NewDirector of Benefits - Relocate to Warroad, MN MarvinDirector of Benefits - Relocate to Warroad, MNOmaha, NE$162,000–$215,000This position partners with HR, Finance, Legal, operations, executive leadership, vendors, consultants, and healthcare providers to enhance the employee experience, manage benefit costs, and support employee health and wellbeing. Marvin offers an extensive relocation benefit package that includes the movement of your household goods, temporary housing, and much more – in addition to a relocation counselor to assist you throughout the entire journey.
Project Manager Expert ( (Healthcare/Child) Shiftcode Analytics, IncProject Manager Expert ( (Healthcare/Child)Lincoln, NEThe Senior Project Manager coordinates multidisciplinary, matrixed teams; manages relationships with state agency clients and federal partners; and ensures implementation activities are delivered on time, within scope, and in full compliance with applicable federal and state requirements. The Senior Project Manager leads the planning, execution, and delivery of complex health and human services program implementations driven by federal and state policy, regulatory change, and program reform.
Healthcare Staffing Account Manager Cross Country HealthcareHealthcare Staffing Account Managerscottsbluff, NEThey play a key role in ensuring the delivery of high-quality staffing solutions, instilling confidence in the services we provide to meet the needs of our clients. QUALIFICATIONS: Minimum of 1 year (preferably 2 years) of related experience in account management or customer success, ideally within healthcare staffing or home healthcare settings.
Program Integrity Investigator (Healthcare Fraud Waste & Abuse) TriWest Healthcare AllianceProgram Integrity Investigator (Healthcare Fraud Waste & Abuse)Omaha, NERemoteFull timeComplies with the Veterans Affairs Community Care Network (CCN) and TRICARE T-5 contracts; DHA and TRICARE program guidelines and pertinent Federal regulatory requirements; assists supervisors with FWA trending and reporting requirements; coordinates and assists with investigations and prosecutions by federal agencies interfaces directly with Veterans, Military members and family (as warranted), providers, subcontractors, and other TriWest departments on FWA issues; assist supervisor with the education and training of TriWest, subcontractor, and provider personnel on current FWA matters; prepares appropriate responses to provider compliance issues and complaints referred to Program Integrity by other TriWest departments or external referrals. The PI Investigator t is responsible for the identification, analysis, case development, and reporting of suspected fraud, waste and abuse (FWA) cases as defined by the Department of Veterans Affairs (VA), the Healthcare Finance Administration (HCFA) and the Department of Defense, Defense Health Agency for the TRICARE program; requests and reviews issue-related medical claims and records for FWA and/or administrative and clerical error(s).
Lead, Medicare Administration (Bids & Member Materials) (Remote) Molina Healthcare IncLead, Medicare Administration (Bids & Member Materials) (Remote)Grand Island, NERemoteWorks collaboratively with business and operational units to ensure Medicare and MMP operations are supported by effective, accurate and efficient business processes, benefits are accurately defined, communicated and configured, member communications are compliant, and data exchanges and reports are accurate, timely and meet federal requirements. Job Summary Provides lead level support for Medicare and Medicare-Medicaid Plan (MMP) Duals products including the development, implementation, and maintenance of annual project timelines/work plans for both product lines - ensuring timely and successful project completion.
Healthcare Staffing Recruiter GetMed Staffing IncHealthcare Staffing RecruiterOmaha, NEFull timeUtilize Multiple Sourcing Channels: Leverage job boards, networking, referrals, social media (LinkedIn, Facebook, etc.), and direct outreach to maintain a pipeline of qualified healthcare professionals. Work in a High-Volume, Fast-Paced Environment: Stay organized, proactive, and driven while managing multiple candidates at different stages in the recruitment cycle.
NewHealthcare Market Finance Lead Humana IncHealthcare Market Finance LeadNE$104,000–$143,000 / yearTo ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. The Market Finance Lead will also partner with actuarial, corporate finance, clinical, risk adjustment, market operations, provider engagement, hospitals, ancillary partners, sales/MarketPoint and value-based care providers.
