Managed Care Jobs in USA

Job Title: Special Investigation Unit Investigator II Location: Los Angeles CAJob description The Special Investigation Unit Investigator II is the journeyman level Investigator position for the Special Investigations Unit (SIU). This position conducts complex independent investigations of alleged f...

What would you do The SpecificsEnsures high quality customer service while following all safety protocols.Ensures a smooth flow of customers through the store.Answers screens and forwards incoming phone calls in accordance with National Vision protocol.Processes and understands managed care plans w...

This role can be hired as a Grade 18 or 19; candidate experience will determine grade.Coordinate commercial activity within in-field teams to ensure targets are reached for increasing sales within an assigned geography. Create implement and communicate District Sales Plan and monitor progress.Respon...

The Senior Manager Account Executive will lead a national team of five Account Executives focused on evaluating the brands business impact across assigned GPO IDN and hospital systems. This newly created role offers a unique opportunity to build and develop a team while shaping the strategic vision...

About the job Mercor connects elite creative and technical talent with leading AI research labs. Headquartered in San Francisco our investors include Benchmark General Catalyst Peter Thiel Adam DAngelo Larry Summers and Jack Dorsey. Position: Healthcare Executive Insurance Strategy & Operations Stu...

About the job Mercor connects elite creative and technical talent with leading AI research labs. Headquartered in San Francisco our investors include Benchmark General Catalyst Peter Thiel Adam DAngelo Larry Summers and Jack Dorsey. Position: Healthcare Executive Insurance Strategy & Operations Stu...

About the job Mercor connects elite creative and technical talent with leading AI research labs. Headquartered in San Francisco our investors include Benchmark General Catalyst Peter Thiel Adam DAngelo Larry Summers and Jack Dorsey. Position: Healthcare Executive Insurance Strategy & Operations Stu...

About the job Mercor connects elite creative and technical talent with leading AI research labs. Headquartered in San Francisco our investors include Benchmark General Catalyst Peter Thiel Adam DAngelo Larry Summers and Jack Dorsey. Position: Healthcare Executive Insurance Strategy & Operations Stu...

DescriptionAre you a Contracts and Managed Care Professional looking for a great company with a great mission and culture Then consider joining Devereux Florida as a Managed Care Specialist!Devereux provides mental and behavioral health services as well as child welfare case management services for...

Working with UsChallenging. Meaningful. Life-changing. Those arent words that are usually associated with a job. But working at Bristol Myers Squibb is anything but usual. Here uniquely interesting work happens every day in every department. From optimizing a production line to the latest breakthrou...

How you move is why were here. Now more than ever.Get back to what you need and love to do.The possibilities are endless...Now more than ever our guiding principles are helping us in our search for exceptional talent - candidates who align with our unique workplace culture and who want to maximizeth...

Scope of work: Plans and prioritizes care for individuals and population of patients focusing on strategies that will promote optimal health within populations. Demonstrates expertise current knowledge in nursing care and management of a caseload of patients of varying complexity and seeks to improv...

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...

City/StateHarrisonburg VAWork ShiftRotatingOverview:Sentara is hiring a Pharmacist Resident at RMH in Harrisonburg VA.Location: Sentara RMH- Harrisonburg VAStatus: Full Time (40 hrs/wk)Shift: RotatingThe pharmacy residency is a 12-month experience designed to expand upon academic experiences in an...

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...

Job DescriptionSpectrum Healthcare Resources has a potential opportunity for a Registered Nurse Utilization Management at Nellis Air Force Base in Las Vegas NV.Position Benefits:8 and 10-hour shifts offeredSchedule: Monday - Friday (40 hours/week)No on-call or holiday requirementsBenefits offered:...

Department OverviewThe Patient Access Resource Specialist (PASR) gathers and records required information about patients provides customer services which includes confirming health insurance coverage determining individual financial obligationsverifying that necessary authorizations for care have be...

MinUSD $18.34/Hr.MaxUSD $28.42/Hr.OverviewIdentifies and researches the basis for credit amounts due on the more complex patient health insurance claims. Initiates contractual adjustments on the account and/or processes refunds to patients governmental agencies or insurance companies. Embodies the M...

Sun Life U.S. is one of the largest providers of employee and government benefits helping approximately 50 million Americans access the care and coverage they need. Through employers industry partners and government programs Sun Life U.S. offers a portfolio of benefits and services including dental...