Description** Are you an experienced actuarial professional with a passion for Medicare Advantage ? Join our dynamic team as a Senior Actuarial Analyst, where you'll ... + Minimum of 4 years of experience in Medicare Advantage . + Completion of at least 5 actuarial exams...us and make a significant impact on our Medicare Advantage programs. Apply today to be part of a… more
    BlueCross BlueShield of North Carolina (01/07/25)
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  • Clinical Documentation Integrity Specialist…

    UCLA Health (Los Angeles, CA)
    Description As the Clinical Documentation Integrity Specialist - Medicare Advantage Risk Adjustment, you will be an expert in risk adjustment coding and ... CPT (II), and HCPCS coding systems required + Knowledge of Medicare Advantage STARS/HEDIS program and NCQA technical specifications, required + Knowledge of Medicare… more
    UCLA Health (11/11/24)
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  • Principal Engineer - Enterprise Architect

    Advantage Solutions (Chicago, IL)
    …- Enterprise Architecture (Hybrid, Chicago, IL)** This role is part of the Advantage Solutions strategy & architecture team within the corporate IT organization. The ... play a key role in advancing and influencing the IT strategy of Advantage Solutions as well as providing strategic architecture direction to ensure the enterprise… more
    Advantage Solutions (01/10/25)
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  • Pharmacy Clerk - Pharmacy Advantage - Full…

    Henry Ford Health System (Rochester Hills, MI)
    GENERAL SUMMARY: Shift: Full Time Day Shift Location: Pharmacy Advantage , Rochester Hills, MI Under the supervision of a registered pharmacist, assists in the ... others. Additional Information + Organization: Community Care Services + Department: Pharmacy Advantage Rochester H + Shift: Day Job + Union Code: Not Applicable… more
    Henry Ford Health System (01/21/25)
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  • Pharmacy Technician - Full Time - Pharmacy…

    Henry Ford Health System (Rochester Hills, MI)
    …care. GENERAL SUMMARY: Shift: Full Time 40 Hour work week Location: Pharmacy Advantage , Rochester Hills Under the supervision of a registered pharmacist, assists in ... license. Additional Information + Organization: Community Care Services + Department: Pharmacy Advantage Rochester H + Shift: Day Job + Union Code: Not Applicable… more
    Henry Ford Health System (01/17/25)
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  • Pharmacy Benefits Specialist - Full Time…

    Henry Ford Health System (Rochester Hills, MI)
    …Benefits Specialist. Make an impact on patient care and contribute to Pharmacy Advantage success. GENERAL SUMMARY: Eligible for $2,500 Sign on Bonus The Pharmacy ... preferred. Additional Information + Organization: Community Care Services + Department: Pharmacy Advantage Rochester H + Shift: Day Job + Union Code: Not Applicable… more
    Henry Ford Health System (01/15/25)
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  • RN Senior Advantage Nights

    LifePoint Health (Winchester, TN)
    …to the existing dress code. Reports directly to the Director of Senior Advantage . Minimum Education Associate's degree is required. BSN is preferred. Required Skills ... **Organization:** **Southern Tennessee Regional Health System - Winchester* **Title:** *RN Senior Advantage Nights * **Location:** *Tennessee-Winchester* **Requisition ID:**… more
    LifePoint Health (01/01/25)
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  • Utilization Management Reviewer - Medicare…

    Blue Cross Blue Shield of Massachusetts (Hingham, MA)
    …Utilization Reviewer is responsible for facilitating care for our Medicare Advantage members who may have complex healthcare needs, authorizing medically necessary ... care). + Utilization Management experience, preferred + Experience with Medicare Advantage , preferred + Active licensure in Massachusetts is required, appropriate to… more
    Blue Cross Blue Shield of Massachusetts (12/19/24)
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  • Utilization Management Manager, Medicare…

    UCLA Health (Los Angeles, CA)
    …do all this and more at UCLA Health. As a Manager for Medicare Advantage Utilization Management, you'll provide direct management to a team of UM coordinators and ... nurses. You'll work closely with Medicare Advantage leadership to plan, execute, and manage various initiatives related to UM administrative, operational, and… more
    UCLA Health (11/22/24)
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  • Medicare Advantage Quality Consultant…

    Highmark Health (Harrisburg, PA)
    …met or exceeded. Further, in a matrix management environment, the Medicare Advantage Quality Consultant is responsible for collaborative work with other functions in ... Medicaid HEDIS and risk revenue programs and clinical evidence-based guidelines.The Medicare Advantage Quality Consultant is expected to assess the needs of each… more
    Highmark Health (11/14/24)
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  • Medicare Advantage Product Solutions…

    LA Care Health Plan (Los Angeles, CA)
    Medicare Advantage Product Solutions Manager II Job Category: Administrative, HR, Business Professionals Department: Medicare Product Location: Los Angeles, CA, US, ... initiatives as well as strategic partnerships. Medicare: Required Medicare Advantage , with experience serving duals population. Direct experience in Medicare… more
    LA Care Health Plan (10/30/24)
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  • Medicare Advantage Risk Adjustment…

    UCLA Health (Los Angeles, CA)
    Description As the Medicare Advantage Risk Adjustment Performance Improvement Consultant, you will be responsible for: + Serving as a Subject Matter Expert (SME) for ... management experience * Knowledge of HIPAA regulations * Knowledge of Medicare Advantage , STARS/HEDIS program, and NCQA technical specifications, a plus * Knowledge… more
    UCLA Health (10/25/24)
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  • Sr Account Executive

    Advantage Solutions (Cincinnati, OH)
    **Summary** **Senior Account Executive - Agency** Advantage Unified Commerce is an agency focused on shopper and consumer activations, no matter where they take ... place. An Advantage Solutions agency, Advantage Unified Commerce is connected to the leading trends and insights. We love to roll up our sleeves and Get. Stuff.… more
    Advantage Solutions (11/08/24)
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