**CONFIDENTIAL** Human Resources Director + Healthcare + Nebraska Lutz and Company PC**CONFIDENTIAL** Human Resources Director + Healthcare + NebraskaNEOur client, a rural healthcare organization is seeking a Director of Human Resources to serve as a key member of the leadership team, helping guide workforce strategy, strengthen organizational culture, and build scalable HR practices that support long-term success. Reporting directly to the CEO, this role will have significant visibility across the organization and will partner closely with senior leaders to drive employee engagement, leadership development, talent acquisition, compliance, and organizational effectiveness.
Traveling Senior Project Engineer - Healthcare Construction J.E. Dunn Construction Group IncTraveling Senior Project Engineer - Healthcare ConstructionOmaha, NECoordinates and inspects work and prepares a variety of reports including project daily reports, weekly progress reports, unit reporting, percentage complete, daily manpower, production schedules, equipment tracking, etc., in order to support the project. Our diverse teams around the country strive to enrich lives through inspired people and places everyday, and we need inspired people like you to join us in building authentic partnerships.
Healthcare Counsel TriWest Healthcare AllianceHealthcare CounselOmaha, NERemoteFull timeTriWest will prioritize candidates with experience with healthcare regulatory matters, including Medicare and Medicaid and conditions of participation in federal healthcare programs, anti-kickback laws, self-referral laws, HIPAA, and transactional matters for health care providers. Supports the Office of General Counsel in advising and producing attorney work products that support TriWest's healthcare-related departments including, but not limited to, Provider Services, Medical Management, Program Integrity, and Claims.
Director, Healthcare Market (HD), Rare Disease - Midwest Genentech IncDirector, Healthcare Market (HD), Rare Disease - MidwestOmaha, NE$209,900–$389,900 / yearThe Rare Disease Healthcare Director (RD HD) is responsible for leading a cross functional team whose responsibilities will be focused on supporting patients, caregivers, HCP and advocacy needs holistically within the Neurological Rare Disease (NRD) and Rare Blood Disorder (RBD) communities. The RD HD is tasked with ensuring both clinical and access questions are compliantly addressed for the patient, caregivers and HCP accounts including other geographically aligned stakeholders i.e. social workers, genetic counselors, health systems etc. in order to provide safe and effective patient care.
NewChief of Staff to the SVP - Healthcare Analytics CVS Health CorpChief of Staff to the SVP - Healthcare AnalyticsNE$131,500–$303,195 / year6+ years of experience managing and optimizing structured business processes, including recruiting operations, onboarding programs, and cross-functional governance, with a proven ability to drive execution and operational excellence. Operational rhythm: run the recruiting pipeline, manage onboarding so new colleagues get up to speed effectively, organize leadership onsite workshops, and have meeting cadence to drive transparency and engagement.
Healthcare Sales Recruiter Allied (Omaha or Cincinnati) Medical Solutions, L.L.C.Healthcare Sales Recruiter Allied (Omaha or Cincinnati)Omaha, NEMaintain weekly assignment management with clinicians assigned; to include payroll processing, updating skills/preferences, handling concerns/issues, and educating on market conditions for retention. The purpose of the Recruiter role is to develop and build relationships with healthcare professionals, finding employment through temporary and permanent staffing, while providing exceptional customer service.
Healthcare Staffing Recruiter getMed StaffingHealthcare Staffing RecruiterOmaha, NEFull timeUtilize Multiple Sourcing Channels: Leverage job boards, networking, referrals, social media (LinkedIn, Facebook, etc.), and direct outreach to maintain a pipeline of qualified healthcare professionals. Work in a High-Volume, Fast-Paced Environment: Stay organized, proactive, and driven while managing multiple candidates at different stages in the recruitment cycle.
Senior Healthcare Planner Altus Architectural Studios IncSenior Healthcare PlannerOmaha, NEThe Senior Healthcare Planner provides thought leadership throughout all early project phases and supports project delivery through construction administration while mentoring internal staff and contributing to business development efforts. This role works closely with client executive leadership, user groups, and internal project teams to develop innovative, functional, and evidence-based healthcare environments.
