Managed Care Jobs in Grand Rapids, MI

Cost Center151 Contact CenterScheduled Weekly Hours32Work ShiftThird Shift (United States of America)Shift & StatusCombination of 8 and 12-hour shifts every other weekend and holiday rotation included.Who Are WeWe at Pine Rest believe in the power of healing and that everyone in our community has th...

Cost Center151 Contact CenterScheduled Weekly Hours12Work ShiftFirst Second Shift (United States of America)Shift & Status12 hours/week. Every other weekend 7am-7pm. Holiday rotation.Who Are WeWe at Pine Rest believe in the power of healing and that everyone in our community has the right to expert...

Job SummaryTemporary position :3-6 monthsPlans and prioritizes care for individuals and population of clients focusing on strategies that will promote optimal health within populations. Provides peer support and role modeling related to the development of life skills and health/wellness to individua...

Job SummaryResponsible for the analysis research and completion of complex member appeal investigations. Effectively administer all steps of the member appeal and fair hearing processes for all non-Medicare products to thoroughly investigate appeal requests leveraging critical thinking skills gather...

The Field Operations Manager will lead all aspects of Dematics Field Operations organization across the US managing field support staff and ensuring high-quality service delivery. This role requires strong leadership operational expertise and the ability to work collaboratively with regional manager...

This role is field-based and candidates should live within a reasonable distance from the primary city. Talent will be hired at a level commensurate with experience.Execute brand strategy and tactics in field sales performance effectively manage assigned territory and targeted accounts build strong...

Cost Center155 Psychiatric Urgent Care CenterScheduled Weekly Hours40Work ShiftFirst Second Shift (United States of America)Shift & StatusWho Are WeWe at Pine Rest believe in the power of healing and that everyone in our community has the right to expert care for mental health and substance use diso...

This position will support our non-contracted provider post claim appeals submitted to the health plan.Job SummaryResponsible for the analysis research and completion of complex member appeal investigations. Effectively administer all steps of the member appeal and fair hearing review processes for...

Cost Center151 Contact CenterScheduled Weekly Hours16Work ShiftFirst Shift (United States of America)Shift & StatusWho Are WeWe at Pine Rest believe in the power of healing and that everyone in our community has the right to expert care for mental health and substance use disorders. We are much more...

Job SummaryEstablish and maintain productive relationships with providers across geographic regions and/or large health care delivery systems. Understand market dynamics including mergers and acquisitions and delivery system expansion plans including physician employment strategies. Link Priority He...

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...

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...

Corewell Healths West Michigan region is seeking a transformational Department Chief and Service Line Leader Anesthesiology and Perioperative Services to lead the creation of a fully integrated in-house anesthesia service line. This role represents a rare opportunity to architect build and operation...

What would you do The SpecificsEnsures high quality customer service while following all safety protocols.Ensures a smooth flow of customers through the store.Answers screens and forwards incoming phone calls in accordance with National Vision protocol.Processes and understands managed care plans w...

Job SummaryWhile maintaining the integrity of the sensitive information of our membership a Pharmacy Customer Service Representative is to provide efficient and accurate responses to external customers (physicians/office staff pharmacy providers members and agents) and internal team members regardin...

Job SummaryWhile maintaining the integrity of the sensitive information of our membership a Pharmacy Customer Service Representative is to provide efficient and accurate responses to external customers (physicians/office staff pharmacy providers members and agents) and internal team members regardin...

Job SummaryDirects and monitors the overall performance of provider network development and contract administration. Accountable for the production and implementation of accurate timely and competitive contacts that reflect all applicable legislative and competitive standards. Develops and assists i...

Job SummaryDirects and monitors the overall performance of provider network development and contract administration. Accountable for the production and implementation of accurate timely and competitive contacts that reflect all applicable legislative and competitive standards. Develops and assists i...

Job SummaryAssist and educate patients providers medical office staff and/or Health system staff with accessing services facilitating and resolving problems understanding navigation questions. Consistently create an exceptional experience with each contact via inbound and outbound calls online chat...

Job SummaryJoin our team at Corewell Health and make a difference in the lives of our patients every day. As part of the nutrition team youll assist with the care of our patients by coordinating menu selection and educating those with moderately complex diets. Youll also maintain patient information...