Managed Care Jobs in USA

Job DetailsWorking under general supervision the Claim Examiner adjudicates medical claims in accordance with Health Partners policies and procedures.Job DescriptionSummaryWorking under general supervision the Claim Examiner adjudicates medical claims in accordance with Health Partners policies and...

Job DetailsWorking under general supervision the Claims Reconsideration Specialist is responsible for the resolution of provider claim reconsideration requests member billing complaints and related issues involving claim adjustment processing via correspondence portals and projects.Job DescriptionEs...

NationsBenefits is recognized as one of the fastest-growing companies in America and a Healthcare Fintech provider of supplemental benefits flex cards and member engagement solutions. We partner with managed care organizations to provide innovative healthcare solutions that drive growth improve outc...

Admissions Coordinator - Springfield Rehabilitation and HealthCare CenterSpringfield Rehabilitation and HealthCare Center is a post acute skilled nursing HealthCare Center with a beautiful new 30 bed rehab wing locatedon a private and spacious campus in Springfield MO. We are looking for a FULL TIME...

Improving the lives of those with chronic care diseases while providing solutions to our customers.Looking for a new opportunity At SuperCare Health you have the chance to reach your dreams by helping us in serving the healthcare needs of our ever-growing patient population. Matching passion with ca...

Job Description: This position supports the health plans Personal Care Pharmacy Team by addressing the medication needs of members with multiple chronic conditions and open clinical collaboration with departments such as Quality Management Customer Care and Care Management the Personal Care Pharmac...

Join the Texas Health and Human Services Commission (HHSC) and be part of a team committed to creating a positive impact in the lives of fellow Texans. At HHSC your contributions matter and we support you at each stage of your life and work journey. Our comprehensive benefits package includes 100% p...

Inspire health. Serve with compassion. Be the difference.Job SummaryProvides primary health care to a specific patient population within the guidelines of written protocols. Follows established nursing standards procedures and practices.AccountabilitiesEngages in the diagnosis and treatment of dise...

Where Youll WorkJob Summary and ResponsibilitiesICU RN Emergency Room RN or Level One Trauma RN experience strongly preferred.Position Summary:The Patient Logistics RN supervises the transfer center activities for Dignity Health Facilities. The position functions as the supervisor during their assig...

We recognize and reward top talent. If you are looking for a team environment where you can also make an individual contribution and are seeking opportunities for continual learning/advancement we encourage you to apply today!Position Summary:The Enhanced Care Management Clinical Consultant is respo...

Under general supervision of Manager of Breast Imaging the Mammography technologist provides Mammographic technical skills to the Department mission. Duties are to work as technologist and duties in other areas and/or modalities as necessary. The Mammography technologist performs mammography exams...

Inspire health. Serve with compassion. Be the difference.Job SummaryProvides primary health care to a specific patient population within the guidelines of written protocols. Follows established nursing standards procedures and practices.AccountabilitiesEngages in the diagnosis and treatment of dise...

Inspire health. Serve with compassion. Be the difference.Job SummaryProvides primary health care to a specific patient population within the guidelines of written protocols. Follows established nursing standards procedures and practices.AccountabilitiesEngages in the diagnosis and treatment of dise...

Job Title: Collection Specialist ILocation: Murfreesboro TNJob Type: Full-Time Monday-FridayDepartment: Behavioral Health DepartmentWe are seeking a detail-oriented and compassionate Collection Specialist I to support our healthcare revenue cycle operations. This entry-level role focuses on patient...

Inspire health. Serve with compassion. Be the difference.Job SummaryProvides primary health care to a specific patient population within the guidelines of written protocols. Follows established nursing standards procedures and practices.AccountabilitiesEngages in the diagnosis and treatment of dise...

Inspire health. Serve with compassion. Be the difference.Job SummaryProvides primary health care to a specific patient population within the guidelines of written protocols. Follows established nursing standards procedures and practices.AccountabilitiesEngages in the diagnosis and treatment of dise...

We are recruiting for a mission-driven RN Clinical Care Coordinator - Denver Health Medical Plan (Must Live in Colorado. Weekly On-Site Requirement) to join our team!Were with you for lifes journey. At Denver Health purpose isnt just something we believe inits something we live every day for lifes...

About the DepartmentThe Clinical Medical and Regulatory (CMR) department at Novo Nordisk is one of the most diverse and collaborative groups within the organization. From healthcare provider interactions and developing and implementing regulatory strategies with the FDA to providing medical educatio...

About Casa de la FamiliaCasa de la Familia provides mental health services to individuals and families affected by trauma anxiety depression and other behavioral health conditions. We partner with healthcare providers social service agencies schools community organizations and public agencies to imp...

Care Coordination Specialist Admissions and Intake Bedford NH $25/hr Full-Time In-Office Health dental and vision insurance PTO and supplemental insurance options Supportive family-friendly office environment No weekendsLocation: Bedford NHAbout the OpportunityWe are seeking a compassionate org...