Project Manager Sr TriWest Healthcare AllianceProject Manager SrOmaha, NERemoteFull timeTechnical Skills: Knowledge of the Managed Care concepts, proficient with statistical analysis, data management and analysis, project management techniques, benchmarking practices and techniques, quality improvement tools and techniques, presentations skills, and proficient with Excel, SQL, Word, PowerPoint, and Visio. Supports project implementation when required using project management tools to develop project plans/timelines, coordinate/manage project, monitor and report status, progress and areas of risk in relation to established project objectives, requirements and timelines.
Group Practice Manager HangerGroup Practice ManagerLincoln, NECould This Be For You: The Group Practice Manager (GPM) leads a small group of O&P clinics that are combined into a group practice, to ensure patients receive timely, high-quality care across a connected network of clinics. Why Us: With a mantra of Empowering Human Potential, Hanger, Inc. is the world's premier provider of orthotic and prosthetic (O&P) services and products, offering the most advanced O&P solutions, clinically differentiated programs and unsurpassed customer service.
NewSolutions Program Manager TriWest Healthcare AllianceSolutions Program ManagerOmaha, NERemoteFull timeThe Solutions Program Manager is responsible for ensuring that our strategic, enterprise wide programs are well defined, planned, tracked and communicated in a consistent manner, responsible for building partnering relationships with C-Suite executives and other stakeholders; responsible for on time, within budget and quality implementation of enterprise wide programs; responsible for executing project management best practices. • As part of the Program Manager's Team, develop effective collaborative relationships with TriWest's C-Suite executive and other leaders in Operations, Health Care Services, Provider Network and IT to ensure that TriWest meets contractual requirements and fulfills organizational objectives.
Provider Program Manager - APM TriWest Healthcare AllianceProvider Program Manager - APMOmaha, NERemoteFull timeDevelops effective collaborative relationships with TriWest's inter and intra-departmental stakeholders and other SMEs, C-Suite executives, and other leaders in Operations, Health Care Services, Provider Network, and IT to ensure that TriWest meets contractual requirements and fulfills organizational objectives. The Provider Program Manager ensures that strategic, enterprise-wide programs are well defined, planned, tracked, and communicated in a consistent manner; is responsible for collaborating with C-Suite executives and other stakeholders; and is responsible for deliverables that meet defined requirements and for utilizing project management best practices.
Performance Improvement Mgr TriWest Healthcare AlliancePerformance Improvement MgrOmaha, NERemoteFull timeThis individual contributor role leads enterprise-wide Quality Improvement Projects (QIPs) focused on operational excellence, Corrective Action Request (CAR) responses, and measurable stakeholder outcomes. Multi-Tasking / Time Management: Prioritize and manage multiple concurrent initiatives to meet changing deadlines and requirements within a high-volume environment, including project timelines, deliverables, and key performance indicators.
New["Group Practice Manager","Group Practice Manager"] Hanger["Group Practice Manager","Group Practice Manager"]LincolnThe Group Practice Manager (GPM) leads a small group of O&P clinics that are combined into a group practice, to ensure patients receive timely, high-quality care across a connected network of clinics. With a mantra of Empowering Human Potential, Hanger, Inc. is the world's premier provider of orthotic and prosthetic (O&P) services and products, offering the most advanced O&P solutions, clinically differentiated programs and unsurpassed customer service.
Chief Nursing Officer (CNO) The Mary Lanning Memorial Hospital AssociationChief Nursing Officer (CNO)Hastings, NebraskaPartners with the President/CEO, Board of Trustees, medical staff, and senior leadership to drive strategic planning, organizational decision‑making, and system‑wide performance improvement initiatives. Serves as the executive advocate for nursing, representing nursing leadership in senior management, Board meetings, quality initiatives, and professional activities to stay informed on industry trends and regulations.
Business Office Manager/ Billing Liaison Cascades HealthcareBusiness Office Manager/ Billing LiaisonCrawford, NEFull timeIf you're someone who takes ownership, communicates with clarity, and wants to contribute to a team that truly supports one another, this is a great opportunity to grow your career in healthcare administration. We're a people-focused skilled nursing facility committed to helping residents regain independence and transition safely to the next level of care.
