• Medicaid Special Programs Case…

    CDPHP (Albany, NY)
    …these values and invites you to be a part of that experience. The Medicaid Special Programs Registered Nurse Case Manager is responsible and accountable for ... of quality, clinical and cost outcomes. In addition, the Medicaid Special Programs Registered Nurse Case Manager ...PCPs and office staff. Understanding of the department's/PCP office business objectives and outcome measures is important to the… more
    CDPHP (12/12/24)
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  • Manager of Billing and Collections (8a-5p)…

    NHS Management, LLC (Tuscaloosa, AL)
    …duties, or skills required. The requirements and responsibilities may be subject to change based on business needs. Requirements NHS Management is a leading ... Summary: We are seeking a highly motivated and experienced Manager of Billing and Collections to oversee and optimize...duties, or skills required. The requirements and responsibilities may be subject to change based on business more
    NHS Management, LLC (12/24/24)
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  • Provider Reimbursement Business

    Elevance Health (Norfolk, VA)
    …week onsite)** **Position Overview:** Responsible for assisting the management within the business unit and the organization in bridging the gap between the current ... and desired business performance levels and balancing short-term business ...with long-term perspectives on success to ensure that our change journey produces desired results. **How You Will Make… more
    Elevance Health (01/17/25)
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  • Senior Manager , Compliance Delegation…

    LA Care Health Plan (Los Angeles, CA)
    Manager , Compliance Delegation Oversight Job Category: Administrative, HR, Business Professionals Department: Compliance Location: Los Angeles, CA, US, 90017 ... Additional Required Skills: Strong background in managed health plan/managed care business operations, including Medicare, Medicaid , and commercial regulations.… more
    LA Care Health Plan (01/04/25)
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  • Salem Program Manager

    NorthWest Senior & Disability Services (Salem, OR)
    …services staff who administer programs such as Medicare Savings Programs, Medicaid , Supplemental Nutrition Assistance Program (SNAP) food benefits, and Long-term ... Services and Supports to seniors and adults with disabilities. The Program Manager is responsible for their team's performance and accurate delivery of services… more
    NorthWest Senior & Disability Services (11/22/24)
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  • Assistant Business Office Manager

    Signature Healthcare (Rogersville, TN)
    …Healthcare's "Best Places to Work!" Overview Together We Can Do More! While assisting the Business Office Manager in the overall functioning of the Business ... rehabilitation to traditional long-term care. The vision, to radically change the landscape of long-term care forever. Through education...duties in the Business Office. + Assist Business Office Manager is day-to-day operation of… more
    Signature Healthcare (01/25/25)
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  • Senior Manager , State Health Solutions

    Pew Charitable Trusts (Washington, DC)
    …using credible, timely, and accessible research, assessing public support for change , identifying approaches that have proved successful elsewhere, and bringing ... measurable results, and public service, and we focus on developing durable policy change . In addition, our teams use strategic outreach and dissemination to ensure… more
    Pew Charitable Trusts (12/04/24)
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  • Business Office Manager

    Signature Healthcare (Portland, TN)
    …Alzheimer's disease, and other related disorders. The vision, to radically change the landscape of healthcare, forever. Through education and empowerment, we ... 5-star overall rating from the Centers for Medicare & Medicaid Services. Additionally, we have been awarded as a...Will make a difference + Oversee management in the business office, including hiring, training, coaching, and terminating employees… more
    Signature Healthcare (01/17/25)
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  • Government Health Actuary Manager

    Deloitte (Baltimore, MD)
    …Are you interested in helping clients drive alignment with their business , improve organizational and human resource performance and establish a culture ... focused on adding business value? That is what the new generation of...Work you'll do As a Deloitte Consulting Health Actuary Manager in Deloitte's GPS Human Capital Actuarial and Insurance… more
    Deloitte (01/02/25)
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  • Network Access and Adequacy Program Manager

    CareOregon (Portland, OR)
    Job Title Network Access and Adequacy Program Manager Requisition # 24774 Exemption Status Exempt Management Level n/a Direct Reports n/a Manager Title ... times per week. Job Summary The Network Access and Adequacy Program Manager oversees CareOregon's Network Access and Adequacy Program, ensuring compliance with… more
    CareOregon (01/10/25)
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  • Manager , Compliance Monitoring

