Managed Care Jobs in USA

SummaryWe are currently hiring for a Quality Nurse Navigator to join BlueCross BlueShield of South this role as a Quality Nurse Navigator you will monitor/implement quality improvement/management activities conduct specific medical reviews as necessary analyze findings make recommendations for corr...

DescriptionAt Childrens the regions only full-service pediatric healthcare center our people make us the very best for kids. Come cultivate your passion purpose and professional development in an environment of excellence and inclusion where team members are supported and deeply valued. Opportunitie...

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...

GENERAL FUNCTION:The basic function of the Optician is to attract and retain patients by delivering an exceptional patient experience foster patient retention and promote outstanding doctor satisfaction.MAJOR DUTIES & RESPONSIBILITIES:Drive profitable store sales by fostering a retail selling cultur...

SummaryResponsible for submitting stop loss claim packets and responding to any requests for additional information. Additionally the claims must be tracked and monitored. Complex analysis is performed and queries are generated to file and validate the claim submissions.DescriptionPosition Purpose:...

Anticipated End Date:Position Title:Manager Behavioral Health Services (Chester Co. PA)Job Description:Manager Behavioral Health ServicesLOCATION: This position requires 3 days per week in-office. You must reside in or very near Chester County PA.HOURS: General business hours Monday through Friday....

Anticipated End Date:Position Title:Manager Clinical Quality (HEDIS)Job Description:Manager Clinical QualityCareBridge Health is a proud member of the Elevance Health family of companies within our Carelon business. CareBridge Health exists to enable individuals in home and community-based settings...

Primary City/State:Surprise ArizonaDepartment Name: Internal Medicine-BDWMCWork Shift: DayJob Category:Clinical CareGreat careers are built at Banner Health. We understand that talented health care professionals appreciate having options. We are proud to offer our team members many career and lifest...

About the DepartmentThe Cardiometabolic Care Sales Team is at the forefront of US sales efforts for Novo Nordisks robust cardiometabolic product portfolio which includes world-class therapies for treating multi-morbid conditions such as diabetes obesity and the reduction of major adverse cardiovascu...

Primary City/State:Phoenix ArizonaDepartment Name: Orthopedic SurgeryWork Shift: DayJob Category:Clinical Care$80 ALLOWANCE FOR SCRUBS INCLUDED!!At Banner - University Medical Group (BUMG) were creating a world class medical organization that brings together a leadership team committed to a physicia...

Primary City/State:Mesa ArizonaDepartment Name: Peds Nephrology-ClinicWork Shift: DayJob Category:Clinical CareHealth care is constantly changing and at Banner Health we are at the front of that change. We are leading health care to make the experience the best it can be. We want to change the lives...

Job Family:PFS GeneralTravel Required:Up to 10%Clearance Required:NoneWhat You Will Do:The Patient Financial Services Director (Hospital Revenue Cycle) is responsible for the overall management of the Hospital Client PFS department operations including patient accounting credit and collections denia...

Anticipated End Date:Position Title:Family Care-Registered NurseJob Description:LTSS Service Coordinator - RN Clinician (RN Case Manager)$5000 Sign-on BonusHiring near: Milwaukee CountyField: This field-based role enables associates to primarily operate in the field traveling to client sites or desi...

Anticipated End Date:Position Title:Business Strategy Plan Director - Carelon Services External GrowthJob Description:Business Strategy Plan Director - Carelon Services External GrowthLocation: This field-based role enables associates to primarily operate in the field traveling to client sites or de...

OverviewBe inspired. Be rewarded. Belong. At Emory Healthcare.At Emory Healthcare we fuel your professional journey with better benefits valuable resources ongoing mentorshipand leadership programs for all types of jobs and a supportive environment that enables you to reach new heights in your caree...

ABOUT US:This is not just a a career path with endless possibilities in a vast and growing field. The happiness of those we serve depends on our associates happiness so youll receive excellent compensation and a benefits package with additional perks designed to make you smile. We consider our work...

ABOUT US:This is not just a a career path with endless possibilities in a vast and growing field. The happiness of those we serve depends on our associates happiness so youll receive excellent compensation and a benefits package with additional perks designed to make you smile. We consider our work...

ABOUT US:This is not just a a career path with endless possibilities in a vast and growing field. The happiness of those we serve depends on our associates happiness so youll receive excellent compensation and a benefits package with additional perks designed to make you smile. We consider our work...

Weve made a lot of progress since opening the doors in 1942 but one thing has never changed - our commitment to serve heal lead educate that every award earned every record broken and every patient helped is because of the dedicated employees who fill our hallways. At Ochsner whether you work with...

Job Description: Summary:Conducts case management program activities in accordance with departmental corporate NYS Department of Health (DOH) Centers for Medicaid & Medicare Services (CMS) Federal Employee Program (FEP) and National Committee for Quality Assurance (NCQA) accreditation standards as a...