NewDirect Contracting Manager TriWest Healthcare AllianceDirect Contracting ManagerOmaha, NERemoteFull timeMedicaid, Medicare, TRICARE, VAPC3), and the insurance industry; skill in diplomacy and negotiation; skill in financial analysis to analyze contractual reimbursement; skill in project management; skill in presentation; proficient with Excel. Develops hospital, physician and ancillary service agreements, ensures adherence with government operational manuals, monitors network shortfalls, and resolves access issues throughout the assigned region.
BH Operations Manager OneWorld Community Health Centers IncBH Operations ManagerOmaha, NEThe Behavioral Health Operations Manager works in close partnership with the Associate Medical Director of Behavioral Health, Associate Behavioral Health Directors, and clinic leadership to support quality patient care, improve access to services, optimize workflows, and achieve organizational performance goals. While collaborating closely with Behavioral Health leadership, this position serves as the primary operational leader for Behavioral Health clinic operations, patient navigation services, scheduling processes, quality initiatives, and departmental performance within the behavioral health department.
NewAlternative Health & Advocacy Solutions COE Senior Project Manager CVS Health CorpAlternative Health & Advocacy Solutions COE Senior Project ManagerNERemote$67,900–$199,144 / yearActing as the central liaison between external partners and internal stakeholders, the Senior Project & Program Manager collaborates closely with Sales, Client Management, Product, Operations, Implementation, and Executive Leadership teams to ensure partner solutions are effectively positioned, implemented, and supported throughout the client lifecycle. Success in this role requires strong relationship management, project and program leadership, operational excellence, strategic thinking, and the ability to influence cross-functional teams to deliver business outcomes that enhance client experience, retention, growth, and innovation.
Manager, Product Lifecycles - Health Plan Sanford HealthManager, Product Lifecycles - Health PlanNERemote$46–$76 / hourSanford Health, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world-class health care in America's heartland. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-877-673-0854 or send an email to talent@sanfordhealth.org.
HR Talent Acquisition Lead Faith Regional Health ServicesHR Talent Acquisition LeadNorfolk, NEStrategic Workforce Planning: Work side-by-side with clinical directors and department heads to forecast talent gaps, build resilient pipelines for high-demand roles, and align short-term staffing with long-term strategic care goals. Responsibilities: What You Will Do: Drive Clinical Recruitment: Manage the end-to-end candidate lifecycle for vital healthcare providers, including nursing staff, allied health professionals, laboratory teams, imaging technicians, and specialized clinical providers.
Chief Nursing Officer (CNO) Mary Lanning HealthcareChief Nursing Officer (CNO)Hastings, NebraskaPartners with the President/CEO, Board of Trustees, medical staff, and senior leadership to drive strategic planning, organizational decision‑making, and system‑wide performance improvement initiatives. Serves as the executive advocate for nursing, representing nursing leadership in senior management, Board meetings, quality initiatives, and professional activities to stay informed on industry trends and regulations.
Billing Manager BryanLGH Medical CenterBilling ManagerLincoln, NEThis role collaborates with Patient Access, Coding, Clinical Documentation Improvement (CDI), Revenue Integrity, Information Technology (IT), and Finance to implement billing strategies that improve clean claim rates, reduce denials, and ensure compliant reimbursement. *Establishes and monitors performance metrics, including clean claim rate, Discharged Not Final Billed (DNFB), accounts receivable (AR) days, and denial rates.
Manager Practice Operations - Family Practice Nebraska Methodist Health SystemManager Practice Operations - Family PracticeOmaha, NEMinimum of two years of experience to include the following: oversee the work of a group of people, hire, fire, assign work, orient, train, evaluate, discipline, coach/mentor and/or negotiate and interpret conflicts and influence outcomes on matters of significance OR four years of experience to include the majority of the following: serve as a technical expert for a group of employees, regularly model/mentor and train employees on technical skills, make decisions regarding daily priorities for a work group, provide guidance to and/or assist staff on non-routine or escalated issues and provide input on performance appraisals and/or disciplinary actions required. Continuously review clinic day-to-day operations and work with the Director - Practice Operations to propose and implement new processes/procedures to reduce costs, increase revenue, and/or improve clinic efficiencies, etc.
