Managed Care Jobs in USA

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...

JOB SUMMARYHealthRIGHT 360 a nonprofit organization and a family of programs is committed to providing accessible and comprehensive healthcare services to vulnerable populations. Our mission is to tackle systemic barriers to healthcare and promote health equity for all. We offer a wide range of serv...

Job DescriptionOur company aspires to be the premier research-intensive biopharmaceutical company. Were at the forefront of research to deliver innovative health solutions that advance the prevention and treatment of diseases in people and animals. Join our Immunology Sales team and help us deliver...

Job Description Why Join Grace at HomeGrace at Home 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 an...

Job DescriptionOur company aspires to be the premier research-intensive biopharmaceutical company. Were at the forefront of research to deliver innovative health solutions that advance the prevention and treatment of diseases in people and animals. Join our Immunology Sales team and help us deliver...

Adult Medicine Physician (Part Time) Our client is a growing healthcare organization based in Pinellas Park FL that offers its employees top-notch benefits and top-rated management.The Company: Our client is a Physician found and led an organization that is known for the great care they take with pa...

Intake Coordinator LPN - NHC HomeCare Vero BeachNHC HomeCare is looking for a LPN Intake Coordinator to join our team! The HomeCare Intake Coordinator facilitates patient schedules for multiple disciplines as collaboratively directed by the Office Manager and Director of Nursing/Administrator.Qualif...

Employment Type:Full timeShift:Rotating ShiftDescription:I Accountability Objectives:In accordance with physicians treatment plans and according to established procedures assists with patient examinations by performing and documenting basic clinical services necessary to provide for care comfort and...

Abbott is a global healthcare leader that helps people live more fully at all stages of life. Our portfolio of life-changing technologies spans the spectrum of healthcare with leading businesses and products in diagnostics medical devices nutritionals and branded generic medicines. Our 115000 collea...

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...

DescriptionFantastic Leadership Opportunity!Centurion is proud to be the provider of comprehensive healthcare services to the MinnesotaDepartment of Corrections.We are currently seeking an experienced Physician to serve as the Site Medical Director at theFaribault Correctional Facility located in Fa...

OverviewUtilization Specialist New Behavioral Health Hospital near Jacksonville FL - Opening Late Summer 2026We are seeking a full-time Utilization Specialist to proactively monitor utilization of services for patients to optimize reimbursement for the facility. Coastal Pines will be a modern purpo...

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...

Insurance A/R Specialistfor our FL Regional Office in Panama City FLNHC HomeCare Florida Regional Office is looking for an Insurance A/R Specialist to join our team. This position works under the direction of the Billing Manager to assure the accurate and timely collection of Homecare accounts recei...

NOW OFFERING:CLINICAL LADDER AND COMPETITIVE HOURLY RATESCOMPREHENSIVE ONBOARDING AND TRAINING PROGRAMSCRUB VOUCHER 20% OFF FOR SCRUB PURCHASE***SCREENINGS & INTERVIEWS ONGOING - NEXT HIRE DATE 7.20.26***Position SummaryMaintains the efficient workflow of all front office functions including appoin...

Alignment Health is breaking the mold in conventional health care committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people united in our mission to put the senior first. We have built a team of talented and experi...

AgencyDept of InsuranceDivisionAdministrationJob Classification TitleInsurance Regulatory Analyst II (NS)Position NumberGradeNC19About UsThe mission of the North Carolina Department of Insurance is to promote a stable insurance market through unbiased regulation and to protect the lives and property...

NOW OFFERING:CLINICAL LADDER AND COMPETITIVE HOURLY RATESCOMPREHENSIVE ONBOARDING AND TRAINING PROGRAMSCRUB VOUCHER 20% OFF FOR SCRUB PURCHASE***SCREENINGS & INTERVIEWS ONGOING - NEXT HIRE DATE 7.20.26***Position SummaryMaintains the efficient workflow of all front office functions including appoin...

Full-timeDescriptionGentell is one of the largest vertically integrated wound care companies in the world. Based in Yardley PA and with offices distribution centers and manufacturing plants around the world our purpose is to make a positive difference in the quality of life for the injured the chron...

OverviewSt. Johns Riverside Hospital is a leader in providing the highest quality compassionate health care utilizing the latest state-of-the-art medical technology. Serving the Westchester community from Yonkers to the river town communities of Hastings-on-Hudson Ardsley Dobbs Ferry and Irvington S...