Managed Care Jobs in 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...

DescriptionInova Health is looking for a dedicated Patient Financial Services Representative 4 - Insurance Follow Up to join our United Healthcare Payer team. This role will be full-time day shift from Monday - Friday 8:00am - 5:00pm Remote RoleRemote Eligibility: This position is eligible for remot...

GRADE ASTD18 LOCATION OF POSITION Springfield Hospital CenterAdmissions Department6655 Sykesville RoadSykesville MD 21784Main Purpose of Job The main purpose of this position is to provide full-performance level social work services to patients in a state psychiatric hospital including pr...

Employment Status:Variable / FlexShift:Day (United States of America)Facility:1 Riverside Cir - RoanokeRequisition Number:R156481 ADVANCED PRACTICE PROVIDER SPECIALTY PRACTICE N/E- Velocity Care (Open) How Youll Help Transform Healthcare:Velocity Care is a dynamic fast-paced urgent care sys...

At Easterseals PORT Health (ESPH) our mission is rooted in empowering individuals and strengthening communities. We are seeking a full-time Office Manager to join our collaborative multi-disciplinary team in our Winterville office.This is more than just a job its a meaningful opportunity to support...

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...

Job SummaryDirects and maintains accountability for complex multi-faceted programs. Provides administrative support through the appropriate use of software and/or other tools. Exhibits initiative and knowledge to assure operations carry on in the usual manner in managements absence.Essential Functio...

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...

Anticipated End Date:Position Title:Nurse Appeals -Utilization & Case ManagementJob Description:Nurse Appeals- Licensed NurseLocation: Virtual: This role enables associates to work virtually full-time except for required in-person training sessions providing maximum flexibility and autonomy. This a...

Primary City/State:Tucson ArizonaDepartment Name: Prince & Campbell-Urg CareWork Shift: VariedJob Category:Clinical CareFind your path in health care. Banner Health is committed to not only providing the finest care possible but to advancing the way care is provided. To achieve our vision we seek ou...

Primary City/State:Mesa ArizonaDepartment Name: Work Shift: DayJob Category:Clinical Care$2000 sign on bonus for certified experienced MAs. Additional details will be discussed with your recruiter.Health care is constantly changing and at Banner Health we are at the front of that change. We are lead...

SummaryWe are currently hiring for a Quality Nurse Navigator to join BlueCross BlueShield of South this role as a Quality Nurse Navigator you will monitor/implement quality improvement/management activities conduct specific medical reviews as necessary analyze findings make recommendations for corr...

DescriptionAt Childrens the regions only full-service pediatric healthcare center our people make us the very best for kids. Come cultivate your passion purpose and professional development in an environment of excellence and inclusion where team members are supported and deeply valued. Opportunitie...

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...

GENERAL FUNCTION:The basic function of the Optician is to attract and retain patients by delivering an exceptional patient experience foster patient retention and promote outstanding doctor satisfaction.MAJOR DUTIES & RESPONSIBILITIES:Drive profitable store sales by fostering a retail selling cultur...

SummaryResponsible for submitting stop loss claim packets and responding to any requests for additional information. Additionally the claims must be tracked and monitored. Complex analysis is performed and queries are generated to file and validate the claim submissions.DescriptionPosition Purpose:...

Anticipated End Date:Position Title:Manager Behavioral Health Services (Chester Co. PA)Job Description:Manager Behavioral Health ServicesLOCATION: This position requires 3 days per week in-office. You must reside in or very near Chester County PA.HOURS: General business hours Monday through Friday....

Anticipated End Date:Position Title:Manager Clinical Quality (HEDIS)Job Description:Manager Clinical QualityCareBridge Health is a proud member of the Elevance Health family of companies within our Carelon business. CareBridge Health exists to enable individuals in home and community-based settings...

Primary City/State:Surprise ArizonaDepartment Name: Internal Medicine-BDWMCWork Shift: DayJob Category:Clinical CareGreat careers are built at Banner Health. We understand that talented health care professionals appreciate having options. We are proud to offer our team members many career and lifest...

About the DepartmentThe Cardiometabolic Care Sales Team is at the forefront of US sales efforts for Novo Nordisks robust cardiometabolic product portfolio which includes world-class therapies for treating multi-morbid conditions such as diabetes obesity and the reduction of major adverse cardiovascu...