Managed Care Jobs in USA

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Quality Assurance Nursing Consultant

Arizona Department Of Administration

profile Phoenix - USA

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...

30+ days ago
Full Time

Hospital Institutional Customer Representative Sea...

Msd

profile Tacoma - USA

Job DescriptionThe Hospital / Institutional Customer Representative is a key member of the Hospital Customer Team and plays a critical role in supporting our Companys customer centric business model. He/she is responsible for working with theHospital Customer Team to understand and identify Health C...

30+ days ago
Full Time

Hospital Institutional Customer Representative Sac...

Msd

profile Sacramento - USA

Job DescriptionThe Hospital / Institutional Customer Representative is a key member of the Hospital Customer Team and plays a critical role in supporting our Companys customer centric business model. He/she is responsible for working with theHospital Customer Team to understand and identify Health C...

30+ days ago
Full Time

Director, Special Investigations Unit

Mass General Brigham

profile Somerville - USA

Site: Mass General Brigham Health Plan Holding Company Inc.Mass General Brigham relies on a wide range of professionals including doctors nurses business people tech experts researchers and systems analysts to advance our mission. As a not-for-profit we support patient care research teaching and com...

30+ days ago
Full Time

Diabetes Sales Specialist Gastonia, Nc

Abbott

profile Asheville - USA

Abbott is a global healthcare leader that helps people live more fully at all stages of life. Our portfolio of life-changing technologies spans the spectrum of healthcare with leading businesses and products in diagnostics medical devices nutritionals and branded generic medicines. Our 115000 collea...

30+ days ago
Full Time

Nuclear Medmolecular Imaging Tech (40 Hrs, Days) 1...

Boston Medical Center

profile Boston - USA

Boston Medical Center (BMC) is more than a hospital. Its a network of support and care that touches the lives of hundreds of thousands of people in need each year. It is the largest and busiest provider of trauma and emergency services in New England. Emphasizing community-based care BMC is committe...

30+ days ago
Full Time

Stars Quality Specialist

Mass General Brigham

profile Somerville - USA

Site: Mass General Brigham Health Plan Holding Company Inc.Mass General Brigham relies on a wide range of professionals including doctors nurses business people tech experts researchers and systems analysts to advance our mission. As a not-for-profit we support patient care research teaching and com...

30+ days ago
Full Time

Director, Special Investigations Unit

Mass General Brigham

profile Somerville - USA

Site: Mass General Brigham Health Plan Holding Company Inc.Mass General Brigham relies on a wide range of professionals including doctors nurses business people tech experts researchers and systems analysts to advance our mission. As a not-for-profit we support patient care research teaching and com...

30+ days ago
Full Time

Nuclear Medmolecular Imaging Tech (40 Hrs, Days) 1...

Boston Medical Center

profile Boston - USA

Boston Medical Center (BMC) is more than a hospital. Its a network of support and care that touches the lives of hundreds of thousands of people in need each year. It is the largest and busiest provider of trauma and emergency services in New England. Emphasizing community-based care BMC is committe...

30+ days ago
Full Time

Key Account Managermanchester

Ucb

profile Manchester - USA

Make your mark for patientsWe are looking for aKey Account Manager (KAM)inRare Diseaseswho is patient-focused exceeds sales objectives and has worked in a complex selling environment to join us in our Rare Syndromes Epilepsy US team based inManchester NH.About the roleYou will keep the marketing &...

30+ days ago
Full Time

Healthcare Hedisquality Operations Coordinator Oma...

P3 Health Partners

profile Omaha - USA

Overall PurposeThe Regional Quality Coordinator Lead overseas and leads the Regional Quality Coordinator team. This role is responsible for developing and implementing strategic initiatives to improve HEDIS and quality outcomes across P3 Health Partners affiliate groups. The position requires leader...

30+ days ago
Full Time

Program Integrity Auditor

Avera

profile Sioux Falls - USA

Location:Avera McKennan HospitalWorker Type:RegularWork Shift:Day Shift (United States of America)Pay Range:The pay range for this position is listed below. Actual pay rate dependent upon experience.$22.75 - $32.75Position HighlightsYou Belong at AveraBe part of a multidisciplinary team built with c...

30+ days ago
Full Time

Breast Surgery Territory Manager Tampa, Fl

Hologic

profile Tampa - USA

DescriptionAt Hologic were an innovative medical technology company that enables healthier lives everywhere every day. We are also a company that prospers and grows which is why weve been able to expand our offerings to empower even more people and champion womens health.What powers our growth acros...

30+ days ago
Full Time

Temporary Operations Resolution Specialist Mchp – ...

Trinity Health

profile Columbus - USA

Employment Type:Full timeShift:Description:This is a temporary fulltime position with an expected duration of 3 monthsWhy MediGoldMediGold is a not-for-profit Medicare Advantage insurance plan serving seniors and other Medicare beneficiaries across the United States. Were dedicated to providing exce...

30+ days ago
Full Time

Breast Surgery Territory Manager Long Island, Ny

Hologic

profile Long Island - USA

DescriptionAt Hologic were an innovative medical technology company that enables healthier lives everywhere every day. We are also a company that prospers and grows which is why weve been able to expand our offerings to empower even more people and champion womens health.What powers our growth acros...

30+ days ago
Full Time

Director Of Business Development Inpatient Rehabil...

Select Medical

profile Galloway - USA

OverviewHospital Name: AtlantiCare Rehabilitation Hospital - In partnership with Select MedicalPosition: Director of Business DevelopmentLocation: Galloway New JerseyCompensation: $95000 - $135000/year base salary based on experience plus a monthly and quarterly bonus planAt our company we support y...

30+ days ago
Full Time

Ambulatory Services Representative Iii Eye Clinic

Boston Medical Center

profile Boston - USA

POSITION SUMMARY:The incumbent is responsible for coordinating all the functions and activities related to patient access including but not limited to: operation room (O.R.) scheduling front end customer service patient registration insurance/coverage verification appointment scheduling charge entry...

30+ days ago
Full Time

Medical Billing Specialist

Astrana Health

profile Las Vegas - USA

We are seeking a highly organized detail-oriented Billing Specialist to support accurate timely and compliant revenue cycle operations. This role plays a critical part in ensuring clean claim submission efficient denial resolution and optimal reimbursement across multiple payer lines of business. Th...

30+ days ago
Full Time

Director Of Risk Adjustment

Baystate Health

profile Springfield - USA

Summary: Location: Monarch Place; Springfield MA (MA & CT candidates only)Schedule: Monday-Friday; fulltime; 40hrs.Job Responsibilities:Develops and implements risk adjustment strategy policies and standard operating proceduresCollaborates with physicians mid-level providers other personnel includin...

30+ days ago
Full Time

Ambulatory Services Representative Iii-u

Boston Medical Center

profile Boston - USA

POSITION SUMMARY:The incumbent is responsible for coordinating all the functions and activities related to patient access including but not limited to: operation room (O.R.) scheduling front end customer service patient registration insurance/coverage verification appointment scheduling charge entry...

30+ days ago
Full Time