Managed Care Jobs in USA

Registered Nurse Clinical Auditor We are seeking a detail-oriented Registered Nurse to support medical record reviews billing compliance audits for the Indiana Health Coverage Programs. This role is responsible for evaluating the quality of care reviewing medical records and program policies and ide...

Job DetailsSenior Payer Contract Analyst is responsible for performing scenario modeling and analytics to inform managed care contract negotiations monitor contract performance and assess impact of industry trends and government regulations. Senior Payer Contract Analyst will retrieve aggregate and...

DescriptionMSHP seeks a Director of Reimbursement and Contract Analytics to lead the contract analytics function supporting MSHS managed care agreements across hospital/facility physician and ancillary services. This role is responsible for managing a team of analysts and overseeing the development...

DescriptionMSHP seeks a Director of Reimbursement and Contract Analytics to lead the contract analytics function supporting MSHS managed care agreements across hospital/facility physician and ancillary services. This role is responsible for managing a team of analysts and overseeing the development...

Job DescriptionHealth Care Systems - Integrated Account Leader The candidate selected for this position will have responsibilities for Integrated Delivery Systems within the assigned geography and for assigned accounts. The primary territory for this position covers the states of Indiana & Kentucky...

Current Employees:If you are a current Staff Faculty or Temporary employee at the University of Miami please click here to log in to Workday to use the internal application process. To learn how to apply for a faculty or staff position please review this tip sheet.The University of Miami has a great...

The Clinical Data Analyst partners with clinical leadership payor relations and operations to translate clinical data into the evidence story that demonstrates Centrias value to payors and regulators. This role uses the Donabedian framework (structure process outcome) as the analytic spine for organ...

The Clinical Data Analyst partners with clinical leadership payor relations and operations to translate clinical data into the evidence story that demonstrates Centrias value to payors and regulators. This role uses the Donabedian framework (structure process outcome) as the analytic spine for organ...

Inspire health. Serve with compassion. Be the difference.Job SummaryThe Prisma Health Physician is responsible for the provision of quality medical services to patients of Prisma Health-University Medical GroupAccountabilitiesEngages in the diagnosis prevention or treatment of disease defects or inj...

Inspire health. Serve with compassion. Be the difference.Job SummaryThe Prisma Health Physician is responsible for the provision of quality medical services to patients of Prisma Health-University Medical GroupAccountabilitiesEngages in the diagnosis prevention or treatment of disease defects or inj...

Inspire health. Serve with compassion. Be the difference.Job SummaryThe Prisma Health Physician is responsible for the provision of quality medical services to patients of Prisma Health-University Medical GroupAccountabilitiesEngages in the diagnosis prevention or treatment of disease defects or inj...

About UsGreenbrook Medical is building the new standard in primary care. We deliver high-touch relationship-based care through neighborhood clinics grounded in a simple belief that every senior deserves the kind of care we would want for our own families. Our model emphasizes time with patients coor...

Role SummaryReporting to the Florida Market Network Leader this position has overall accountability for managing the hospital and physician provider contracting functions for assigned geographies within the Florida markets. This role has accountability for executing the Regional/National Network Con...

Lets do great things together!About ModaFounded in Oregon in 1955 Moda is proud to be a company of real people committed to quality. Today like then were focused on building a better future for healthcare. That starts by offering outstanding coverage to our members compassionate support to our commu...

OCES is growing! We are expanding to 11 more towns covering the south shore area including Quincy Braintree Weymouth etc. APPLY NOW during this exciting time!OCES supports older adults and individuals with disabilities by providing vital information and coordination of services. By promoting healthy...

OverviewNorthside Hospital is award-winning state-of-the-art and continually growing. Constantly expanding the quality and reach of our care to our patients and communities creates even more opportunity for the best healthcare professionals in Atlanta and beyond. Discover all the possibilities of a...

OverviewNorthside Hospital is award-winning state-of-the-art and continually growing. Constantly expanding the quality and reach of our care to our patients and communities creates even more opportunity for the best healthcare professionals in Atlanta and beyond. Discover all the possibilities of a...

Location:Medical Office Building-Fort Worth (750 8th Ave)Department:GeneticsShift:First Shift (United States of America)Standard Weekly Hours:40Summary:Cook Childrens Healthcare System (based in Fort Worth Texas) has an exciting opportunity for a Board Certified/Board Eligible Clinical Geneticist ph...

Territory: Denver Territory (Colorado/Nebraska)Known for its scientific and operational excellence Regeneron is a leading science-based biopharmaceutical company that discovers invents develops manufactures and commercializes medicines for the treatment of serious medical conditions. Regeneron marke...

Job DescriptionTheVaccine Customer Representative (VCR) supports customers by providing clinical information on our Companys vaccines as well as education and resources. They do this to support customer operational and financial needs such as reimbursement information and contract adherence in an ef...