Managed Care Jobs in USA

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Rn Care Manager- Atrium Health Stanly Clinical Car...

Advocate Health And Hospitals Corporation

profile Albemarle - USA

Department:11200 Atrium Health Stanly - Case ManagementStatus: Part timeBenefits Eligible:YesHours Per Week:24Schedule Details/Additional Information:Weekend Days- Saturday and Sunday- 7am-7pmPay Range$38.20 - $57.30Essential Functions Utilizes RN process as a framework to focus the activities of...

30+ days ago
Part-Time

Manager, Pricing Strategy

Oscar Health

profile Tempe - USA

Hi were Oscar. Were hiring a Manager Pricing Strategy to join our FP&A team.Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want f...

30+ days ago
Full Time

Manager, Pricing Strategy

Oscar Health

profile Dallas - USA

Hi were Oscar. Were hiring a Manager Pricing Strategy to join our FP&A team.Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want f...

30+ days ago
Full Time

Senior Medical Billing Specialist

Glycare

profile Jacksonville - USA

We are seeking an experienced Medical Billing Specialist to support a hospital-based group practice operating across multiple states with a primary focus on Insurance Accounts Receivable under 60 days.This is not an entry-level role. The ideal candidate has hands-on experience managing early-stage A...

30+ days ago
Full Time

Sr. Pricing Manager

Brightspring Health Services

profile Englewood - USA

Our CompanyAmeritaOverviewThe Senior Pricing Manager is responsible for developing and executing competitive compliant and profitable pricing strategies for Ameritas national home infusion services. This role leverages advanced analytics to evaluate payer reimbursement trends recommend strategic pri...

30+ days ago
Full Time

Data Science Engineer, Contracts

Turquoise

profile San Diego - USA

DescriptionWere looking for a driven entrepreneurial Data Science Engineer to join our team and help eliminate the financial complexity of healthcare. Youll join our Data Science Engineering team supporting Contracts embedded with product engineering to turn complex payer-provider contracts into str...

30+ days ago
Full Time

Quality Analyst

Astrana Health

profile California - USA

We are seeking a data-driven and strategic Analyst Quality to join our Quality - Strategy & Operations team. This role will focus on supporting performance improvement efforts across value-based care programsincluding Medicaid Medicare Advantage and commercial populationsby analyzing program data i...

30+ days ago
Full Time

Um Coordinator Hybrid

Astrana Health

profile Monterey Park - USA

Astrana Health is seeking a dedicated Utilization Management (UM) Coordinator to support the UM department in reviewing monitoring and processing prior authorization requests while ensuring compliance with regulatory standards and health plan guidelines. The UM Coordinator will serve as a key liaiso...

30+ days ago
Full Time

Associate Regional Snf Dialysis Operations Manager

Davita

profile Maple Grove - USA

Posting Date04/22/202615655 Grove Cir NMaple GroveMinnesota55369-4489United States of AmericaAs an Associate Regional Operations Manager at DaVita youll be a part of a Team that values work-life balance and where your personal and professional growth is a top priority.DaVita has an open position for...

30+ days ago
Full Time

Manager, Pricing Strategy

Oscar Health

profile Atlanta - USA

Hi were Oscar. Were hiring a Manager Pricing Strategy to join our FP&A team.Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want f...

30+ days ago
Full Time

Medical Director, Clinical Review And Care Integri...

Mvp Service

profile Schenectady - USA

Join Us in Shaping the Future of Health CareWhats in it for you:Growth opportunities to uplevel your careerA people-centric culture embracing and celebrating diverse perspectives backgrounds and experiences within our teamCompetitive compensation and comprehensive benefits focused on well-beingAn op...

30+ days ago
Full Time

Patient Service Representative Urology

Endeavor Health

profile Naperville - USA

Hourly Pay Range:$18.38 - $26.65 - The hourly pay rate offered is determined by a candidates expertise and years of experience among other factors.Position Highlights:Position: Patient Service Representative (PSR) - UrologyLocation: Naperville IL Full Time: 40 hours a weekOffice Hours: VariesMonday...

30+ days ago
Full Time

Medical Specialist Ii Ophthalmology Naples, Miami,...

Regeneron Pharmaceuticals

profile Fort Myers - USA

Territory: South Florida (Miami West Palm Beach Ft Lauderdale Naples Ft Myers Sarasota and other surrounding cities)Known for its scientific and operational excellence Regeneron is a leading science-based biopharmaceutical company that discovers invents develops manufactures and commercializes medic...

30+ days ago
Full Time

Um Coordinator Denials

Astrana Health

profile Monterey Park - USA

Astrana Health is seeking a dedicated Utilization Management (UM) Coordinator Denials to join our Denial Department. This role ensures timely and accurate processing of all deferrals and denials in compliance with Astrana Health policies NCQA standards health plan requirements and federal and state...

30+ days ago
Full Time

Business Analysis Associate I

Quest Diagnostics

profile Clifton - USA

DescriptionBusiness Analysis Associate I - Monday to Friday Between 7:00AM - 4:30PM EasternPay range: $28.41 - $35 / hourSalary offers are based on a wide range of factors including relevant skills training experience education and where applicable certifications obtained. Market and organizational...

30+ days ago
Full Time

Um Coordinator Hybrid

Astrana Health

profile Monterey Park - USA

Astrana Health is seeking a dedicated Utilization Management (UM) Coordinator to support the UM department in reviewing monitoring and processing prior authorization requests while ensuring compliance with regulatory standards and health plan guidelines. The UM Coordinator will serve as a key liaiso...

30+ days ago
Full Time

Manager, Strategic Finance

Oscar Health

profile Dallas - USA

Hi were Oscar. Were hiring a Manager Strategic Finance to join our FP&A team.Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want...

30+ days ago
Full Time

Manager, Strategic Finance

Oscar Health

profile Tempe - USA

Hi were Oscar. Were hiring a Manager Strategic Finance to join our FP&A team.Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want...

30+ days ago
Full Time

Manager, Strategic Finance

Oscar Health

profile Atlanta - USA

Hi were Oscar. Were hiring a Manager Strategic Finance to join our FP&A team.Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want...

30+ days ago
Full Time

Senior Medical Billing Specialist

Glycare

profile Jacksonville - USA

We are seeking an experienced Medical Billing Specialist to support a hospital-based group practice operating across multiple states with a primary focus on Insurance Accounts Receivable under 60 days.This is not an entry-level role. The ideal candidate has hands-on experience managing early-stage A...

30+ days ago
Full Time