Managed Care Jobs in USA

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Utilization Review Specialist

Lifepoint Health

profile Avondale - USA

DescriptionYour experience mattersCopper Springs is part of Lifepoint Health a diversified healthcare delivery network with facilities coast to coast. We are driven by a profound commitment to prioritize your well-being so you can provide exceptional care to others. As a Utilization Review Specialis...

30+ days ago
Full Time

Physician-primary Care Stone And Main

Prisma Health

profile Greenville - USA

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...

30+ days ago
Part-Time

Coordinator, Appeals

Lifepoint Health

profile Louisville - USA

DescriptionWhat We TreatA full range of mental health and addiction care including:Depression Anxiety PTSD Borderline Personality Disorder Bipolar Disorder Psychosis Suicidal and Homicidal Ideations Drug and Alcohol Addiction.Our ProgramsFull continuum of care including:24/7 crisis care and assessme...

30+ days ago
Full Time

Pharmacy Resident

Sentara Hospitals

profile Harrisonburg - USA

City/StateHarrisonburg VAWork ShiftRotatingOverview:Sentara is hiring a Pharmacist Resident at RMH in Harrisonburg VA.Location: Sentara RMH- Harrisonburg VAStatus: Full Time (40 hrs/wk)Shift: RotatingThe pharmacy residency is a 12-month experience designed to expand upon academic experiences in an...

30+ days ago
Full Time

Field Reimbursement Manager, Oncology Wisconsin

Johnson & Johnson

profile Eau Claire - USA

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...

30+ days ago
Full Time

Provider Network Contracting Manager – Cigna Healt...

Cigna Group

profile Houston - USA

Join Cigna Healthcare a division of The Cigna Group and help shape our provider network. As aProvider Network Contracting Manageryoullreport to the Provider Contracting Senior Manager AVP Network this individual contributor roleyoullassistin developing the strategic direction and management of day-...

30+ days ago
Full Time

Nurse Practitioner Bilingual

Integrity Placement Group

profile Cape Coral - USA

Nurse Practitioner( Bi-Lingual)Our client is a growing healthcare organization based in Cape Coral FL that offers its employees top-notch benefits and top-rated management.The Company: Our Client is a Physician found and led an organization that is known for the great care they take with patients an...

30+ days ago
Full Time

Registrar Ii

Mayfield Clinic

profile Cincinnati - USA

Education/Experience:High School graduate or GEDMinimum of 2 years experience (Preferred)Minimum 1 year experience in Insurance Verification (Preferred)Skills:Demonstrates excellent customer serviceAbility to manage and prioritize multiple tasks in fast paced environmentStrong problem solving proble...

30+ days ago
Full Time

Avp, Business Development Hospice

Brightspring Health Services

profile Little Rock - USA

Our CompanyHospice Home CareOverviewThe Area Vice President (AVP) of Business Development is responsible for identifying and pursuing newbusiness opportunities to drive growth and revenue for assigned area or territory. The AVP is responsiblefor leading a team of Community Liaisons and works closely...

30+ days ago
Full Time

Provider Contracting Advisor – Cigna Healthcare – ...

Cigna Group

profile Westerville - USA

Join Cigna Healthcare a division of The Cigna Group and help shape our provider network. As aProvider Network Advisoryoullreport to the Provider Contracting Senior Manager AVP Network this individual contributor roleyoullassistin developing the strategic direction and management of day-to-day contr...

30+ days ago
Full Time

Care Coordinator-2000 Hiring Bonus

Lutheran Social Service Of Minnesota

profile Saint Cloud - USA

Pay:$29.50/hour$2000 Hiring BonusJob Summary:As a Care Coordinator you will conduct initial and annual comprehensive assessments to enrollees create an individualized Plan of Care coordinate the provision of services and provide culturally appropriate person-centered care. As a Care Coordinator you...

30+ days ago
Full Time

Nurse Practitioner Physician Assistant Pediatric N...

Prisma Health

profile Columbia - USA

Inspire health. Serve with compassion. Be the difference.Job SummaryProvides primary health care to a specific patient population within the guidelines of written protocols. Follows established nursing standards procedures and practices.AccountabilitiesEngages in the diagnosis and treatment of dise...

30+ days ago
Full Time

Hiring Full Time Advanced Practice Registered Nurs...

Pasco

profile New Port Richey - USA

Work Location: Caring Hearts Clinic (In person) New Port RicheyJob Type: Full-timeWork Location: In personJoin our team at Caring Hearts Clinic offers its patients traditional family healthcare services but prides itself on being more than just a medical practice. This APRN position is part-time 4hr...

30+ days ago
Full Time

It Systems Analyst

Sentara Hospitals

profile Richmond - USA

City/StateRichmond VAWork ShiftFirst (Days)Overview:OverviewResponsible for day-to-day support and optimization of software applications including support and maintenance. This position is involved with working with end users of these corporate applications to resolve problems and managing the avail...

30+ days ago
Full Time

Supervisor-insurance Verification

Baptist

profile Columbus - USA

DescriptionJob SummaryThis role Supervises the daily operations of the Insurance Validation Team within Centralized Patient Access. Ensures efficient workflows appropriate staffing levels timely completion of verification tasksand achievement of departmental KPIs. Provides hands-on support for compl...

30+ days ago
Full Time

Sr Planning Analyst Hybrid

Cooper University Hospital

profile Camden - USA

About UsAtCooper University Health Care our commitment to providing extraordinary health care begins with our team. Our extraordinary professionals are continuously discovering clinical innovations and enhanced access to the most up-to-date facilities equipment technologies and research protocols. W...

30+ days ago
Full Time

Sr Planning Analyst Hybrid

Cooper University Hospital

profile Camden - USA

About UsAtCooper University Health Care our commitment to providing extraordinary health care begins with our team. Our extraordinary professionals are continuously discovering clinical innovations and enhanced access to the most up-to-date facilities equipment technologies and research protocols. W...

30+ days ago
Full Time

Home Care Manager

Clarity Care

profile Oshkosh - USA

DescriptionThis is a general outline of the principal functions of the position and shall not be construed as an all-inclusive description of all the work requirements that may be inherent in this position. When duties and responsibilities change this job description will be reviewed and is subject...

30+ days ago
Full Time

Access Center Specialist Ii

The Nemours Foundation

profile Jacksonville - USA

DescriptionNemours is seeking an Access Center Specialist II (Full-Time)to join our Jacksonville Florida team.This is a hybrid position.The Access Specialist II communicates with patients/providers via telephone to ensure accurate prompt and courteous scheduling of specialty appointments according t...

30+ days ago
Full Time

Inpatient Behavioral Health Clinician Licsw

Beth Israel Lahey Health

profile Lynn - USA

When you join the growing BILH team youre not just taking a job youre making a difference in peoples lives.Compassionate Behavioral Health Care for Our CommunityBayRidge Hospital provides inpatient partial hospitalization and outpatient behavioral health and substance use treatment designed to meet...

30+ days ago
Full Time