Managed Care Jobs in USA

Job Title: Pharmacy Technician Outpatient (Managed Care / Prior Authorization)Location: Portland ORShift Details: Day Shift 5x8 Hours 08:00 AM 05:00 PM Contract Duration: 26 Weeks On-call: 23 weekends per year Orientation: 40 Hours (Non-Billable Reduced Orientation Job)Required QualificationsOr...

Who we are:Johns Hopkins Health Plans (JHHP) is the managed care and health services business of Johns Hopkins Medicine. JHHP is a $3B business serving over 500000 active members with lines of business in Medicaid Medicare commercial military health health solutions and venture investments. JHHP is...

Job Family:PFS GeneralTravel Required:Up to 10%Clearance Required:NoneWhat You Will Do:The Associate Director Patient Financial Services will lead physician revenue cycle operations including billing accounts receivable follow-up credit balance resolution payment posting denials management customer...

DescriptionFind your purpose as a Referral Assistant with CentraCare Monticello. Responsible for providing referral support to CentraCare Health Monticello. Processes and coordinates all incoming new patient referrals. Participates in coordination of all outgoing referrals. Participates in the coord...

Bounty DescriptionIndustry:Healthcare / Health Services - Social Services / Mental HealthJob Category:Medical / Health - Other Medical / HealthThe Manager Care Management is responsible for the daily management and organization of all activities and staff within the Care Management Department includ...

Department:11200 Atrium Health Pineville - Case ManagementStatus: Part timeBenefits Eligible:YesHours Per Week:24Schedule Details/Additional Information:Every weekend (Saturday and Sunday) 7:00am-7:30pmPay Range$38.20 - $57.30Job SummaryFacilitates a lifelong proactive partnership with patients to e...

Who we are:Johns Hopkins Health Plans (JHHP) is the managed care and health services business of Johns Hopkins Medicine. JHHP is a $3B business serving over 500000 active members with lines of business in Medicaid Medicare commercial military health health solutions and venture investments. JHHP is...

Who we are:Johns Hopkins Health Plans (JHHP) is the managed care and health services business of Johns Hopkins Medicine. JHHP is a $3B business serving over 500000 active members with lines of business in Medicaid Medicare commercial military health health solutions and venture investments. JHHP is...

OverviewAbout the RoleThe primary purpose of theAmbulatory Care Technician Certified (Certified Medical Assistant)position is to support the patient and the provider throughout the ambulatory care patient visit from registration through discharge and follow up.As aCertified Medical Assistant Ambulat...

OverviewAbout the RoleThe primary purpose of theAmbulatory Care Technician Certified (Certified Medical Assistant)position is to support the patient and the provider throughout the ambulatory care patient visit from registration through discharge and follow up.As aCertified Medical Assistant Ambulat...

AgencyDept of Health and Human ServicesDivisionHEALTH BENEFITSJob Classification TitleAdministrative Specialist I (S)Position NumberGradeNC08About UsThe North Carolina Department of Health and Human Services (DHHS) is one of the largest most complex agencies in the state and has approximately 17000...

Embark on a Journey That Makes a Difference.At Generali Global Assistance (GGA) every day is an opportunity to help people explore the world with confidence. Were not just in the business of protectionwere in the business of adventure and peace of mind. Whether its a backpacker trekking through the...

Job DetailsWith a commitment to patient- and family-centered care the professional nurse uses the nursing process in ways that values the uniqueness of each individual and addresses the physical psychological emotional and social needs of the diversity of patients served by Jefferson Health. Develop...

Job DetailsWith a commitment to patient- and family-centered care the professional nurse uses the nursing process in ways that values the uniqueness of each individual and addresses the physical psychological emotional and social needs of the diversity of patients served by Jefferson Health Primary...

**REDUCED Non-Billable Orientation (NBO) Job - 0 Hours NBO vs. Standard 40 NBO** OR WA or CA Pharmacist License Required 3 Years in a Managed Care Environment Required (meaning dealing with Prior Authorizations Audits Appeals ALJ Court hearings etc) **Rare weekends required a few times per year** RE...

Role: Model N Techno Functional SME Location: Remote (EST) Duration: C2C/W2 Job Description: Key Responsibilities: Serve as a Model N Subject Matter Expert (SME) by participating in business requirements discussions analyzing issues providing recommendations and driving end-to-end solutions. 12 Y...

Role: Model N Techno Functional SME Location: Remote (EST) Duration: Long Term Contract Job Description: Serve as a Model N Subject Matter Expert (SME) by participating in business requirements discussions analyzing issues providing recommendations and driving end-to-end solutions. Strong...

**REDUCED Non-Billable Orientation (NBO) Job - 0 Hours NBO vs. Standard 40 NBO** Pharmacy Tech Role **OR PHARM TECH LIC REQUIRED** **MUST have advanced Excel skills. Do not submit without ADVANCED EXCEL. On call 2-3 weekends per year. This position is responsible for performance of technically detai...

DescriptionCenturion is proud to partner with Correctional Healthcare Experts as the provider of comprehensive healthcare services to the Kansas Department of Corrections.We are currently seeking a PRNPsychiatrist to join our team atLansing Correctional Facility located in Lansing Kansas.The Psychia...

OverviewNorthside Hospital is award-winning state-of-the-art and continually growing. Constantly expanding the quality and reach of our care to our patients and communities creates even more opportunity for the best healthcare professionals in Atlanta and beyond. Discover all the possibilities of a...