Managed Care Jobs in USA

Employment Type:Full timeShift:Day ShiftDescription:SAINT ALPHONSUS REGIONAL MEDICAL CENTERVICE PRESIDENT FINANCESUMMARY:Responsible for the following key functions: Financial analysis planning budgeting and supporting the management team in the financial operations of the hospital.The VP of Finance...

At Johnson & Johnsonwe believe health is everything. Our strength in healthcare innovation empowers us to build aworld where complex diseases are prevented treated and curedwhere treatments are smarter and less invasive andsolutions are our expertise in Innovative Medicine and MedTech we are unique...

Inspire health. Serve with compassion. Be the difference.Job SummaryProvides primary health care to a specific patient population within the guidelines of written protocols. Follows established nursing standards procedures and practices.AccountabilitiesEngages in the diagnosis and treatment of dise...

Job Details7A-3:30PWeek 1: Thursday & SaturdayWeek 2: Sunday & TuesdayProvides a positive patient experience to patients and families. Demonstrates strong communication and customer service skills while registering patients. Accurately searches and selects the correct patient. Gathers complete and a...

Job DetailsWorks with minimal supervision to ensure that comprehensive quality cost effective patient care is offered for members in need of care coordination. Review medication profiles verify appropriate testing and facilitate office visits with primary care and specialist physicians for members...

The Behavioral Health Liaison supports CBH Clinical Care Managers in the proper procurement of behavioral health services of CBH members. The Behavioral Health Liaison supports utilization management by monitoring services to ensure approved services are being delivered as authorized and are best me...

Hourly Pay Range:$18.38 - $26.65 - The hourly pay rate offered is determined by a candidates expertise and years of experience among other factors.Position Highlights:Position: Patient Service Representative - Pulmonary - DaysLocation: Naperville ILFull Time: 40 hours / weekOffice Hours: Monday - Th...

Who We ArePoint32Health is a leading not-for-profit health and well-being organization dedicated to delivering high-quality affordable healthcare. Serving nearly 2 million members Point32Health builds on the legacy of Harvard Pilgrim Health Care and Tufts Health Plan to provide access to care and em...

The Behavioral Health Liaison supports CBH Clinical Care Managers in the proper procurement of behavioral health services of CBH members. The Behavioral Health Liaison supports utilization management by monitoring services to ensure approved services are being delivered as authorized and are best me...

The Behavioral Health Liaison supports CBH Clinical Care Managers in the proper procurement of behavioral health services of CBH members. The Behavioral Health Liaison supports utilization management by monitoring services to ensure approved services are being delivered as authorized and are best me...

At Johnson & Johnsonwe believe health is everything. Our strength in healthcare innovation empowers us to build aworld where complex diseases are prevented treated and curedwhere treatments are smarter and less invasive andsolutions are our expertise in Innovative Medicine and MedTech we are unique...

Schedule: Exempt minimum 40 hours per week Full Time Monday - Friday 8:00am - 4:30pmDepartment: Participant Care Monroe MIWhat Youll Do In This Role:The Nurse Practitioner (NP) plays a vital role in delivering compassionate high-quality care to participants of Huron Valley PACE. As a key member...

Hourly Pay Range:$20.69 - $30.00 - The hourly pay rate offered is determined by a candidates expertise and years of experience among other factors.Position Highlights:Position: Patient Scheduling Representative IILocation: Skokie ILFull Time (40 hours per week)Hours: Monday to Friday 8:30AM-5:00PMWh...

Job Summary:Supports long-term care business office operations through resident account management insurance verification reimbursement support resident trust administration and customer service activities while ensuring accurate financial documentation and compliance with organizational and regulat...

This is a hybrid leadership position requiring periodic travel and the ability to work within West Coast business hours. Candidates must be flexible and available to support operational needs across multiple locations and time zones.ESSENTIAL FUNCTIONSOversee daily operations of the orthopedic autho...

Alignment Health is breaking the mold in conventional health care committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people united in our mission to put the senior first. We have built a team of talented and experi...

Alignment Health is breaking the mold in conventional health care committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people united in our mission to put the senior first. We have built a team of talented and experi...

Build our future together:The Rare Neurology Medical Account Specialist (MS) engages Neurology specialists and key stakeholders across diverse care settings (e.g. academic centers large group practices IDNs and community accounts) within an assigned geography. The MS delivers clinically focused mess...

Build our future together:The Rare Neurology Medical Account Specialist (MS) engages Neurology specialists and key stakeholders across diverse care settings (e.g. academic centers large group practices IDNs and community accounts) within an assigned geography. The MS delivers clinically focused mess...

Build our future together:The Rare Neurology Medical Account Specialist (MS) engages Neurology specialists and key stakeholders across diverse care settings (e.g. academic centers large group practices IDNs and community accounts) within an assigned geography. The MS delivers clinically focused mess...