Managed Care Jobs in USA

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...

Job DescriptionSpectrum Healthcare Resources has a potential opportunity for a civilian Registered Nurse - Family Health at Nellis Air Force Base in Las Vegas Nevada.This contract position offers:Position Highlights:Employee status and access to a comprehensive benefits package including Medical Den...

Job DescriptionSpectrum Healthcare Resources has a potential opportunity for a civilian Registered Nurse - Family Health at Nellis Air Force Base in Las Vegas Nevada.This contract position offers:Position Highlights:Employee status and access to a comprehensive benefits package including Medical Den...

Job DescriptionSpectrum Healthcare Resources has a potential opportunity for a civilian Registered Nurse - Rheumatologyat Nellis Air Force Base in Las Vegas Nevada.This contract position offers:Position Highlights:Employee status and access to a comprehensive benefits package including Medical Denta...

DescriptionCenturion Health is proud to be the provider of healthcare services to the Illinois Department of Corrections.We are currently seeking a full-time Site Medical Director to join our team at East Moline Correctional Center located in East Moline Illinois. East Molineis located 6 miles from...

DescriptionCenturion Health is proud to be the provider of healthcare services to the Illinois Department of Corrections.We are currently seeking a full-time Site Medical Director to join our team at Logan Correctional Center located in Lincoln Illinois. The Medical Director provides the clinical di...

DescriptionCenturion Health is proud to be the provider of healthcare services to the Illinois Department of Corrections.We are currently seeking a full-time Site Medical Director to join our team at Centralia Correctional Center located in Centralia Illinois. The Medical Director provides the clini...

AgencyDept of Health and Human ServicesDivisionChild and Family Well BeingJob Classification TitleHuman Services Program Manager I (NS)Position NumberGradeNC18About UsThe North Carolina Department of Health and Human Services (DHHS) is one of the largest most complex agencies in the state and has ap...

Job DescriptionSpectrum Healthcare Resources has an excellent opportunity for a civilian RN at Nellis Air Force Base in Las Vegas Nevada.Position Highlights:Outpatient environment & updated facilitiesFreedom from on-call responsibilities Emphasis on work-life balanceCompliant and appreciative patie...

We are currently seeking a highly motivated Compliance Coordinator. This role will report to the Compliance Manager to enable us to continue to scale in the healthcare industry. Our Values: Put Patients FirstEmpower Entrepreneurial Provider and Care TeamsOperate with Integrity & ExcellenceBe Innova...

Role SummaryDevelops and implements sales strategies for targeted key accounts in a plan a territory or a specified geographic area. Very knowledgeable of complete line of products/services and clients issues and needs. Primarily focuses on seeking out new clients. Typically has at least three years...

Job DescriptionSpectrum Healthcare Resources has an excellent opportunity for a civilian RN at Nellis Air Force Base in Las Vegas Nevada.Position Highlights:Outpatient environment & updated facilitiesFreedom from on-call responsibilities Emphasis on work-life balanceCompliant and appreciative patie...

Department OverviewThe Patient Access Specialist gathers and records required information about patients; provides specific customer services which include screening for financial eligibility confirming health insurance coverage and individuals obligations obtaining necessary authorizations for care...

Job Title: Case Management Coordinator Department: Health Services ICM About the Role: Assist Case Manager(s) Specialist Supervisor & Manager in assigned area of responsibility including compiling information (open & close inpatient cases) fax authorization letters to providers including sending de...

Hourly Pay Range:$20.69 - $30.00 - The hourly pay rate offered is determined by a candidates expertise and years of experience among other factors.Position Highlights:Position: Patient Scheduling Representative IILocation: Swedish Hospital - Chicago IL- Foster/CaliforniaFull Time (40 hours per week)...

Employment Type:Full timeShift:Evening ShiftDescription:Job Title:Representative II Patient AccessEmployment Type:Full-timeShift: Evening (3:00pm to 11:30pm)Location: Silver SpringPosition PurposeResponsiblefor obtaining and verifying demographic and financial information for all inpatients and outp...

DescriptionThis is primarily a remote position some onsite as needed (quarterly or occasionally)Location: 150 E 42nd Street New York NYThe Data Science Analyst III is a senior role collaborating with stakeholders from across the organization to develop sophisticated analytics to provide information...

Anticipated End Date:Position Title:Therapy Services SpecialistJob Description:The Therapy Services Specialist is responsible for working under the guidance of occupational therapist collaborate with the managed care organization to support persons aging in place receiving home or community-based se...

Employment Type:Full timeShift:Description:Why MediGoldMediGold is a not-for-profit Medicare Advantage insurance plan serving seniors and other Medicare beneficiaries across the United States. Were dedicated to providing excellent customer service cost-effective care and exceptional healthcare cover...