Managed Care Jobs in USA

ENL Case ManagementCompensation range:$35.75 - $48.26Your rate of pay will be based on applicable experienceShift: Varied Days off: Variable; Weekends includedHours per pay period: VariableShift length: 8 HoursEnloe Health is a Level II Trauma Center l...

DescriptionHealthPartners is hiring a Finance and Analysis Manager. They are responsible for overseeing financial analysis service line reporting and other financial reporting. Works with all levels of staff within the organization with regard to strategic business initiatives including systems impl...

DescriptionHealthPartners is hiring a Director of Actuary and Underwriting. This role is responsible for:Managing the design and development of methods for extracting data for actuarial reporting and analysis underwriting applications and regulatory reportingOperations of the Actuarial & Underwritin...

DescriptionHealthPartners is hiring a UM Regulator and Compliance Analyst. This position provides support and coordination for the Utilization Management Department in maintaining a constant state of readiness for and compliance with regulatory and accreditation requirements. This includes organizin...

DescriptionRISE is an innovative human services network originally established in 1987 for the purpose of moving individuals living in institutions into family settings. Since that time services have grown to support children adults and families with a variety of needs across multiple states that in...

JOIN US IN MAKING THE MOST OF EVERY DAY!Hospice of The Western Reserve operates in celebration of the individual worth of each life we strive to relieve suffering enhance comfort promote quality of life foster choice in end-of-life care and support effective grieving.WHY USWe believe that our succes...

Join our Mission-Driven 5-time Top Workplace Award Winning OrganizationProgram / Department:Central ConnectionPosition: Intake ManagerEmployment Type:Full-timeLocation: Cincinnati Ohio About UsAt Central Cl...

DescriptionScheduleMonday - Friday 40 hours/weekGeneral SummaryPerforms screening to determine appropriate avenue for care of patients. Functions as a member of the health care team at an intermediate nursing level to assist in the planning and implementation of patient care based upon sound nursing...

Position TitleSenior Director-Case ManagementWescoe PavilionPosition Summary / Career Interest:The Senior Director of Case Management provides strategic and operational leadership for the Case Management and Continuum of Care services across the organization. This role is responsible for advancing t...

DescriptionHealthPartners is hiring a Case Manager Behavioral Health/Autism Care Manager. This role will specifically support the Autism Care Management team. Applicants are required to have Board Certified Behavioral Analyst (BCBA) certification and experience working with individual with Autism Sp...

DescriptionHealthPartners is hiring a Case Manager Behavioral Health/Autism Care Manager. This role will specifically support the Autism Care Management team. Applicants are required to have Board Certified Behavioral Analyst (BCBA) certification and experience working with individual with Autism Sp...

OverviewThe District Managers primary duty is to sell medical devices and related equipment and services to physicians hospitals and outpatient facilities by establishing relationships with these health care providers. The District Manager will be customarily and regularly away from Cooks place of b...

AtAstraZenecawe turn ideas into life changing medicines. Working here means being thinking big and working together to make the impossible a reality.Werefocused on the potential of science to address the unmet needs of patients around the world. We commit to those areas where we think we can really...

AtAstraZenecawe turn ideas into life changing medicines. Working here means being thinking big and working together to make the impossible a reality.Werefocused on the potential of science to address the unmet needs of patients around the world. We commit to those areas where we think we can really...

Scheduled Hours40Position SummaryPosition performs varied professional services to ensure medical/surgical and diagnostic/ancillary services are accomplished in an efficient manner and that reimbursement is maximized through required interaction with third-party payers.Job DescriptionPrimary Duties...

AtAstraZenecawe turn ideas into life changing medicines. Working here means being thinking big and working together to make the impossible a reality.Werefocused on the potential of science to address the unmet needs of patients around the world. We commit to those areas where we think we can really...

DescriptionHealthPartners is hiring a RN Clinical Review Prior Authorization UM Specialist.POSITION PURPOSE:Accurate application of HealthPartners evidence-based coverage criteria in alignment with member benefit planAppropriate management of HealthPartners fiduciary responsibilities in alignment wi...

OverviewThe District Managers primary duty is to sell medical devices and related equipment and services to physicians hospitals and outpatient facilities by establishing relationships with these health care providers. The District Manager will be customarily and regularly away from Cooks place of b...

OverviewThe District Managers primary duty is to sell medical devices and related equipment and services to physicians hospitals and outpatient facilities by establishing relationships with these health care providers. The District Manager will be customarily and regularly away from Cooks place of b...

OverviewThe District Managers primary duty is to sell medical devices and related equipment and services to physicians hospitals and outpatient facilities by establishing relationships with these health care providers. The District Manager will be customarily and regularly away from Cooks place of b...