Managed Care Jobs in USA

Anticipated End Date:Position Title:Medical Management Specialist I- Wisconsin Family CareJob Description:Medical Management Specialist I Associate Referral Bonus: $250.00Location: It is required to be a Wisconsin resident. This role enables associates to work virtually full-time except for require...

Job Description Summary#LI-HybridThis position will be located at either the East Hanover NJ or Cambridge MA site and will not have the ability to be located remotely. This position will require travel as defined by the business (domestic and/ or international). Novartis is unable to offer relocatio...

Program: Specialty Care ServicesDepartment: Health ServicesReports to: Manager Specialty Care Services & Utilization ReviewStatus: 100% Full-Time Non-ExemptProbation: 90 daysBenefits: Medical Dental Vision; also including Life Insurance Long-Term Disability Employee Assistance Program and a 403(b) R...

Job Description Summary#LI-HybridThe ideal location for this role is the East Hanover NJ or Cambridge MA site but a distant working arrangement may be possible in certain states. Distant workers are responsible for the cost of home office expenses and any travel/lodging to the East Hanover or Cambri...

City/StateCulpepper VAWork ShiftFirst (Days)Overview:Sentara Health Plansis hiring a Care Coordinator/ Licensed Practical Nurse (LPN) for LTSS Waiver/ Home Health in Culpeper Warrenton Fauquier Catlett Madison Orange Brightwood Bealeton Washington Rappahannock County Gordonsville VA!Status: Full-tim...

GENERAL FUNCTION:The basic function of the Sales Associate 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...

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...

Anticipated End Date:Position Title:SCA Appeals Rep IIJob Description:SCA Appeals Rep IIVirtual:This role enables associates to work virtually full-time with the exception of required in-person training sessions providing maximum flexibility and autonomy. This approach promotes productivity supports...

SummaryDescriptionPosition Purpose:Audit and authorize reimbursement of specific and/or aggregate medical stop loss claims. Effectively mitigate client medical stop loss claims and provide excellent customer service.Logistics: iiSi Writing Medical Stop Loss Across the Nation one of BlueCross BlueS...

Thank you for considering a career at Ensemble!Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solut...

AtAstraZenecawe turn ideas into life changing medicines. Working here means thinking big and working together to make the impossible a reality. Were focused 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 chan...

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 SummaryNote: Position is primarily remote but occasional on-site presence is required. Position handles the day to day operations of providing assistance to staff working with insurance matters supervising advising and overseeing posting collections and/or reimbursement fun...

Primary City/State:Brush ColoradoDepartment Name: Security-Western Region-CorpWork Shift: DayJob Category:Facilities Environmental Services and CulinaryEstimated Pay Range:$17.67 - $26.50 / hour Banner Health is committed to pay equity and transparency. The posted compensation range is a re...

Ann & Robert H. Lurie Childrens Hospital of Chicago provides superior pediatric care in a setting that offers the latest benefits and innovations in medical technology research and family-friendly design. As the largest pediatric provider in the region with a 140-year legacy of excellence kids and t...

Abbott is a global healthcare leader that helps people live more fully at all stages of life. Our portfolio of life-changing technologies spans the spectrum of healthcare with leading businesses and products in diagnostics medical devices nutritionals and branded generic medicines. Our 115000 collea...

Job Description Summary#LI-Hybrid The ideal location for this role is East Hanover New Jersey site. Relocation may be possible and requires necessary approvals. The role of the Program Operation Manager is to support product and program strategy for Neuromuscular therapy. This role supports ongoing...

Ann & Robert H. Lurie Childrens Hospital of Chicago provides superior pediatric care in a setting that offers the latest benefits and innovations in medical technology research and family-friendly design. As the largest pediatric provider in the region with a 140-year legacy of excellence kids and t...

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 DetailsPost-Doctoral Fellow Department of Radiology Lab of Dr. John EisenbreyJob DescriptionOur group is pleased to announce the search for a candidate to fill a 1-4 year postdoctoral fellowship position currently available in the Division of Ultrasound Department of Radiology with a specific fo...