Managed Care Jobs in USA
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Workers Compensation Medical Bill Review Operation...
Berkley
Company DetailsBerkley Medical Management Solutions (BMMS) provides a different kind of managed-care service for W.R. Berkley Corporation. We believe focusing on an injured workers successful and speedy return to work is good for people and good for Berkleys insurance operating units. BMMS was first...
Senior Oncology Account Specialist Tivdak Los Ange...
Pfizer
ROLE SUMMARYEverything we do every day is in line with an unwavering commitment to the quality and the delivery of safe and effective products to science and risk-based compliant quality culture is innovative and customer oriented. Whether you are involved in manufacturing testing or compliance you...
Cambridge Wc Claims Specialist (pn & )
State Of Ohio
Ohio is a Disability Inclusion State and strives to be a model employer of individuals with disabilities. The State of Ohio is committed to providing access and inclusion and reasonable accommodation in its services activities programs and employment opportunities in accordance with the Americans wi...
Wc Medical Claims Specialist (pn )
State Of Ohio
3 courses or 9 mos. trg. or 9 mos. English composition or grammar; 3 courses or 9 mos. trg. or 9 mos. accounting bookkeeping or general business mathematics; 3 courses or 9 mos. trg. or 9 mos. communication or public speaking or 9 mos. exp. involving contact with injured workers employers legisla...
Wc Medical Claims Specialist (pn )
State Of Ohio
A Little About Us:With roughly 1500 employees in seven offices across Ohio BWC is the state agency that cares for Ohio workers by promoting a culture of safety at work and at home and ensuring quality medical and pharmacy care is provided to injured workers. For Ohio employers we provide insurance p...
Managed Care Services Representative
Iqvia
About Cedar Gate TechnologiesCedar Gate Technologies an IQVIA business enables payers providers employers and service administrators to excel at value-based care with a unified technology and services platform delivering analytics care and payment technology on a single data management foundation. A...
Managed Care Services Representative
Mass General Brigham
Site: Mass General Brigham IncorporatedMass General Brigham relies on a wide range of professionals including doctors nurses business people tech experts researchers and systems analysts to advance our mission. As a not-for-profit we support patient care research teaching and community service striv...
Physician Director Of Medical Operations
Select Medical
OverviewBonus Incentives!Are you ready to take your career to new heights At Concentra you will be a vital member of our patient care team and play a crucial role in providing exceptional care to our patients. Our mission is to improve the health of Americas workforce one patient at a time. Join us...
Certified Peer Specialistcertified Recovery Specia...
Community Behavioral Health.
The Certified Peer Specialist/Certified Recovery Specialist supports CBH Clinical Department in the proper procurement of behavioral health services of CBH members. The Certified Peer Specialist/Certified Recovery Specialist will assist members in connecting to physical and behavioral health service...
App ( Np Or Pa) Velocity Care- Christiansburg, Va
Carilion Medical Center
Employment Status:Full timeShift:Day (United States of America)Facility:434 Peppers Ferry Rd NW - ChristiansburgRequisition Number:R159842 APP ( NP or PA) Velocity Care- Christiansburg VA (Open) How Youll Help Transform Healthcare:Velocity Care is a dynamic fast-paced urgent care system wit...
Community Health Worker At The Way Station Health ...
Unity Care Nw
Full-timeDescriptionCompensation:Non-exempt/HourlyThe standard wage range for this role is $27.75 to $32.74 per hour.It may be possible to earn more over time up to $37.72 per hour.Work Schedule:Monday-Friday 7:00am-3:30pmFull-time - 40 hours/weekWho We AreUnity Care NW is a private non-profit feder...
Manager, Healthcare Enterprise Sales
Anthropic
About AnthropicAnthropics mission is to create reliable interpretable and steerable AI systems. We want AI to be safe and beneficial for our users and for society as a whole. Our team is a quickly growing group of committed researchers engineers policy experts and business leaders working together t...
Senior Manager, Dual Eligible Markets Product Stra...
Point32health
Who We ArePoint32Health is a leading not-for-profit health and well-being organization dedicated to delivering high-quality affordable healthcare. Serving nearly 2 million members Point32Health builds on the legacy of Harvard Pilgrim Health Care and Tufts Health Plan to provide access to care and em...
Supervisor, Provider Maintenance, Health Administr...
Johns Hopkins Medicine
Johns Hopkins Health Plan (JHHP) is the managed care and health services business of Johns Hopkins Medicine one of the premier health delivery academic and research institutions in the United States. JHHP is a $2.5B business serving over 400000 lives with lines of business in Medicaid Medicare comme...
Application Coordinator Iii Epic
Johns Hopkins Medicine
Who you are:As an Epic Application Coordinator you bring your Epic configuration experience and understanding of clinical/business operations workflows and system configuration to the table and you dont disappoint. You design configure validate and repeat. Then you facilitate complex applications an...
Peak Care Coordinator
Peak People
HSC Tulsa is hiring a Social Work Care Manager through OUs PEAK Temporary Staffing Service. This position is designed to be temp to permanent hire.Purpose of Job: The Care Coordinator is responsible for providing care management services to non-complex members.Major Tasks:Provide social services to...
Peak Care Coordinator
Peak People
Required AttachmentsDocuments required for this position are listed under the Required Attachments section of this job listing. You will be required to upload and attach these documents in the application process.Important: ALL required documents must be attached to your job application or your docu...
Peak Care Coordinator
Peak People
Required: Bachelors degree in social work or related healthcare field; AND:at least one year of experience in healthcare and social servicesSkills:Excellent oral and written communication skills competence in Microsoft Excel and excellent organizational skills.Basic knowledge of the principles and p...
Carebridge Sales Executive- Managed Care
Elevance Health
Anticipated End Date:Position Title:CareBridge Sales Executive- Managed CareJob Description:Title: CareBridge Sales ExecutiveLocation: National Territory Travel (up to 80% Travel)Field:This field-based role enables associates to primarily operate in the field traveling to client sites or designated...
Utilization Review Specialist
Lifepoint Health
DescriptionSalary Range: $33.22 $44.85Your experience matters:At Valley Springs Behavioral Hospital we are committed to empowering and supporting a diverse and determined workforce who can drive quality scalability and significant impact across our hospitals and your role youll support those that...