Managed Care Jobs in USA

This is a field-based position and candidates should reside within a commutable distance of the posted city.The Parkinsons Disease (PD) Account Executive (AE) is responsible for maximizing business opportunities with approved on-market products (drug device combination) for the Parkinsons Franchise....

SummaryWe are currently hiring for a Managed Care Coordinator II Utilization Management to join BlueCross BlueShield of South this role as a Managed Care Coordinator II Utilization Management you will review and evaluate medical or behavioral eligibility regarding benefits and clinical criteria b...

Find your calling at Mercy!Must live within Mercy footprint MO AK OK or KS. In this position youll work closely with the Director of Managed Care Analysis to support managed care efforts across our East and South-Central Communities along with select responsibilities that span the entire Mercy organ...

Company:MercerDescription:We are seeking a talented individual to join ourGovernment Health Services Consulting (GHSC)team atMercer a Marsh business.As aSeniorGovernment ConsultantIIMedicaid PolicySpecialistyou willplay a vital role as a core team memberproviding expert insights on complex projects...

Department OverviewThe Patient Access Service Coordinator provides leadership expert guidance and oversight to PAS Specialists and PAS Resource Specialists ensuring their work aligns with PAS operational requirements and its customerservice philosophy.Function/Duties of PositionCustomer Service. Del...

Assistant Director of Subacute ServicesGarden Gate Rehabilitation & NursingCheektowaga NYSalary: Up to $81120 annually ($36.00$39.00/hour equivalent)Position SummaryGarden Gate Rehabilitation & Nursing is seeking an Assistant Director of Subacute Services to help lead and grow our short-term rehabil...

OverviewJOB SUMMARY: The Case Manager P.T. facilitates patient admission from outside referrals provides on-site evaluation and provides ongoing communication to the external case manager on the progress of the patient. He/She assures that each patient is appropriate for admissions and writes treatm...

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WORK LOCATION: will need to live in TennesseeThe Provider Contracting Advisor (Director Network Management) serves as an integral member of the Provider Contracting Team and reports to the Provider Contracting Sr. Manager (AVP Network Management). This role assists in developing the strategic direct...

Job SummaryThe Manager Physician Practice provides direct on-site management of professional and support staff of Ambulatory/OBGYN practice locations.Job ResponsibilitiesSupervise coordinate and delegate the duties and schedule of office professional and support staff. Participate in the selection o...

WORK LOCATION: will need to live within the defined territory: Maryland Virginia or DCThe Provider Contracting Advisor serves as an integral member of the Provider Contracting Team and reports to the AVP Provider Contracting. This role assists in managing commercial contract negotiations and activit...

Anticipated End Date:Position Title:Revenue Cycle Management (RCM) Consultant Senior - CarelonRxJob Description:Revenue Cycle Management (RCM) Consultant Senior CarelonRxLocation: This role requires associates to be in-office 1 - 2 days per week fostering collaboration and connectivity while provid...

DescriptionRISE provides services for people with disabilities including residential settings day programs employment assistance managed care and hourly supports.Our mission is to create opportunities for and with people. This encompasses not only individuals and families for whom we provide service...

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...

About CurativeCurative is building the future of health insurance with a first-of-its-kind employer-based plan designed to remove financial barriers and make care truly accessible: one monthly premium with $0 copays and $0 deductibles*. Backed by our recent $150M in Series B funding and valuation at...

Employment Type:Full timeShift:Day ShiftDescription:At Mercy Medical Center our RN Inpatient Care Coordinators are responsible for coordinating patient care assessing patient needs and developing individualized care plans. They collaborate closely with healthcare providers monitor patient progress a...

Join Our Team as a Business Office ManagerDrive Operational Excellence in Long-Term CareWe are seeking a dependable and detail-oriented Business Office Manager to join our growing team! In this role you will oversee financial and administrative operations to support accurate billing compliance and s...

ID: Shift: Day 5x8-Hour (08:30 - 17:00) Description: ### RTO after booking is NOT allowed and is NOT allowed to be worked out onsite. Any call-offs or additional RTO on unit could possibly turn into a Cancel and DNR ###***BSN REQUIRED WITH 3 YEARS OF EXPERIENCE***REQUIRED SKILLS / CERTS / EXP:Minim...

Employment Status:Full timeShift:Any Day Any Shift (United States of America)Facility:428 S Magnolia Ave - WaynesboroRequisition Number:R157512 Advanced Practice Provider- Family Medicine - Waynesboro VA (Open) How Youll Help Transform Healthcare:Carilion Family Medicine- Waynesboro has a f...

Hours:Shift Start Time:8 AMShift End Time:5 PMAWS Hours Requirement:8/40 - 8 Hour ShiftAdditional Shift Information:Weekend Requirements:No WeekendsOn-Call Required:NoHourly Pay Range (Minimum - Midpoint - Maximum):$25.550 - $31.860 - $35.680The stated pay scale reflects the range that Sharp reasona...