Managed Care Jobs in USA

This role is field-based and candidates should live within a reasonable distance from the primary city. Talent will be hired at a level commensurate with experience.Execute brand strategy and tactics in field sales performance effectively manage assigned territory and targeted accounts build strong...

This is a hybrid position based at our beautiful corporate office located in Brentwood TN with on-site work required Monday through Wednesday.DUTIES AND RESPONSIBILITIESLead contract negotiations and actively manage payer agreements for assigned hospitals ASCs and physician groups including commerci...

The Provider Maintenance Manager leads a team responsible for the daily management of provider data including onboarding updates and terminations. This role ensures data accuracy integrity and compliance while driving initiatives to improve provider experience and operational efficiency.The Manager...

We are recruiting for a mission-driven Supervisor Pharmacy - Denver Health Medical Plan (* Weekly Hybrid Schedule *) to join our team!Were with you for lifes journey. At Denver Health purpose isnt just something we believe inits something we live every day for lifes journey. Our ValuesRespect Belo...

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...

Excel. Empower. Advance. Shine. Belong. Explore. Flourish. Champion.Make It Happen At Hopkins!Johns Hopkins Health Plans (JHHP) is the managed care and health services business of Johns Hopkins Medicine one of the premier health delivery academic and research institutions in the United is a $2.5B b...

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...

The Program Manager is responsible for driving strong cross-functional coordination and oversight of our Shared Services and vendor partners. This role is responsible for developing and maintaining program reporting to support effective Medicare Advantage and PACE program addition to program report...

The Program Manager Medicare Advantage Member Engagement and Retention is responsible for driving operational excellence and high-impact member engagement while ensuring regulatory compliance across the Medicare Advantage program. This role leads and executes key initiatives that strengthen member s...

POSITION SUMMARY:The incumbent is responsible for coordinating all the functions and activities related to patient access including but not limited to: front end customer service patient registration insurance/coverage verification appointment scheduling charge entry billing and managed care and a v...

Join an amazing global healthcare organization!Awesome benefits including generous paid time off and tuition assistance.Position Summary:Reporting to the Supervisor Financial Counseling Shared Services this position effectively captures patient liabilities while providing financial counseling to pat...

We are recruiting for a mission-driven Manager HEDIS - Denver Health Medical Plan (* Weekly Hybrid Schedule *) to join our team!Were with you for lifes journey. At Denver Health purpose isnt just something we believe inits something we live every day for lifes journey. Our ValuesRespect Belonging...

Discover Your Career at Emory UniversityEmory University is a leading research university that fosters excellence and attracts world-class talent to innovate today and prepare leaders for the future. We welcome candidates who can contribute to the excellence of our academic community.DescriptionDire...

Qualifications for this Career OpportunityKnowledge of MCA and ARMs as they apply to the Certificate of Need (CON) program and the State Health Care Facility Plan (SHCFP) Network Adequacy Quality Assurance and Independent Peer Review programs;Knowledge of departmental and Office policies and procedu...

Location:Walsh Urgent Care CenterDepartment:UCC AdminShift:First Shift (United States of America)Standard Weekly Hours:40Summary:Cook Childrens Physician Network has an exciting opportunity for a board certified/board eligible physician.Qualifications: Doctor of Medicine (M.D.) or Doctor of Osteopat...

Job Responsibilities:The Executive Administrator of Neurosurgery would serve as a key administrative leader for the development and advancement of the Department of Neurosurgery. The administrator will work collaboratively with members of the leadership team to drive the institutions growth innovati...

Find your calling at Mercy!Interviews uninsured/under-insured patients in a hospital setting to determine eligibility for State Medicaid benefits and Financial Assistance. Requires assisting patients in hospital rooms with the application processes to facilitate accurate and appropriate application...

Job Family:PFS GeneralTravel Required:Up to 10%Clearance Required:NoneWhat You Will Do:The Associate Director Patient Financial Services will lead hospital and ambulatory revenue cycle operations including billing accounts receivable follow-up credit balance resolution payment posting denials manage...

At Sylvan Shores Health and Wellness our associates are our most valuable asset. Each associate provides a service that directly or indirectly affects patients families other team members and the public. We strive to excel in providing the highest quality healthcare and customer service possible whi...

People. Passion. Purpose.At P3 Health Partners our promise is to guide our communities to better health unburden clinicians align incentives and engage patients.We are a physician-led organization relentless in our mission to overcome all obstacles by positively disrupting the business of health car...