Managed Care Jobs in USA

Talent will be hired at a level commensurate with experience. This role is field-based and candidates should live within a reasonable distance from the primary city.Execute brand strategy and tactics in field sales performance effectively manage assigned territory and targeted accounts build strong...

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....

At GSK we have bold ambitions for patients aiming to positively impact the health of 2.5 billion people by the end of the decade. Our R&D focuses on discovering and delivering vaccines and medicines combining our understanding of the immune system with cutting-edge technology to transform peoples li...

Find your calling at Mercy!Our mission is clear. We bring to life a healing ministry through our compassionate care and exceptional service. At Mercy we believe in careers that match the unique gifts of unique individuals careers that not only make the most of your skills and talents but also your...

OverviewExagen is a patient-focused and discovery-driven life sciences company dedicated to transforming the care continuum for patients suffering from debilitating and chronic autoimmune diseases. Our goal is to enable rheumatologists to improve care for patients through the differential diagnosis...

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...

POSITION SUMMARY:The incumbent is responsible for coordinating all the functions and activities related to patient access including but not limited to: front end customer service patient registration insurance/coverage verification appointment scheduling charge entry billing and managed care and a v...

About Blue Cross and Blue Shield of MinnesotaAt Blue Cross and Blue Shield of Minnesota we are committed to paving the way for everyone to achieve their healthiest life. We are looking for dedicated and motivated individuals who share our vision of transforming healthcare. As a Blue Cross associate...

Responsible (and working in partnership with the Medical Director SCCN) for developing implementing and evaluating Seattle Childrens Care Network (SCCN) Clinically Integrated Network (CIN) strategy to grow from a 1 state network to a multi-state specialty network and to boldly move from episodic car...

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...

Job Description: Summary:This position supports the Utilization Management (UM) workflows by providing administrative support and customer service. This position acts as a resource for both internal and external customers through completing timely and accurate inbound and/or outbound calls creating...

Job Description: Summary:This position supports the Utilization Management (UM) workflows by providing administrative support and customer service. This position acts as a resource for both internal and external customers through completing timely and accurate inbound and/or outbound calls creating...

Job SummaryPrepares and assists physician/provider in the examination and treatment of patients in the medical office. Ability to assist physician/provider with examinations diagnostic processes and treatments. Arranges diagnostic testing and hospital admission. Obtains insurance authorizations. Sch...

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...

Overall PurposeThe Quality Operations Coordinator role is responsible of managing Quality operational support initiatives while overseeing special projects with a focus on supporting HEDIS and Pharmacy gap closures. This position requires daily problem-solving meticulous tracking and coordination ac...

Overall PurposeThe Quality Operations Coordinator role is responsible of managing Quality operational support initiatives while overseeing special projects with a focus on supporting HEDIS and Pharmacy gap closures. This position requires daily problem-solving meticulous tracking and coordination ac...

DescriptionFacility:PeaceHealth Springfield Rehabilitation HospitalSchedule: Full TimeJoin us in opening PeaceHealth Springfield Rehabilitation Hospital a brand-new inpatient rehabilitation facility (IRF) opening its doors in 2026.Your experience mattersPeaceHealth Springfield Rehabilitation Hospita...

DescriptionFacility:PeaceHealth Springfield Rehabilitation HospitalSchedule: Full TimeJoin us in opening PeaceHealth Springfield Rehabilitation Hospital a brand-new inpatient rehabilitation facility (IRF) opening its doors in 2026.Your experience mattersPeaceHealth Springfield Rehabilitation Hospita...

OverviewAbout the RoleThe primary purpose of theAmbulatory Care Technician Certified (Certified Medical Assistant)position is to support the patient and the provider throughout the ambulatory care patient visit from registration through discharge and follow up.As aCertified Medical Assistant Ambulat...