Managed Care Jobs in USA

Working with UsChallenging. Meaningful. Life-changing. Those arent words that are usually associated with a job. But working at Bristol Myers Squibb is anything but usual. Here uniquely interesting work happens every day in every department. From optimizing a production line to the latest breakthrou...

About Generate:BiomedicinesGenerate:Biomedicines is a new kind of therapeutics company existing at the intersection of machine learning biological engineering and medicine pioneering Generative Biology to create breakthrough medicines where novel therapeutics are computationally generated instead...

Extant Healthcare is seeking a highly skilled and compassionate Trauma Medical Director to join our expanding surgical team at Common Spirit Holy Cross Hospital. This is an excellent opportunity for a surgeon who enjoys a mix of trauma and general surgery prefers home call (24-hour) and thrives in a...

Provides clinical expertise and guidance to Clinical Analysis and appeals team. Acts as the physician advisor for medical necessity appeals and for the Pennsylvania Medical assistance (PAMA) utilization reviews. Acts as a physician resource for the regulatory and revenue cycle denial and appeals pro...

Provides clinical expertise and guidance to Clinical Analysis and appeals team. Acts as the physician advisor for medical necessity appeals and for the Pennsylvania Medical assistance (PAMA) utilization reviews. Acts as a physician resource for the regulatory and revenue cycle denial and appeals pro...

Your Tomorrow is Here!Temple University Hospital is a nationally respected teaching hospital on Temple Universitys bustling Health Sciences Center hospital provides a comprehensive array of healthcare services both basic and complex to patients from around the corner across the country and around t...

Reporting to the AVP Government & Payer Strategy the Director will oversee the payer contracting and support the payer strategy functions for the Health System. The Director will continuously assess and refine the Health Systems payer contracts which will encompass all third party plans including C...

Your Tomorrow is Here!Temple Health is a dynamic network of outstanding hospitals specialty centers and physician practices that is advancing the fight against disease pushing the boundaries of medical science and educating future healthcare professionals. Temple Health consists of Temple University...

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...

Our CompanyResCare Community Living ResCare Community Living is now part of SevitaOverviewDo you have a passion for establishing partnerships and strategies in achieving organizational excellence Our Business Development & Sales teams focus on developing strategic solutions to align and grow the...

Anticipated End Date:Position Title:Virtual Triage Nurse I - CareBridge - Bilingual SpanishJob Description:Seeking bilingual Spanish-speaking candidates who are licensed in one of following states: AZ FL IA IN KS MA NM OH TN TX or VA.Work location - Virtual: This role enables associates to work virt...

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...

About SpringWorks Therapeutics:SpringWorks Therapeutics a healthcare company of Merck KGaA Darmstadt Germany is a commercial-stage biopharmaceutical company dedicated to improving the lives of patients with rare tumors.We developed and are commercializing the first and only FDA and EC approved medic...

JOB TITLE: Vice President Regional ProgramsPOSITION CLASSIFICATION: Vice PresidentREPORTS TO: Senior Vice President ConservationLOCATION: RemoteSALARY RANGE: $142600-$180000About American RiversAmerican Riversis championing a national effort to protect and restore all rivers from remotemountain stre...

DescriptionJoin our Corporate Third Party Oversight (CTPO) Exam Management team and play a key role in leading and supporting internal and external exam activities for the CTPO organization. As a Vice President you will collaborate with senior leaders and stakeholders and gain broad firmwide exposur...

At Genmab we are dedicated to building extranotordinary futures together by developing antibody products and groundbreaking knock-your-socks-off KYSO antibody medicines that change lives and the future of cancer treatment and serious diseases. We strive to create champion and maintain a global workp...

At Genmab we are dedicated to building extranotordinary futures together by developing antibody products and groundbreaking knock-your-socks-off KYSO antibody medicines that change lives and the future of cancer treatment and serious diseases. We strive to create champion and maintain a global workp...

DescriptionClinical Liaison (CL) Inpatient RehabilitationFull-timeYour experience mattersBaptist Memorial Rehabilitation Hospital is a joint venture between Baptist Memorial Health Care and Lifepoint Health. We are driven by a profound commitment to prioritize your well-being so you can provide exce...

About Our ClinicAlexis Road Animal Hospital located in Toledo OH is a well-established and thriving practice that fosters a collaborative culture with ample opportunities for professional growth and development. With a state-of-the-art facility and alongside a skilled and dedicated team we aim to ma...

Job Description: Summary:This position is responsible for and participates in a wide range of provider patient and employer initiatives and programs. The pharmacist supports all of our lines of business which include Medicare Commercial Exchange (Marketplace) and Medicaid. The focus of the UM Pharma...