Managed Care Jobs in USA

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...

Extensive utilization of the various system tools available to ensure accurate and timely patient financial information is in place. Collects and verifies demographic information insurance coverage and referring physician data for the service line. Provide financial counseling services to patients....

Its more than a career its a calling.MO-SSM Health St. Marys Hospital - Jefferson CityWorker Type:RegularJob Summary:Coordinates provider referrals pre-certifications and pre-authorizations for managed care insurance plans.Job Responsibilities and Requirements:PRIMARY RESPONSIBILITIESAttends in-serv...

City/StateCulpepper VAWork ShiftFirst (Days)Overview:Sentara Health Plansis hiring a Care Coordinator/ Licensed Practical Nurse (LPN) for LTSS Waiver/ Home Health in Culpeper Warrenton Fauquier Catlett Madison Orange Brightwood Bealeton Washington Rappahannock County Gordonsville VA!Status: Full-tim...

Job DescriptionGeneral Summary:Reporting to the Director Deal Assessment in the Market Access and Contracting Organization (MACO) this role will support contracting initiatives and pricing analytics across the companys portfolio of products. This position will work closely with the Director of Contr...

Aeroflow Health Payor Relations AssociateAeroflow Health is a national leader in home medical equipment and clinical services. We combine technology operational excellence and compassionate expertise to deliver essential products and care directly to patients homes. At Aeroflow Health we make healt...

Help us change livesAt Exact Sciences were helpingchange how the world prevents detects and guides treatment for cancer. We give patients and clinicians the clarity needed to make confident decisions when they matter most. Join our team to find a purpose-driven career an inclusive culture and robust...

Job Details7:00A 3:30PEvery other weekend ONLY!Provides 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 accurate demographic an...

At Boston Medical Center-Brighton our nurses are changing the face of healthcare. At every level and on every unit BMC Brighton nurses are advancing professional practice and delivering evidence-based care to our patients families and Medical Center Health Systems is one of the top places to work i...

Hourly Pay Range:$19.89 - $28.84 - The hourly pay rate offered is determined by a candidates expertise and years of experience among other factors.Position Highlights:Position: Insurance Representative ILocation: Skokie ILFull Time/Part Time: Full TimeHours: Monday-Friday 8am-4:30pmWhat you will do:...

OverviewAssociate Medical Director Opportunity!Monthly and Quarterly BonusesMedical Director StipendThrough our evidenced based medicine approach Concentras goal is to provide quality patient care while treating everyone with friendliness skill and respect. We strive daily to promote a diverse envir...

Highly prefer this person resides in Orlando FL or New Orleans LA. PURPOSE AND SCOPE:Supports FMCNAs mission vision core values and customer service philosophy. Adheres to the FMCNA Compliance Program including following all regulatory and FMS policy requirements.Directs the strategic initiatives re...

Title: Human Resources Analyst State Role Title:Human Resource Analyst IHiring Range: Based on qualifications & experiencePay Band: 4Agency: Virginia Military InstituteLocation:VMI HUMAN RESOURCES OFFICEAgency Website:Recruitment Type: Agency Employee Only - AJob DutiesVirginia Military Institute is...

AHCCCSArizona Health Care Cost Containment SystemAccountability Community Innovation Leadership Passion Quality Respect Courage TeamworkThe Arizona Health Care Cost Containment System (AHCCCS) Arizonas Medicaid agency is driven by its mission to deliver comprehensive cost-effective health care to Ar...

When you join the growing BILH team youre not just taking a job youre making a difference in peoples lives.Job Summary: Serves as a primary point of contact for patients and visitors in an outpatient unit and provides excellent customer service through clear communication. Reports to the manager w...

Department:39733 Enterprise Corporate - Care TransitionsStatus: Full timeBenefits Eligible:YesHours Per Week:40Schedule Details/Additional Information:Schedule Details/Additional InformationPreferred qualifications:3 years RN: Experience in case management triage with prior telephonic/remote experie...

This role is responsible for developing and implementing sales strategies for targeted commercial National Accounts(3000 employees and up) as well as the end-to-end sales strategy and process. This role includes sales leadership of matrix partners who facilitate and assist in the sales cycle and acc...

Job Description Summary#LI-HybridThis position will be located at either the East Hanover NJ or Cambridge MA site and will not have the ability to be located remotely. This position will require travel as defined by the business (domestic and/ or international). Novartis is unable to offer relocatio...

Anticipated End Date:Position Title:Medical Management Specialist I- Wisconsin Family CareJob Description:Medical Management Specialist I Associate Referral Bonus: $250.00Location: It is required to be a Wisconsin resident. This role enables associates to work virtually full-time except for require...

Job Description Summary#LI-HybridThe ideal location for this role is the East Hanover NJ or Cambridge MA site but a distant working arrangement may be possible in certain states. Distant workers are responsible for the cost of home office expenses and any travel/lodging to the East Hanover or Cambri...