Managed Care Jobs in USA
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Physician Emergency Medicine Prn
Prisma Health
Inspire health. Serve with compassion. Be the difference.Job SummaryThe Prisma Health Physician is responsible for the provision of quality medical services to patients of Prisma Health-University Medical GroupAccountabilitiesEngages in the diagnosis prevention or treatment of disease defects or inj...
Internal Medicine Physician Prn Primary Care Admin...
Prisma Health
Inspire health. Serve with compassion. Be the difference.Job SummaryThe Prisma Health Physician is responsible for the provision of quality medical services to patients of Prisma Health-University Medical GroupAccountabilitiesEngages in the diagnosis prevention or treatment of disease defects or inj...
Field Reimbursement Manager (immunology Dermatolog...
Johnson & Johnson
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...
Coord, Patient Financial Services
Western Reserve Careers
Extensive utilization of the various system tools available to ensure accurate and timely patient financial information is in place. Collects and verifies demographic information insurance coverage and referring physician data for the service line. Provide financial counseling services to patients....
Referral Coordinator Ii
Ssm Health
Its more than a career its a calling.MO-SSM Health St. Marys Hospital - Jefferson CityWorker Type:RegularJob Summary:Coordinates provider referrals pre-certifications and pre-authorizations for managed care insurance plans.Job Responsibilities and Requirements:PRIMARY RESPONSIBILITIESAttends in-serv...
Associate Director, Contract Analytics
Vertex Pharmaceuticals
Job DescriptionGeneral Summary:Reporting to the Director Deal Assessment in the Market Access and Contracting Organization (MACO) this role will support contracting initiatives and pricing analytics across the companys portfolio of products. This position will work closely with the Director of Contr...
Regional Manager, Oncology Sales South Atlantic Re...
Exact Sciences
Help us change livesAt Exact Sciences were helpingchange how the world prevents detects and guides treatment for cancer. We give patients and clinicians the clarity needed to make confident decisions when they matter most. Join our team to find a purpose-driven career an inclusive culture and robust...
Payor Relations Associate (remote)
Aeroflow Career
Aeroflow Health Payor Relations AssociateAeroflow Health is a national leader in home medical equipment and clinical services. We combine technology operational excellence and compassionate expertise to deliver essential products and care directly to patients homes. At Aeroflow Health we make healt...
Patient Access Representative Relief, Day (7a-330p...
Thomas Jefferson University
Job Details7:00A 3:30PEvery other weekend ONLY!Provides a positive patient experience to patients and families. Demonstrates strong communication and customer service skills while registering patients. Accurately searches and selects the correct patient. Gathers complete and accurate demographic an...
Care Management Manager.
Boston Medical Center
At Boston Medical Center-Brighton our nurses are changing the face of healthcare. At every level and on every unit BMC Brighton nurses are advancing professional practice and delivering evidence-based care to our patients families and Medical Center Health Systems is one of the top places to work i...
Insurance Representative I
Endeavor Health
Hourly Pay Range:$19.89 - $28.84 - The hourly pay rate offered is determined by a candidates expertise and years of experience among other factors.Position Highlights:Position: Insurance Representative ILocation: Skokie ILFull Time/Part Time: Full TimeHours: Monday-Friday 8am-4:30pmWhat you will do:...
Director Of Hospital & Patient Services
Fresenius Medical Care
Highly prefer this person resides in Orlando FL or New Orleans LA. PURPOSE AND SCOPE:Supports FMCNAs mission vision core values and customer service philosophy. Adheres to the FMCNA Compliance Program including following all regulatory and FMS policy requirements.Directs the strategic initiatives re...
Physician Leader Associate Director Of Medical Ope...
Select Medical
OverviewAssociate Medical Director Opportunity!Monthly and Quarterly BonusesMedical Director StipendThrough our evidenced based medicine approach Concentras goal is to provide quality patient care while treating everyone with friendliness skill and respect. We strive daily to promote a diverse envir...
Human Resources Analyst
Dhrm
Title: Human Resources Analyst State Role Title:Human Resource Analyst IHiring Range: Based on qualifications & experiencePay Band: 4Agency: Virginia Military InstituteLocation:VMI HUMAN RESOURCES OFFICEAgency Website:Recruitment Type: Agency Employee Only - AJob DutiesVirginia Military Institute is...
Registry Patient Access Representative
Emory
OverviewBe inspired. Be valued. Belong. At Emory HealthcareAt Emory Healthcare we fuel your professional journey with better benefits valuable resources ongoingmentorshipand leadership programs for all types of jobs and a supportive environment that enables you to reach new heights in your career an...
Quality Management Nursing Consultant
Arizona Department Of Administration
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...
Practice Representative Gi
Beth Israel Lahey Health
When you join the growing BILH team youre not just taking a job youre making a difference in peoples lives.Job Summary: Serves as a primary point of contact for patients and visitors in an outpatient unit and provides excellent customer service through clear communication. Reports to the manager w...
Care Manager Registered Nurse Atrium Health Remote...
Advocate Health And Hospitals Corporation
Department:39733 Enterprise Corporate - Care TransitionsStatus: Full timeBenefits Eligible:YesHours Per Week:40Schedule Details/Additional Information:Schedule Details/Additional InformationPreferred qualifications:3 years RN: Experience in case management triage with prior telephonic/remote experie...
New Business Executive National Accounts (hybrid)
Cigna Group
This role is responsible for developing and implementing sales strategies for targeted commercial National Accounts(3000 employees and up) as well as the end-to-end sales strategy and process. This role includes sales leadership of matrix partners who facilitate and assist in the sales cycle and acc...
Case Manager Care Coordination
Banner Health Corporate
Primary City/State:Tucson ArizonaDepartment Name: Case Mgmt-HospWork Shift: DayJob Category:Clinical CareSCHEDULE: Full Time/ 40 HoursMonday-Friday 4 10 hour shifts7:00am- 5:30pmEvery 3 weeks weekend rotationHoliday rotations are required in this roleEnjoy a flat rate $3/hour weekend shift different...