Managed Care Jobs in USA

DescriptionJob SummaryDevelops administers directs and implements all nursing and related patient care activities for areas of accountability. Works in close collaboration with the nursing team to meet and support diverse organizational business initiatives/strategies. Responsibilities include but a...

DescriptionJob SummaryDevelops administers directs and implements all nursing and related patient care activities for areas of accountability. Works in close collaboration with the nursing team to meet and support diverse organizational business initiatives/strategies. Responsibilities include but a...

The Pharmacy Quality Coordinator is responsible for conducting member outreach to address care gaps and improve medication adherence through education support and follow-up. This role plays a key part in advancing pharmacy quality initiatives by collaborating with members providers pharmacists and i...

The AP Specialist I is responsible for managing and executing the organizations accounts payable functions including processing invoices reconciling statements and ensuring timely payments to vendors. Essential in maintaining accurate financial records optimizing cash flow and building strong relati...

We are currently seeking a highly motivated Data Engineer II. This role will report to the Director - Data Engineering and work closely with data analysts data engineers data scientists and clinical leaders to produce deliverables for internal and external clients. With over a million managed lives...

We are currently seeking highly motivated Data Engineers at various levels. This role will report to the Director - Data Engineering and work closely with data analysts data engineers data scientists and clinical leaders to produce deliverables for internal and external clients. With over a million...

The RN Case Manager conducts clinical assessments of acute care inpatients to support utilization review resource management and safe discharge planning. Partners with the interdisciplinary team to coordinate timely costeffective care and smooth transitions across the continuum. Advocates for patien...

Description3034733: Senior Director - Psychiatry Administration - Rivington - Full Time DayResponsible for providing leadership direction management and administration of departmental operations and services to ensure accomplishment of objectives under the direction of senior leadership.Responsibili...

The Case Manager LVN supports Astrana Healths mission to improve patient outcomes by providing transitional care management high-risk care management and ongoing follow-up for HMO and ACO members after hospital discharge. The nurse conducts clinical assessments coordinates care ensures medication sa...

Job Title: Case Management Coordinator IDepartment: Health Services ICM About the Role: Assist Case Manager(s) Specialist Supervisor & Manager in assigned area of responsibility including compiling information (open & close inpatient cases) fax authorization letters to providers including sending d...

Astrana Health is seeking a skilled and compassionate Primary Care NP/PA to join our growing outpatient clinic in Anaheim CA with Gateway Medical Center. This role is ideal for a provider who is passionate about delivering high-quality patient-centered care with a strong focus on preventive medicine...

Astrana Health is seeking a skilled and compassionate Primary Care Physician to join our growing outpatient clinic in Anaheim CA with Gateway Medical Center. This role is ideal for a physician passionate about delivering high-quality patient-centered care with a strong focus on preventive medicine c...

We are seeking a highly motivated Manager - Data Engineering to join our growing team. This role will report to the Director of Data Engineering and will lead a team of data engineers. The ideal candidate is a strong technical leader with a passion for mentoring others and delivering scalable high-q...

Astrana Health is seeking a skilled and compassionate Spanish-speaking Primary Care Physician to join our growing outpatient clinic in Anaheim CA with Gateway Medical Center. This role is ideal for a physician passionate about delivering high-quality patient-centered care with a strong focus on prev...

Step into a pivotal role as a Registered Nurse Case Management in Honolulu Hawaiia multi-week assignment that positions you at the heart of patient-centered care. Youll shape outcomes by weaving together hospital care community resources and family engagement to create seamless t...

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...

We are currently seeking a highly motivated Compliance Specialist. This role will report to the Compliance Manager who supports the Senior Director of Compliance and Vice President of Compliance to enable us to continue to scale in the healthcare industry. Our Values: Put Patients FirstEmpower Entr...

About the RoleIf you want a role with clearly defined boundaries this is not it.If you are most comfortable operating inside someone elses structure this will feel uncomfortable.If you prefer observing from the sidelines instead of stepping into the arena this is the wrong place.But if you want to s...

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...

The RN Case Manager is responsible for performing clinical assessment and reassessment of acute care Inpatients for the purpose of performing utilization review resource management and safe discharge planning. The RN Case Manager prioritizes plans organizes and implements timeliness of care. Collabo...