NewManager Practice Operations - Cardiopulmonary Services Nebraska Methodist Health SystemManager Practice Operations - Cardiopulmonary ServicesOmaha, NEMinimum of two years of experience to include the following: oversee the work of a group of people, hire, fire, assign work, orient, train, evaluate, discipline, coach/mentor and/or negotiate and interpret conflicts and influence outcomes on matters of significance OR four years of experience to include the majority of the following: serve as a technical expert for a group of employees, regularly model/mentor and train employees on technical skills, make decisions regarding daily priorities for a work group, provide guidance to and/or assist staff on non-routine or escalated issues and provide input on performance appraisals and/or disciplinary actions required. Continuously review clinic day-to-day operations and work with the Director - Practice Operations to propose and implement new processes/procedures to reduce costs, increase revenue, and/or improve clinic efficiencies, etc.
Manager Practice Operations - Family Practice Nebraska Methodist HospitalManager Practice Operations - Family PracticeOmaha, NebraskaMinimum of two years of experience to include the following: oversee the work of a group of people, hire, fire, assign work, orient, train, evaluate, discipline, coach/mentor and/or negotiate and interpret conflicts and influence outcomes on matters of significance OR four years of experience to include the majority of the following: serve as a technical expert for a group of employees, regularly model/mentor and train employees on technical skills, make decisions regarding daily priorities for a work group, provide guidance to and/or assist staff on non-routine or escalated issues and provide input on performance appraisals and/or disciplinary actions required. Continuously review clinic day-to-day operations and work with the Director – Practice Operations to propose and implement new processes/procedures to reduce costs, increase revenue, and/or improve clinic efficiencies, etc.
NewManager Practice Operations - Cardiopulmonary Services Nebraska Methodist HospitalManager Practice Operations - Cardiopulmonary ServicesOmaha, NebraskaMinimum of two years of experience to include the following: oversee the work of a group of people, hire, fire, assign work, orient, train, evaluate, discipline, coach/mentor and/or negotiate and interpret conflicts and influence outcomes on matters of significance OR four years of experience to include the majority of the following: serve as a technical expert for a group of employees, regularly model/mentor and train employees on technical skills, make decisions regarding daily priorities for a work group, provide guidance to and/or assist staff on non-routine or escalated issues and provide input on performance appraisals and/or disciplinary actions required. Continuously review clinic day-to-day operations and work with the Director – Practice Operations to propose and implement new processes/procedures to reduce costs, increase revenue, and/or improve clinic efficiencies, etc.
Manager, Business Analytics CVS Health CorpManager, Business AnalyticsNE$66,330–$145,860 / yearThis involves extracting, analyzing, and interpreting contracting, utilization, financial, and clinical/quality data from various sources to support nationwide payer contract negotiations, market penetration, conversion, and expansion strategies, value-based care initiatives, and other quantitative analysis & reporting requirements. To develop and deliver decision support tools & insights via creating and sustaining analytics & reporting assets and leveraging business intelligence resources in support of contracting, financial and operational strategic decision-making by Retail Health leadership.
Clinical Program Director - RN Required Healogics IncClinical Program Director - RN RequiredOmaha, NE$92,100–$122,100 / yearWorks directly with the hospital and Healogics marketing departments to ensure that the wound care program has established strategic marketing plans and works with the same group and the hospital physician liaison to plan, coordinate, and execute activities directed toward increasing patient referrals to the Wound Care Center (WCC)(s). As needed, serves as case manager to a group of wound care patients, to include specific assessments and direct patient care according to protocols and procedures, clinical competence in procedural skills, treatments, and patient/caregiver education related to wound care management.
NewAdministrative Fellow- Physician Enterprise CommonSpirit HealthAdministrative Fellow- Physician EnterpriseOmaha, NECalifornia Region, Central Coast Market, Santa Maria CA: This Physician Enterprise fellowship will specifically focus on cultivating next-generation PE leaders and enhancing strategic execution across California's diverse Physician Enterprise footprint, requiring a successful fellow to demonstrate leadership in strategic project management, deliver insightful operational analyses, and effectively engage with leaders to address market-specific imperatives and complex healthcare dynamics. As one of the nation's largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 137 hospital-based locations, in addition to its home-based services and virtual care offerings.
