Managed Care Jobs in USA

DescriptionWe are searching for a Senior Contracts Administrator someone who works well in a fast-paced this position youll be responsible for analysis negotiation implementation and development of contracts agreements and amendments with commercial and Texas managed Medicaid health plans inclusiv...

For over 125 years Catholic Charities Brooklyn and Queens has been providing quality social services to the neighborhoods of Brooklyn and Queens and currently offers 160-plus programs and services for children youth adults seniors and those struggling with mental OF THE JOB:Under the direct supervi...

Insurance Verification SpecialistNHC HomeCare Greenville is looking for an Insurance Verification Specialist to join our team. This position will be responsible for accurate and timely verification of insurance eligibility and authorization from Medicare managed care and commercial insurance.Qualifi...

Inspire health. Serve with compassion. Be the difference.Job SummaryResponsible and accountable for monitoring and/or resolution of high dollar high profile escalated accounts timely and accurate posting adjustments correspondence and/or denials resulting in significant exposure to Prisma Health....

DescriptionProvides professional patient care in the office.Responsibilities include but are not limited to the following:Clinical ResponsibilitiesTakes patient history and records the information in the patients chart.Confers with physicians about new patient findings and potential diagnosis and tr...

DescriptionProvides professional patient care in the office.Responsibilities include but are not limited to the following:Clinical ResponsibilitiesTakes patient history and records the information in the patients chart.Confers with physicians about new patient findings and potential diagnosis and tr...

DescriptionProvides professional patient care in the office.Responsibilities include but are not limited to the following:Clinical ResponsibilitiesTakes patient history and records the information in the patients chart.Confers with physicians about new patient findings and potential diagnosis and tr...

DescriptionProvides professional patient care in the office.Responsibilities include but are not limited to the following:Clinical ResponsibilitiesTakes patient history and records the information in the patients chart.Confers with physicians about new patient findings and potential diagnosis and tr...

Job DetailsThe Healthcare Economics (HCE) teams primary function is to provide various clinical and financial analyses to management to support the business decision addition the team will provide consistent accurate reports to help management from other departments do their jobs more effectively.T...

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...

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...

Clinical LiaisonAre you looking for rewarding work in an organization dedicated to making a positive impact in the lives of others Bring your commitment and clinical skills to a team-based workplace that puts people first. Within this role you will Markets programs regionally and performs clinical s...

OverviewPURPOSE STATEMENT:Proactively monitor utilization of services for patients to optimize reimbursement for the facility. ResponsibilitiesESSENTIAL FUNCTIONS:Act as liaison between managed care organizations and the facility professional clinical staff.Conduct reviews in accordance with certifi...

Position OverviewThis position provides support in the financial and operating analyses of the managed care rates and contract proposals for the hospitals physicians and system ancillary agreements. This position will perform quality reviews of the contract performance identify and track discrepanci...

SUMMARYMarkets our program (located in El Paso TX) regionally and performs clinical screens when required to determine eligibility for program participation; communicates details of program descriptions with stakeholders; assessment market needs and communicates back to Development or Operations JO...

ArchWell Health is a new innovative healthcare provider devoted to improving the lives of our senior members. We deliver best-in-class care at comfortable accessible neighborhood clinics where seniors can feel at home and become part of a vibrant wellness-focused community. Our members experience gr...

At Blue Cross and Blue Shield of Nebraska we are a mission-driven organization dedicated to championing the health and well-being of our members and the communities we serve.Our team is the power behind that promise. And as the industry rapidly evolves and we seek ways to optimize business processes...

Why NHC At NHC we Put our Heart in Everything We Do! We take pride in working together as a team in our family-oriented work environment. We provide a culture of excellence recognition empowerment and fun. We offer professional growth opportunities along with competitive compensation wage increases...

Position SummaryAs a part of our team of professionals the AIM (Admissions Intake Management) Clinical Manager concentrates on managing the admissions process to ensure it is comfortable for our patients and smooth for key staff and agencies.Full-time benefits start on the first day of the month fol...