Managed Care Jobs in USA

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 this roleThe Regional Medical Account Director (MAD) role is a part of the Medical Market Access Team in US Medical a strategic partner within Biogen that helps inform medical access and care across our therapeutic areas and pipeline to improve meaningful patient outcomes. The Regional MAD com...

Job Description: NOTE: Based on business needs and the geographic territory associated with this opening were exclusively seeking candidates who currently reside in the greater Rochester area (Monroe Seneca Yates and Livingston counties) Summary:This role is responsible for identifying prospective m...

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...

Department:02255 AMG Park Ridge 1875 Dempster POB - OB/GYN: Maternal and Fetal MedicineStatus: Full timeBenefits Eligible:YesHours Per Week:40Schedule Details/Additional Information:4 days per week - Monday thru Friday 9 to 5:30May need to alternate with other coordinator for vacation coveragePay Ra...

City/StateNorfolk VAWork ShiftFirst (Days)Overview:Sentara Health Plansis hiring an Integrated Case Manager - Registered Nurse (RN) for LTSS/ Home Health in Culpeper Warrenton Fauquier Catlett Madison Orange Brightwood Bealeton Washington Rappahannock County Gordonsville VA! Status: Full-timepermane...

Key Responsibilities:Work as needed in all appeal worklists potentially with a focus on contracted or sensitive insurance companies.Communicate denial and appeal trends to client engagement and payer relations teams.Serve as an SME (subject matter expert) in insurance appeals matters and work with m...

DescriptionJob SummaryDevelops administers directs and implements all nursing and related patient care activities for areas of accountability. Works in close collaboration with the nursing team to meet and support diverse organizational business initiatives/strategies. Responsibilities include but...

Outpatient General PractitionerWe are seeking a General Practitioner to join our outpatient team. This position offers a unique opportunity to practice in a collaborative environment alongside additional primary care physicians specialists and advanced practice providers. The ideal candidate will be...

This position is responsible for performing credentialing and recredentialing activities in accordance with Astrana Healths Credentialing Policies contracted health plan requirements CMS regulations applicable state laws and NCQA accreditation standards. What Youll Do Review practitione...

This position is responsible for performing credentialing and recredentialing activities in accordance with Astrana Healths Credentialing Policies contracted health plan requirements CMS regulations applicable state laws and NCQA accreditation standards. What Youll Do Review practitione...

Full-timeDescriptionEast House is a dedicated non-profit organization committed to supporting individuals on their journey to recovery. We provide comprehensive services including residential support counseling peer support and community outreach to empower individuals to overcome mental health and...

Employment Type:Full timeShift:Description:CLINICAL PSYCHOLOGISTBOISE IDAHOSIGN-ON BONUS AvailableABOUT BOISE:Boise provides a high quality of life with unparalleled access to skiing hiking fishing biking and river water sports. Boise boasts a vibrant downtown with a thriving cultural arts community...

Anticipated End Date:Position Title:Director Carelon Client Management - Carelon Services External GrowthJob Description:Director Carelon Client Management - Carelon Services External GrowthLocation: This role requires associates to be in-office 3 days per week fostering collaboration and connectivi...

At Gilead were creating a healthier world for all people. For more than 35 years weve tackled diseases such as HIV viral hepatitis COVID-19 and cancer working relentlessly to develop therapies that help improve lives and to ensure access to these therapies across the globe. We continue to fight aga...

DescriptionYour experience mattersBeckett Springs is part ofLifepoint Health a diversified healthcare delivery network with facilities coast to coast. We are driven by a profound commitment to prioritize your well-being so you can provide exceptional care to others. As a Housekeeperjoining our team...

Date Posted:Country:Location:WHY JOIN FCS At Florida Cancer Specialists & Research Institute we believe our people are our strength and we invest in addition to having a positive impact on the people and communities we serve associates benefit from significant professional opportunities career adva...

People. Passion. Purpose.At P3 Health Partners our promise is to guide our communities to better health unburden clinicians alignincentivesand engage are a physician-led organization relentless in our mission to overcome all obstacles by positively disrupting the business of health care transformin...

Date Posted:Country:Location:WHY JOIN FCS At Florida Cancer Specialists & Research Institute we believe our people are our strength and we invest in addition to having a positive impact on the people and communities we serve associates benefit from significant professional opportunities career adva...

At WelbeHealth we serve our communities most vulnerable seniors through shared intention pioneering spirit and the courage to love. These core values and our participant-focus lead the way no matter what.The Associate Strategy & Expansion is a critical member of the growth team reporting to the Asso...