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Senior Healthcare Consultant
Twin Health
Build client business cases by developing population-specific savings and ROI projections for employers, Medicare Advantage plans, and health systems, using client claims, census, and…
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VP, General Manager (OC)
E2E Alignment Healthcare USA, LLC
The Vice President / Orange County General Manager (VP/OC GM) serves as the senior local business leader responsible for development, execution, operational performance, and financial…
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Social Worker (MA/MSW)
UHS
Experience working with the Medicare and Medicaid population segment, required
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Medicare Segment Manager
Lifetime Workforce Solutions, LLC
· Remains current on evolving market dynamics within the Medicare segment, connects trends to line of business objectives and ensures awareness among key business partners.
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Wellspect District Sales Manager - Porte St. Lucie, FL
Dentsply Sirona
Partners with the manager to create, maintain, and execute a Development Action Plan.
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Care Coach
Humana
…understands how daily responsibilities support departmental, segment, and organizational…
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Pega Senior Developer
Leidos
…exciting opportunity to use your experience helping the Center for Medicare and Medicaid Services (CMS) implement AI-driven capabilities and intelligent automation for the modernization of…
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Manager, Business Analytics
GlaxoSmithKline LLC
…performance of our Anti-Infectives Portfolio? The Business Analytics Manager role will work on the Anti-Infectives Insights & Analytics team to develop and execute commercial analyses that…
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AQR Manager
State of Washington
…IT programs and teams successfully. The incumbent in the AQR Manager role will oversee the program and its services and lead IT in Architecture, Quality and Risk Management outcomes that…
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Regional Access Director - Diabetes - Northeast Region
EVERSANA
…day-to-day execution of a geographically dispersed Field Access Manager (FAM) team. This position leads all field reimbursement activities within the assigned region to achieve key patient…
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Utilization Management Administration Coordinator - SNF
Humana
…care or services for members using services. Reporting to the Manager of Utilization Management, you will work fully remote. You are part of the Home Solutions organization, which…
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Utilization Management Registered Nurse
Humana
…benefit administration determinations. You will report to the Manager of Utilization Management and serve as a member of the One Home/Home Solutions Utilization Management team. This team…
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Sr. Manager, Strategy - Oncology & Multispecialty
McKesson Corporation
…team needs and business priorities. About The Role: The Sr. Manager, Strategy - Oncology & Multispecialty is an analytical individual contributor role within the strategy team,…
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Innovation Portfolio Strategy Principal
Humana Insurance Company
…the clinical and population health sub-portfolio to overall Medicare segment business and growth…
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Specialist - Clinical Review
Atlas Healthcare Partners
…markets. As a key player in this rapidly growing healthcare segment, we are committed to providing exceptional care and outstanding customer service to every patient, every physician, every…
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Chief Executive Officer - ASC Operations SWOT
Atlas Healthcare Partners
…markets. As a key player in this rapidly growing healthcare segment, we are committed to providing exceptional care and outstanding customer service to every patient, every physician, every…
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Care Manager, Telephonic Nurse
Humana Insurance Company
The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding…
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President, Johns Hopkins Health Plans
Johns Hopkins Health Plans
…care providers for almost 400,000 total members in Medicaid, Medicare, employer group and military health…
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Fraud and Waste Investigator
Humana
…complex investigative and audit reports. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions…
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Sr Technical Security Product Owner (DevSecOps Engineering)
Humana
…prioritization and refinement then drives action. Partners with Product Manager to ensure backlog items advance capability objectives and deliver measurable outcomes within the Product…
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Director, Billing and Accounts Receivable
Community Care Cooperative
…collaborates with the Revenue Integrity Director and Credentialing Manager particularly around claim form logic, denial management, and optimal Epic workflow and reporting. The Director of…
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Mgr Market Finance
CareAllies Inc.
The Manager, Market Finance (Value-Based Care) is a key leader within Corporate Finance, accountable for market-level financial reporting, planning, and performance management across a…
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Wellspect District Sales Manager - Jacksonville, FL
Dentsply Sirona
Partners with the manager to create, maintain, and execute a Development Action Plan.
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Manager, Claims
NC Health Affiliates LLC DBA Blue Cross NC
The Manager, Claims implements end to end service model across provider segments and ensures delivery against business targets. The role sets performance and process targets within customer…
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Manager, Client Services Operations
MedImpact Healthcare Systems Inc.
Manage assigned group of (Account Manager I, II & III, in the development and execution of client-specific account plans focused on meeting the client’s satisfaction in the areas of;…