    LA Care Health Plan (Los Angeles, CA)
    Manager , Compliance Monitoring Job Category: Administrative, HR, Business Professionals Department: Compliance Location: Los Angeles, CA, US, 90017 Position ... role plays a crucial part in the resolution of non-compliance issues. The Manager collaborates with cross- functional business units essential in optimizing the… more
    LA Care Health Plan (01/04/25)
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  • Sr. Manager - Patient Financial Services…

    Stanford Health Care (Palo Alto, CA)
    …cash posting of all hospital charges from all payors. The Senior Manager assists the Director in establishing the organizational priorities and operational ... performance of the Hospital Revenue Cycle. The PFS Senior Manager acts as a liaison between PFS operations and...and must possess the creativity and motivation to drive change , realizing maximized reimbursement and minimized financial risk to… more
    Stanford Health Care (01/23/25)
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  • Sales and Enrollment Manager

    Trinity Health (Pensacola, FL)
    …a strategic sales plan. Evidence of achieving sales goals. Sales and Enrollment Manager . + Must be action-oriented, have business acumen, manage conflict well, ... achieves growth and operating targets. Responsible for maintaining & developing new business & sales while continuing to build awareness & relationships in the… more
    Trinity Health (10/31/24)
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  • Portfolio Delivery Program Manager III

    LA Care Health Plan (Los Angeles, CA)
    Portfolio Delivery Program Manager III Job Category: Administrative, HR, Business Professionals Department: Enterprise Portfolio Management Office Location: Los ... resources within the ePMO are uniquely positioned to support business units in the planning and delivery of large-scale...developed in support of LACs strategic direction. The Program Manager III, Portfolio Delivery (Program Manager III),… more
    LA Care Health Plan (01/11/25)
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  • Hospital Coordinator & Case Manager

    Mindoula Health (MD)
    …administrative/operational flow of participants into the program. Further, serves as case manager for clients with mental illness and/or substance use disorders as ... split into (1) Program Coordination-specific functions and (2) Case Manager -specific functions. Location This is a hybrid position, where...of benefits including, but not limited to, SSDI, SSI, Medicaid , Medicare, LTC Medicaid , LTC, STD, LTD,… more
    Mindoula Health (01/12/25)
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  • PMO Project Manager III

    LA Care Health Plan (Los Angeles, CA)
    PMO Project Manager III Job Category: Administrative, HR, Business Professionals Department: Enterprise Portfolio Management Office Location: Los Angeles, CA, ... resources within the ePMO are uniquely positioned to support business units in the planning and delivery of large-scale...developed in support of LACs strategic direction. The Project Manager III, Portfolio Delivery (Project Manager III)… more
    LA Care Health Plan (12/10/24)
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  • RN Field Care Manager , Care Coordinator

    Humana (Wabash, IN)
    …of our caring community and help us put health first** The Field Care Manager Nurse 2 assesses and evaluates member's needs and requirements to achieve and/or ... the care and wellbeing of members. The Field Care Manager Nurse 2 work assignments are varied and frequently...Clark, Floyd, Scott, Lawrence, Vanderburgh and Warrick.These are subject change and is based on membership. **Use your skills… more
    Humana (12/13/24)
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  • Mental Health Program Manager II…

    The County of Los Angeles (Los Angeles, CA)
    MENTAL HEALTH PROGRAM MANAGER II / EMERGENCY APPOINTMENTS HOMELESSNESS Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4659662) Apply  MENTAL ... HEALTH PROGRAM MANAGER II / EMERGENCY APPOINTMENTS HOMELESSNESS Salary $132,439.68 -...administration, ensuring compliance with Federal and State Medicare and Medicaid regulations for reimbursement claiming and maximum recovery costs… more
    The County of Los Angeles (01/16/25)
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  • Compliance Program Manager III

    Point32Health (Canton, MA)
    …to resolve most roadblocks to ensure success and progress. The Compliance Program Manager III should make recommendations for change by performing risk analysis ... Summary** Under the direction of the Director or Senior Manager of the department, the Compliance Program Manager...for resolution + Ability to conceptualize the impact of change and propose new methods of conducting business more
    Point32Health (01/03/25)
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  • Client Services Manager

    Convey Health Solutions (Fort Lauderdale, FL)
    OVERVIEW/GENERAL PURPOSE OF THE POSITION The Client Services Manager is instrumental in cultivating and sustaining long-term relationships between the company and ... primary liaison with internal teams, and delivering innovative solutions to drive effective change . A subject matter expert in Medicare processes, the manager more
    Convey Health Solutions (01/17/25)
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