Managed Care Jobs in USA

POSITION SUMMARY:Under the general supervision of the Radiology Director the Breast Imaging Supervisor provides technical operational and administrative leadership to the department through interactions and/or coordination with Breast Imaging staff Breast Clinic Staff and others as necessary. Primar...

This position will support our non-contracted provider post claim appeals submitted to the health plan.Job SummaryResponsible for the analysis research and completion of complex member appeal investigations. Effectively administer all steps of the member appeal and fair hearing review processes for...

IntroductionThis examination is being given to fill one vacancy with Correctional Health Services and to establish an eligible list to fill future vacancies.Resumes will not be accepted in lieu of an application. A completed application must be postmarked or received online by the final filing deadl...

Application Deadline:02/27/2026Address:151 W 42nd StreetJob Family Group:Capital Mrkts Sales & ServiceBMO Capital Markets is a leading full-service financial services provider. We offer corporate and investment banking treasury management as well as research and advisory services to clients around t...

Job SummaryThe Portfolio Business Liaison plays a critical role in coordinating prioritizing and advancing PBM (Pharmacy Benefit Management) projects across the organization. The Portfolio Business Liaison supports Pathfinder updates financial and operational reporting and process improvements. They...

Summary: The Risk & Underwriting Advisor Retail Network is responsible for developing and implementing client-specific retail network pricing strategies that ensure competitive positioning in the marketplace. This role collaborates closely with Supply Chain teams and cross-functional stakeholdersinc...

OverviewThe Sales Representative (SR) for Primary Care is responsible for promoting and selling primary care product(s) to healthcare providers driving sales performance in alignment with business goals within the assigned territory. This includes driving demand clinical education and sales by devel...

SummaryActs as Team Lead for specialty programs medical review utilization management and case management areas by providing assistance and support to unit supervisor/manager by giving direction/guidance/training to staff. Ensures appropriate levels of healthcare services are provided.DescriptionWh...

SummaryActs as Team Lead for specialty programs medical review utilization management and case management areas by providing assistance and support to unit supervisor/manager by giving direction/guidance/training to staff. Ensures appropriate levels of healthcare services are provided.DescriptionWh...

We anticipate the application window for this opening will close on - 11 Feb 2026At Medtronic you can begin a life-long career of exploration and innovation while helping champion healthcare access and equity for all. Youll lead with purpose breaking down barriers to innovation in a more connected c...

IntroductionThis examination is being given to fill 1 vacancy in the Behavioral Health Services department. Resumes will not be accepted in lieu of an application. A completed application must be postmarked or received online by the final filing deadline.Pre-Employment Background DOJ Live Scanand Dr...