Senior Internal Auditor – Growing Healthcare Org – Flexible Remote Schedule – Great Benefits

Overview: About us: Fallon Health is a company that cares. We prioritize our membersalwaysmaking sure they get the care they need and deserve. Founded in 1977 in Worcester, Massachusetts, Fallon Health delivers equitable, high-quality, coordinated care and is continually rated among the nations top health plans for member experience, service, and clinical quality. We believe … Read more

Senior Fraud and Waste Investigator, Special Investigations Unit – Medicaid (MUST LIVE IN Indiana)

Become a part of our caring community and help us put health first This Senior Fraud and Waste Investigator will serve as Humana’s Program Integrity Officer, who will oversee the monitoring and enforcement of the fraud, waste, and abuse (FWA) compliance program to prevent and detect potential FWA activities pursuant to state and federal rules … Read more

Cigna – RN- Clinical Care Coordinator – WFH – AZ market – Bloomfield, CT

Job title: RN- Clinical Care Coordinator – WFH – AZ market Company: Cigna Job description: Clinical Care Coordinator (Tele RN) Description of the Position / Role Summary Telephonic patient care role. Primarily responsible for patient triage, care coordination, and patient/family education in the Clinical Care Coordinators assigned POD. Clinical Care Coordinator supports providers and their … Read more

Strategy and Planning Senior Advisor – Recovery and Resolution Planning PA – Pittsburgh (15222)

Position Overview At PNC, our people are our greatest differentiator and competitive advantage in the markets we serve. We are all united in delivering the best experience for our customers. As a Strategy and Planning Senior Advisor within PNCs Finance Recovery and Resolution Planning area, you may be based in Pittsburgh, PA. This position is … Read more

RN Nurse Case Management Senior Analyst, Work from Home, Anywhere USA, (Compact License Required)

This position, the Nurse Case Manager Senior Analyst, through the case management process, will promote the improvement of health outcomes to members and assist those members experiencing the burdens of illness and injury. The Case Manager will assess, plan, implement, coordinate, monitor and evaluate options and services to meet an individual’s health needs within case … Read more

Nurse Practitioner or Physician Assistant – Home Based Medical Care – Hudson County NJ

$20,000 Sign-on Bonus for External Candidates Optum Home & Community Care, part of the UnitedHealth Group family of businesses, is creating something new in health care. We are uniting industry-leading solutions to build an integrated care model that holistically addresses an individual’s physical, mental and social needs – helping patients access and navigate care anytime … Read more

IT Business Relationship Manager – Pharma HUB and Technology Solutions – CuraScript – Hybrid

CuraScript SD a specialty pharmaceutical distributor that provides customized business solutions and access to specialty drugs to community physicians, specialty pharmacies, and health systems; it is a wholly owned subsidiary of Evernorth – a Cigna Company. CuraScript SD is seeking an experienced and highly motivated IT Business Relationship Manager (BRM) to join its technology team. … Read more