Administrative Fellowship BryanLGH Medical CenterAdministrative FellowshipLincoln, NEEDUCATION AND EXPERIENCE: Master's degree in healthcare administration, public health, business administration with a healthcare focus, or a related field within the past year or current enrollment in a master's program with completion expected by the start of the fellowship from an accredited program (e.g., Commission on Accreditation of Healthcare Management Education (CAHME), Association to Advance Collegiate Schools of Business (AACSB), or Council on Education for Public Health (CEPH)) required. Based on assigned project(s), establishes goals/priorities, extracts, analyzes and presents data/information; plans and coordinates meetings; follows through on action items; evaluates outcomes and assists in change management activities as appropriate.
(CCLocal) - Account Manager Cross Country Healthcare Inc(CCLocal) - Account ManagerNebraska, NEThey play a key role in ensuring the delivery of high-quality staffing solutions, instilling confidence in the services we provide to meet the needs of our clients. QUALIFICATIONS: Minimum of 1 year (preferably 2 years) of related experience in account management or customer success, ideally within healthcare staffing or home healthcare settings.
Clinical Program Director - RN Required HealogicsClinical Program Director - RN RequiredOmaha, NebraskaWorks directly with the hospital and Healogics marketing departments to ensure that the wound care program has established strategic marketing plans and works with the same group and the hospital physician liaison to plan, coordinate, and execute activities directed toward increasing patient referrals to the Wound Care Center (WCC)®(s). As needed, serves as case manager to a group of wound care patients, to include specific assessments and direct patient care according to protocols and procedures, clinical competence in procedural skills, treatments, and patient/caregiver education related to wound care management.
Pharmacy Operations Manager Walgreen CoPharmacy Operations ManagerLincoln, NE$22.50–$31 / hourAssists Pharmacy Manager in monitoring that all pharmacy and team member licensures, registrations and certifications are active and in good standing/ compliant with all regulatory and legal requirements. Where state and federal laws/regulations allow, accountable for performing day-to-day non-clinical pharmacy operations, administrative activities; Ensures efficient pharmacy workflow and a positive patient experience.
Teacher, Health Information Management Cleveland Metropolitan School DistrictTeacher, Health Information ManagementLincoln, NebraskaIn our pursuit of a more fair, just, and good system of education, we strive to ensure that all of our learners, both scholars and educators, to be challenged with academically and intellectually complex tasks that are worthy of their efforts and provide them opportunities to demonstrate their best work. The goal of this plan is to strengthen enrollment and ensure scholars attend a newer school building that offers more educational opportunities, including algebra in the eighth grade, more sports and extracurricular activities, and college credits and college and career pathways in high school.
Contact Representative (Benefits Coordinator) US Department of Health and Human ServicesContact Representative (Benefits Coordinator)NE$45,409–$72,644 / yearGS-08: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the next lower grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: interpreting and applying federal, state, Tribal, and third-party program regulations to determine eligibility and ensure compliance for programs such as Purchase Referred Care, Medicare, Medicaid, Affordable Care Act, Veterans Affairs Healthcare, and other alternate resources; conducting in-depth patient interviews to assess eligibility, verify coverage, and complete applications; registering eligible patients in various assistance programs; resolving claim denials and eligibility issues through coordination with patients, healthcare providers, and outside agencies; reviewing Medicaid eligibility information and supporting billing requirements; and utilizing effective oral and written communication to explain program requirements, provide referrals, and resolve complex patient service issues. MINIMUM QUALIFICATIONS: GS-06: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the GS-05 grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: determining patient eligibility for alternate resources programs; interpreting and applying Medicare, Medicaid, VA, and other third-party payer policies and procedures; conducting patient interviews to identify available healthcare coverage and funding sources; assisting patients with enrollment and claims processes; researching and resolving eligibility, denial, and reimbursement issues; maintaining effective working relationships with patients and resource agencies; and safeguarding confidential patient information in accordance with Privacy Act and HIPAA requirements.
