Managed Care Jobs in USA

We are seeking an experienced Account Executive to support the growth of a well-established ACHC-accredited state-licensed home health agency. This role is responsible for expanding referral partnerships increasing market presence and managing business development activities across assigned territor...

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: Insurance Verification & Benefit Manager Type: Contract C...

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: Revenue-cycle Executive (VP/Sr. Director Revenue Cycle or...

The Executive Administrator Value Based Service Organization (VBSO) Administration and Transformation provides executive leadership for the strategic planning operational oversight and transformation initiatives that advance value-based care across the organization. Reporting to the Chief Contractin...

Job Description Why Join CINQCARECINQCARE is a provider-led community-based health and care partner dedicated to improving the health and well-being of those who need care the most with a deep commitment to high-needs urban and rural communities. Our local physicians nurses and caregive...

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 Title: Utilization Review ManagerLocation: Chicago Job Type: Full-TimeReports to: Director of Revenue Cycle Manager; In Direct Reporting to Chief Clinical OfficerDirect Reports: none subject to change in futureAbout Us:God Restoring Order (GRO) Community is a mental healthcare provider that spec...

Insurance Verification & Authorization SpecialistJob SummaryThe Insurance Verification Specialist is responsible for verifying patient insurance coverage and obtaining required authorizations for patient orders. This role ensures accurate insurance information timely approvals while reducing denials...

Join an amazing global healthcare organization!Awesome benefits including generous paid time off and tuition assistance.Position Summary:Reporting to the Supervisor Financial Counseling Shared Services this position effectively captures patient liabilities while providing financial counseling to pat...

The Supervisor is responsible for the supervision and coordination of the activities of staff members engaged in handling service inquiries of providers members and their benefit plans received via incoming telephone calls mail internet (e-mail) etc. Participates and leads various department project...

Join Us as a Hospital Collections Specialist!Full Time 40 Hours onsite in Auburn MAThe Hospital Collections Specialist is responsible for timely follow-up and collection of behavioral health and chemical dependency claims for Inpatient and Outpatient levels of care to ensure timely receipt of paymen...

Clinical Director VIWoodhaven NY 11421When you join the CCBQ Team you will have an impact on the lives of many. 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...

Position Title: Care CoordinatorDepartment: Care CoordinationGrade Range/Job Status: Ful Time/Non-Exempt - HourlyReporting Relationship: Lead Care Coordinator Supervisory Responsibilities: NA Typical Schedule: Primarily M-F Days. Must occasionally be willing and able to work flexible hours/days refl...

Job Title: Community Health WorkerPosition SummaryThe Community Health Worker (CHW) supports patients in managing social and health-related needs by providing outreach education care coordination and ongoing follow-up. Under supervision the CHW works closely with interdisciplinary care teams communi...

DescriptionGENERAL SUMMARY OF DUTIES: Responsible for assisting physicians and management with all clinical clerical and organizational tasks revolving around patient care. Coordinates patient check-in procedure collects patient payments and manages all information necessary for patient visit.REPORT...

DescriptionGENERAL SUMMARY OF DUTIES: Responsible for assisting physicians and management with all clinical clerical and organizational tasks revolving around patient care. Coordinates patient check-in procedure collects patient payments and manages all information necessary for patient visit.REPORT...

NOTE: Houston Methodist is seeking a Manager Patient Access Services Training/Quality who has experience in the following:Contact center operations leadership (healthcare preferred) Corporate training / learning & development experience (design facilitation onboarding curriculum development) Qualit...

DescriptionPOSITION: RCM AR SpecialistRESPONSIBLE TO: RCM Supervisor AR CollectionsJOB SUMMARY: Follows up on Claim Denials and overdue insurance balances using Explanation of Benefits (EOB) documents and reports. RCM AR Specialist are assigned specific book of business based on Financial Class and...

Job DescriptionOn behalf of VetJobs/MilitarySpouseJobs thank you for your interest. We are assisting our partnering company listed below with this position. It is open to Veterans Transitioning Military National Guard Members Military Spouses Wounded Warriors and their Caregivers. If you have the re...

At AstraZeneca we turn ideas into life changing medicines. Working here means being thinking big and working together to make the impossible a reality. Were focused on the potential of science to address the unmet needs of patients around the world. We commit to those areas where we think we can rea...