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  • SUMMARY Administers and coordinates the Purchased Referred Care (PRC) Services Self‑Governance Compact Health files, Forest County Potawatomi Portal, Resource Patient Management System (RPMS), software systems relevant to position as needed, and act as liaison between clients... 
    Suggested
    Contract work
    Work at office

    Grand Traverse Band of Ottawa and Chippewa Indians

    Lansing, MI
    3 days ago
  • Postings will be listed for 90 days unless otherwise specified. MABPCB reserves the right to review all job postings before it is published on this page. Organization Catholic Charities of Baltimore- Villa Maria Behavioral Health Fallsway Deadline Thu, 03/05/2026 - 1...
    Suggested
    Monday to Friday

    MD Addiction & Behavioral Health Professional Certification ...

    Baltimore, MD
    11 hours ago
  • As a Case Manager, Regional Permanency Resource Center you will provide supportive services and case management services to adoptive, guardianship and kinship families so they are able to make informed decisions with regards to services and supports that best meet their...
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    Northern Rivers Family of Services

    Albany, NY
    3 days ago
  • Product Testing and Validation Manager - PRC As part of Rain Bird’s Technology and Innovation group, this role heads the Product Research Center (PRC), supporting engineering and production through hands‑on product testing. It requires a self‑driven individual with strong... 
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    Temporary work
    For contractors
    Remote work

    Rain Bird Corporation

    Tucson, AZ
    2 days ago
  • $138.9k - $191k

     ...Counsel to join its Law Department. The successful candidate will provide legal support and guidance on matters related to Medicare Advantage Part C health plan operations. Responsibilities Providing legal advice and support for Humana's Medicare Advantage lines of... 
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    Full time
    Contract work
    Temporary work
    Apprenticeship
    Remote work

    Humana Inc

    Albany, NY
    3 days ago
  • A leading manufacturing company in Tucson, Arizona, is seeking a Product Testing and Validation Manager to oversee the Product Research Center. This role requires a strong leader to manage staff and ensure high-quality product testing and validation. The ideal candidate...
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    Rain Bird Corporation

    Tucson, AZ
    2 days ago
  •  ...which encompass the core functions of case management including; assessment, planning, implementation, monitoring and reassessment. Advantage Case Management Certification preferred Licenses/Certifications: RN/LPN Experience: RN/LPN with one year paid professional... 
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    Full time
    Relocation package

    Med-Corp Health Services

    Claremore, OK
    2 days ago
  •  ...for Leadership Level communication (both internal and external). Communicate effectively with POD /Category leadership as well as ADvantage Support Center. Deliver in-depth category and vendor analysis with process improvement recommendations to drive category improvement... 
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    Work experience placement

    ViziRecruiter,LLC.

    Scarborough, ME
    5 days ago
  •  ...Medical Group seeks a Board Eligible / Board Certified Family Medicine or Internal Medicine trained physician to join our Medicare Advantage Clinic in New Mexico. We're all about well-being, starting with yours. We offer a nationally competitive salary with relocation... 
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    Full time
    Relocation package

    Presbyterian Healthcare Services

    Albuquerque, NM
    11 hours ago
  • Advantage Case Manager page is loaded## Advantage Case Managerlocations: Broken Arrow - OK (W.Albany)time type: Full timeposted on: Posted Todayjob requisition id: JR-130889At Elara Caring, we have a unique opportunity to play a huge role in the growth of an entire home... 
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    Full time
    Local area

    Elara Caring

    Broken Arrow, OK
    4 days ago
  •  ...research and analysis underpinned by deep expertise and thought leadership. What You’ll Do Demonstrate deep expertise in Medicare Advantage, with strong functional knowledge across key domains including Risk Adjustment, Quality (Stars), Provider Engagement, and Cost of... 
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    Local area
    Work from home
    Worldwide
    Flexible hours

    Zs Associates

    Princeton, NJ
    4 days ago
  • ADvantage Case Manager - North Tulsa / South Central Oklahoma Full‑time position. Remote 50% of the time, 50% traveling and completing in‑home assessments and monitoring. Earns a competitive wage, 401(k), and schedule flexibility. About a Path of Care We offer comprehensive... 
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    Full time
    Remote work
    Long distance
    Flexible hours

    EmergencyMD

    Hugo, OK
    4 days ago
  • $50k - $60k

    Overview Pay: $50,000.00 - $60,000.00 per year Job description: Aspetto is seeking a GSA Advantage Specialist who will be responsible for managing, maintaining, and optimizing the company’s presence on GSA Advantage!, GSA eBuy, and other related GSA platforms. This role... 
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    Contract work
    For contractors
    Monday to Friday

    RadiantHire Solutions, Inc.

