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Sr. Manager, Health Outcomes Accreditation
CVS Health
Partners with operational, clinical, quality, compliance, population health, care management, network, member experience, and analytics teams to integrate accreditation requirements into…
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Territory Manager, Limb Reconstruction - Seattle, WA
Orthofix Services LLC
The Territory Manager (TM), Limb Reconstruction is a dedicated, field-based Orthofix sales professional who owns revenue growth for the Limb Reconstruction portfolio in an assigned U.S.…
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Territory Manager, Limb Reconstruction - Philadelphia, PA
Orthofix Services LLC
The Territory Manager (TM), Limb Reconstruction is a dedicated, field-based Orthofix sales professional who owns revenue growth for the Limb Reconstruction portfolio in an assigned U.S.…
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Territory Manager, Limb Reconstruction - Los Angeles, CA
Orthofix Services LLC
The Territory Manager (TM), Limb Reconstruction is a dedicated, field-based Orthofix sales professional who owns revenue growth for the Limb Reconstruction portfolio in an assigned U.S.…
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Territory Manager, Limb Reconstruction - Dallas, TX
Orthofix Services LLC
The Territory Manager (TM), Limb Reconstruction is a dedicated, field-based Orthofix sales professional who owns revenue growth for the Limb Reconstruction portfolio in an assigned U.S.…
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Behavioral Health Utilization Care Manager
Banner Health Corporate
As a Behavioral Health Utilization Care Manager, you will be assigned to various hospitals where you will authorize initial admitting and do concurrent reviews for medical necessity. You…
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Transfer & Referral Specialist Lead
Sutter Health
Reviews confidential clinical information and determines whether requested/required services are available within the medical network (entities, programs, and affiliated and aligned…
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Sr. Manager, Health Outcomes Accreditation
Aetna Resources, LLC
Partners with operational, clinical, quality, compliance, population health, care management, network, member experience, and analytics teams to integrate accreditation requirements into…
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RN Medical Management Services
Banner Health
…will review plans and receive case reviews via fax and a non-clinical team data enters into the system for determinations. The variety of cases received is based on the Prior Authorization…
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Provider Engagement Account Manager
Centene Management Company LLC
…level of care to our members. Engage with providers to align on network performance opportunities and solutions, and consultative account management and accountability for issue resolution.…
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Provider Engagement Account Manager
Centene Management Company LLC
…level of care to our members. Engage with providers to align on network performance opportunities and solutions, and consultative account management and accountability for issue resolution.…
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Provider Engagement Account Manager
Centene Management Company LLC
…level of care to our members. Engage with providers to align on network performance opportunities and solutions, and consultative account management and accountability for issue resolution.…
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Product Manager - Medicare
SelectHealth Inc
Bachelor's degree in business, marketing, communications, economics, a clinical field, public health, healthcare or public administration; or five years of experience with product…
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Product Manager - Translational Biology Services
Eurofins
The Eurofins network of companies is the global leader in food, environment, pharmaceutical and cosmetic product testing and in agroscience Contract Research Organization services. It is…
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Regional Ambulance Manager (East)
MTM Transit
The Regional Ambulance Manager (East) is primarily responsible for the direct oversight of ambulance recruiting, provider relationships and satisfaction, network management, and…
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Claims Manager
Centivo
As a Claims Manager, you will be responsible for the oversight and management of health claims processing for our self-funded employer groups. You will have direct management of claim…
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Territory Manager, Provider Partnerships - Asheville, NC
Talkiatry
We are hiring a field-based Provider Partnerships Manager who thrives on building relationships in medical settings, driving growth, and helping practices connect their patients to timely…
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Research Admin Specialist II-CTMS (OnCore) , US Remote
SVCS Huron Consulting Services LLC
Ability to interpret and apply clinical guidelines including Centers for Medicare and Medicaid, Federal Drug Administration, National Comprehensive Cancer Network.
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HCC Coder - Remote AZ
Blue Cross Blue Shield of AZ
Provide feedback to Clinical Correlations and Manager on education needs identified
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Health Partner
Banner Health Corporate
…available and may participate in research activities within clinical /case manager practice. Participates in unit or facility- based…
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Clinical MDS Account Manager - US
Limitlessli
…coordination, Managed care, and Triple check processes. The Clinical MDS Account Manager will be responsible for coordinating patient care, ensuring compliance with regulatory guidelines,…
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Hospice Community Market Manager
Alternate Solutions Health Network, LLC
The Community Market Manager and Educator helps direct the activities of assigned community staff and provide relationship development and management related support to…
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CoCM - Behavioral Health Care Manager
Essen Medical Associates
Founded in 1999, we’ve grown from a single primary care office into a network of 50+ locations offering urgent care, primary care and specialty services, from women’s health to…