Managed Care Jobs in USA

DescriptionRISE is an innovative human services network originally established in 1987 for the purpose of moving individuals living in institutions into family settings. Since that time services have grown to support children adults and families with a variety of needs across multiple states that in...

Come work at the best place to give and receive care!Job Description:Who We Are:Southern New Hampshire Health has been a cornerstone of the region since 1893 delivering high-quality compassionate care close to home. Anchored by Southern New Hampshire Medical Centera 188-bed DNV-accredited hospital i...

Join Our Team as an Assistant Business Office ManagerSupport Operational Excellence in Long-Term CareCreative Solutions in Healthcare is seeking a dedicated and detail-oriented Assistant Business Office Manager to join our growing team! In this role you will support the financial and administrative...

Consultant-Healthcare PMOInfosys Consulting is seeking talented and highly motivated Management Consulting professionals with Healthcare Business Consulting experience in health plans health systems or health tech to join its growing Healthcare practice at the Consultant level.Responsibilities:Work...

Become a part of our caring community and help us put health firstJoin Humana as a Case Manager and make a real difference within the Inclusa/Humana team serving members in the Wisconsin Family Care (FC) this dynamic role you will collaborate closely with dedicated colleagues to deliver exceptional...

Department:11200 Atrium Health Lake Norman - Case ManagementStatus: Part timeBenefits Eligible:YesHours Per Week:24Schedule Details/Additional Information:Saturday and Sunday 7am - 7 pm including Holidays if they fall on the weekendPay Range$38.20 - $57.30Essential Functions Utilizes RN process as...

Company DetailsBerkleyNet is an innovative workers compensation insurance provider that does all of our business online. Our Goal To make doing business Ridiculously Fast. Amazingly Easy.ResponsibilitiesInvestigate workers compensation claims by interviewing injured workers witnesses and policyholde...

Role SummaryDevelops and implements sales strategies for targeted key accounts in a plan a territory or a specified geographic area. Very knowledgeable of complete line of products/services and clients issues and needs. Primarily focuses on seeking out new clients. Typically has at least three years...

JOB SUMMARYThe Eligibility Specialist verifies that scheduled procedures are covered by the patients insurance or that the patient meets self-pay requirements. They confirm insurance eligibility benefits authorizations and that procedures are approved for the ASC.They calculate estimated patient fin...

AHCCCSArizona Health Care Cost Containment SystemAccountability Community Innovation Leadership Passion Quality Respect Courage TeamworkThe Arizona Health Care Cost Containment System (AHCCCS) Arizonas Medicaid agency is driven by its mission to deliver comprehensive cost-effective health care to Ar...

A career can mean different things at different workplaces. Apply now to see what it means to us and what its like to work somewhere your voice is heard your wellness is a priority and your success matters.JOB TITLE: Registered NurseEMPLOYMENT TYPE: Part-time 15 hours/wkSCHEDULED HOURS...

What were looking for: Humata Health Inc. is seeking a Clinical Nurse to join our team and work at the intersection of healthcare and AI this role you will collaborate with clients composed of health plan utilization review nurses and internal teams to ensure that our AI systems accurately support...

Are you looking to expand your career within the healthcare industry Dayton Physicians Network is looking to add an AR Specialist to our Revenue Cycle team.Job Title: Accounts Receivable SpecialistUpon completion of training this position will be eligible to work from home coming into the office as...

DescriptionRISE is an innovative human services network originally established in 1987 for the purpose of moving individuals living in institutions into family settings. Since that time services have grown to support children adults and families with a variety of needs across multiple states that in...

Position Overview:Provider Network Management Analyst is primarily responsible for supporting the Provider Network Access and Development and the Provider Contracting teams with data analysis to inform provider network adequacy capacity and disparities and to address need areas to support timely and...

DescriptionPosition at Norwalk Hospital AssociationTitle: Per Diem (as needed) Department Assistant - Sleep Lab - Norwalk CTSummary:Provides administrative support to the Sleep Disorder Center and assists the Medical Directors of the Center as well as the attending physicians and Sleep Fellows. Mana...

DescriptionTerros Health is a healthcare organization of caring people guided by our core values of integrity compassion and empowerment with diversity woven throughout. We engage people in whole person health through an integrated care delivery system thus establishing a medical home for our carin...

Duties and Responsibilities:Process and manage insurance claims for patient accounts ensuring all claims are billed accurately and in a timely manner.Follow up on unpaid claims and outstanding balances ensuring efficient resolution of billing issues and discrepancies.Process and manage insurance cla...

Residing in CST or EST time zone highly preferred.Healthcare experience highly preferred.PURPOSE AND SCOPE:The Contracted Revenue Manager is responsible for overseeing all aspects of contracted revenue within assigned Group(s). This includes the ongoing monitoring analysis and evaluation of financia...

DescriptionRISE is an innovative human services network originally established in 1987 for the purpose of moving individuals living in institutions into family settings. Since that time services have grown to support children adults and families with a variety of needs across multiple states that in...