Contact Representative (PRC) US Department of Health and Human ServicesContact Representative (PRC)NE$45,409–$72,644 / yearGS-08: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the GS-07 grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: applying and interpreting complex federal, state, Tribal, and private-sector regulations to make eligibility and funding determinations for programs such as Purchased/Referred Care, Medicare, Medicaid, Veterans Affairs healthcare, and Affordable Care Act plans; independently analyzing medical, financial, and eligibility documentation to resolve complex or controversial benefit issues; coordinating with agencies, providers, and patients to ensure fiscal accountability and continuity of care; issuing medical authorizations or denial determinations based on regulatory, clinical, and fiscal requirements; maintaining fund control records, monitoring expenditures, and applying appropriate accounting codes; identifying and resolving program or funding discrepancies; and compiling and analyzing reports related to program operations, funding, and utilization. MINIMUM QUALIFICATIONS: GS-06: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the GS-05 grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: identifying and verifying patient eligibility for Medicare, Medicaid, SSA benefits, private insurance, Tribal programs, and other assistance resources; interviewing patients to obtain required documentation; assisting individuals and families with benefit applications; reviewing records to determine the status of claims and applications; responding to inquiries regarding patient eligibility requirements, benefits, and program guidelines; and maintaining accurate patient records through data entry, discrepancy resolution, and follow-up on pending claims and missing documentation.
NewNon-Medical Care Companion Clarkson CollegeNon-Medical Care CompanionOmaha, NEClarkson College welcomes undergraduate and graduate students, transfer and international students, and adults who are returning to college to continue their studies or advance their health care careers. When seeking employment, please be aware that some organizations have a tobacco-free/nicotine-free environment policy in effect both inside and outside of their facilities, and will only hire tobacco free/nicotine free candidates.
Director of Operations - Clinical Services Nye Health ServicesDirector of Operations - Clinical ServicesLincoln, NEo If you have worked in any of the following roles, this may be a perfect opportunity for you: Director of Nursing (DON), Assistant Director of Nursing (ADON), Licensed Nursing Home Administrator (LNHA), Administrator-in-Training (AIT), Assistant Administrator, Director of Clinical Services, Clinical Operations Director, Healthcare Operations Director, Clinical Manager, or Director of Quality Management. Whether your background is in nursing leadership, healthcare administration, operations management, quality improvement, or a related healthcare leadership role, we encourage you to apply if you have a passion for leading people, improving performance, and delivering exceptional service.
NewManager, Data Engineering (Master Data Management) MDM TriWest Healthcare AllianceManager, Data Engineering (Master Data Management) MDMOmaha, NERemoteFull timeTechnical Skills: In-depth knowledge of all application functionality, security, development, and system administration; knowledge of relevant technology, tools and middleware; proficient change agent; knowledge of the agile methodology and software maintenance and support. • Develops and maintains ongoing relationships with hardware, software, consultant, and employee resource vendors to insure that TriWest systems are adequately supported and external opportunities are understood and considered in the planning process.
Community Relations Specialist Hillcrest Health ServicesCommunity Relations SpecialistBellevue, NEAs a Community Relations Specialist, you will play a key role in growing referral relationships, strengthening community partnerships, supporting patient-centered transitions, and helping more people access the care and services Hillcrest provides. Community Relations Specialist - Hillcrest Health ServicesLocation: Bellevue, NEService Line: Hillcrest Health ServicesHillcrest Health & Living is looking for a driven, relationship-focused, and results-oriented Community Relations Specialist to join our Hillcrest Health Services team.
Territory Manager | Nebraska iRhythmTerritory Manager | NebraskaLincoln, NebraskaRemoteWe are seeking a high-performing, field-based Territory Manager who will be responsible for accelerating growth by acquiring new business, expanding iRhythm’s footprint across key health systems, and capturing market share within a defined geographic territory. Having served over 10 million patients, we are committed to being the foremost provider of ambulatory ECG monitoring, offering faster answers, deeper insights, and better outcomes.
Branch Administrator Pediatric Home ServiceBranch AdministratorOmaha, NEThis position is responsible for coordinating all aspects of client care which includes clinical support, consultation and educational enrichment for staff, clients and families while supporting all caregivers to ensure their professional success in the homecare setting. Tags: Nurse Manager, Healthcare Administrator, Healthcare Administration, Practice Manager, Healthcare Director, Director of Nursing (DON), Assistant Director of Nursing (ADON) .