    Fredericksburg, VA
    4 days ago
  • $73.7k - $117.92k

    Job Description Dependent on clinical discipline, the Case Manager / Health Coach coordinates appropriate care, resources and/or services of selected member populations. Provides guidance and promotes effective utilization and monitoring of health care resources to drive...
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    Work at office
    Flexible hours

    Blue Cross and Blue Shield of North Carolina

    Florida, NY
    3 days ago
  • $90k - $110k

    A healthcare staffing agency is seeking a Manager of Enrollment & Reconciliation to oversee Medicare Advantage enrollment processes in Huntington Beach, CA. This role involves optimizing reconciliation processes, ensuring compliance with CMS rules, and managing transactions... 
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    HealthCare Support

    Huntington Beach, CA
    4 days ago
  • A Tribal Health Organization in Michigan is seeking a Program Director for its Purchased Referred Care Services. This role involves managing health files, determining client eligibility, and overseeing various health-related programs. Candidates should possess a Bachelor...

    Grand Traverse Band of Ottawa and Chippewa Indians

    Lansing, MI
    3 days ago
  • $34.01 - $65 per hour

    A health services company is seeking a Registered Nurse (RN) - Case Manager to provide specialized case management and care coordination for patients with special health care needs. This role requires at least three years of nursing experience, including case management...
    Hourly pay

    Chenega Professional Services Strategic Business Unit

    Wolf Point, MT
    1 day ago
  • A healthcare organization located in Chicago, IL, seeks a Nursing Manager to oversee the Purchased Referred Care program. This role requires a Bachelor's degree in Nursing, along with nursing management experience and strong clinical oversight skills. The successful candidate...

    Tuba City Regional Health Care Corporation

    Chicago, IL
    2 days ago
  • A global engineering firm is seeking a Task Order PRC Manager to oversee facilities projects in Iraq. The role includes managing project execution, ensuring safety and compliance, and supervising tradesmen. A bachelor's degree in a related field and 10 years of experience... 
    Overseas
    Flexible hours

    KBR Careers

    Houston, TX
    2 days ago
  • 1. Introduction to Social Media Benefits Social media offers numerous benefits, including global connectivity and communication, knowledge sharing and information access, business growth and marketing opportunities, networking and professional growth, entertainment and ...
    Freelance

    Netpeak.in

    New Bremen, OH
    3 days ago
  • MISS: Task Order PRC Manager (Contingency Hire) Belong, Connect, Grow with KBR! Program Summary The MISS program is a comprehensive initiative aimed at supporting the US Department of State’s operations in Iraq. In addition to providing ongoing base operations and Life... 
    Contract work
    Work experience placement
    Overseas
    Flexible hours

    KBR Careers

    Houston, TX
    2 days ago
  • Billing Follow Up Specialist Independently review accounts and apply billing follow up knowledge required for all insurance payors to insure proper and maximum reimbursement. Uses multiple systems to resolve outstanding claims according to compliance guidelines. ...

    Advocate Health Care

    Allenton, WI
    1 hour agonew
  • $90k - $100k

    Manager Healthcare Partnerships Medicare Advantage Location Ankeny, IA Description Manager of Healthcare Partnerships will drive Medicare Advantage channel growth through continued development of relationships at Medicare Advantage Managed Care Plans. The position will... 
    Work at office
    Remote work
    Night shift

    Promote Project

    Oklahoma City, OK
    2 days ago
  • Join the team of experts and realize your true potential! Why You Should Join the Service Experts Team? Our team consists of the very best; we believe in doing what is right for our customers and our employees. We provide our employees with the training, support and an...

    Crawford Services, Inc.

    Richardson, TX
    3 days ago
  • A leading management consulting firm in Chicago is looking for an experienced professional in Medicare Advantage consulting. The role requires over 8 years of relevant experience, leadership skills, and strong analytical abilities. You will drive client relations, develop... 
    Work from home
    Flexible hours

    Zs Associates

    Chicago, IL
    3 days ago
  • $135k - $150k

    A biopharmaceutical company is seeking a US Promotional Review Committee Manager based in Princeton, NJ. This hybrid role supports the review process for promotional materials, fosters cross-functional collaboration, and improves operational consistency. Candidates should...

    Ascendis Pharma A/S

    Princeton, NJ
    11 hours ago
  • A leading company in health systems management is seeking a Medical Social Worker Supervisor. The role includes overseeing the Purchase Referred Care program and providing essential support to patients and families. The Supervisor will coordinate care across various health...

    Kenaitze Indian Tribe

    Kenai, AK
    3 days ago
  • A hospitality company in Richardson, TX is seeking a dedicated maintenance technician. The role involves performing scheduled preventative maintenance tasks and troubleshooting various systems, including electrical and plumbing. Candidates should have at least 6 months ...

    Capitolplazajeffersoncity

    Richardson, TX
    4 days ago
  • A prominent healthcare provider in Los Angeles is seeking a Claims Processor responsible for precise data entry and the review of medical claims. The ideal candidate will have extensive experience in medical claims payment within an HMO setting, with strong skills in adjudication...

    Direct Jobs

    Los Angeles, CA
    4 days ago
  • $35.09 - $48.76 per hour

    A local government health department in Waukesha is seeking a Clinical Therapist to provide vital counseling services. Candidates should have a Master's degree and relevant licensure, plus experience in social work or a related field. The position offers an excellent salary...
    Hourly pay
    Local area
    Afternoon shift

    Waukesha County Human Resources

    Waukesha, WI
    4 days ago