Managed Care Jobs in USA

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Senior Manager, Field Medical Affairs-neurology (m...

Regeneron Pharmaceuticals

profile Washington - USA

As a Senior Manager you will play a pivotal role as a field-base/Medical Science Liaison providing scientific and Neurology therapeutic area expertise. The Senior Manager will become a scientific expert communicating accurate and applicable science to medical and health care professionals and addit...

18 days ago
Full Time

Customer Experience Quality Management Analyst

Davita

profile DeLand - USA

Posting Date05/22/20261991 Industrial DrDelandFlorida32724-2039United States of AmericaWould you like to work for a company with Core Values such as TEAM and FUN Then DaVita is what you are looking for!Here is what you can expect when you join our Village: A Community first Company second culture ba...

18 days ago
Full Time

Senior Oncology Account Specialist Hematology Dall...

Pfizer

profile Dallas - USA

Role Summary Pfizer Commercial Oncology is introducing the world to the next era of cancer care. With a growing portfolio of novel therapies industry-leading R&D and a goal of delivering eight breakthroughs by 2030 across major cancer types were translating cutting-edge science into market-shaping i...

18 days ago
Full Time

Proposal & Bid Manager

Radcube - A Nlogix Company

profile Carmel - USA

Position Title: Senior Manager Bid & Proposal Management Department: Business Development & Growth Location: Carmel IN Reports to: Director of Strategy and CEOAbout RADcubeRADcube is a fast-growing digital transformation and AI enablement company that thrives on innovation client collaboration an...

19 days ago
Full Time

Registered Nurse Clinical Auditor

Radcube - A Nlogix Company

profile Indianapolis - USA

Registered Nurse Clinical Auditor We are seeking a detail-oriented Registered Nurse to support medical record reviews billing compliance audits for the Indiana Health Coverage Programs. This role is responsible for evaluating the quality of care reviewing medical records and program policies and ide...

19 days ago
Full Time

Senior Payer Contract Analyst (full-timeday) Hybri...

Thomas Jefferson University

profile Philadelphia - USA

Job DetailsSenior Payer Contract Analyst is responsible for performing scenario modeling and analytics to inform managed care contract negotiations monitor contract performance and assess impact of industry trends and government regulations. Senior Payer Contract Analyst will retrieve aggregate and...

19 days ago
Full Time

Director Reimbursement And Contract Analytics

Mount Sinai Health System

profile New York City - USA

DescriptionMSHP seeks a Director of Reimbursement and Contract Analytics to lead the contract analytics function supporting MSHS managed care agreements across hospital/facility physician and ancillary services. This role is responsible for managing a team of analysts and overseeing the development...

19 days ago
Full Time

Health Care Systems Integrated Account Leader Indi...

Msd

profile Indianapolis - USA

Job DescriptionHealth Care Systems - Integrated Account Leader The candidate selected for this position will have responsibilities for Integrated Delivery Systems within the assigned geography and for assigned accounts. The primary territory for this position covers the states of Indiana & Kentucky...

19 days ago
Full Time

Nurse Utilization Review Supervisor

University Of Miami

profile Miami - USA

Current Employees:If you are a current Staff Faculty or Temporary employee at the University of Miami please click here to log in to Workday to use the internal application process. To learn how to apply for a faculty or staff position please review this tip sheet.The University of Miami has a great...

19 days ago
Full Time

Clinical Data Analyst

Centria Autism

profile Farmington Hills - USA

The Clinical Data Analyst partners with clinical leadership payor relations and operations to translate clinical data into the evidence story that demonstrates Centrias value to payors and regulators. This role uses the Donabedian framework (structure process outcome) as the analytic spine for organ...

19 days ago
Full Time

Clinical Data Analyst

Centria Autism

profile Farmington Hills - USA

The Clinical Data Analyst partners with clinical leadership payor relations and operations to translate clinical data into the evidence story that demonstrates Centrias value to payors and regulators. This role uses the Donabedian framework (structure process outcome) as the analytic spine for organ...

19 days ago
Full Time

Physician Anesthesiologist Day Position Oconee

Prisma Health

profile Seneca - USA

Inspire health. Serve with compassion. Be the difference.Job SummaryThe Prisma Health Physician is responsible for the provision of quality medical services to patients of Prisma Health-University Medical GroupAccountabilitiesEngages in the diagnosis prevention or treatment of disease defects or inj...

19 days ago
Full Time

Physician Emergency Medicine-psychiatry

Prisma Health

profile Greenville - USA

Inspire health. Serve with compassion. Be the difference.Job SummaryThe Prisma Health Physician is responsible for the provision of quality medical services to patients of Prisma Health-University Medical GroupAccountabilitiesEngages in the diagnosis prevention or treatment of disease defects or inj...

19 days ago
Full Time

Physician- Neurology- Neuro Muscular

Prisma Health

profile Greenville - USA

Inspire health. Serve with compassion. Be the difference.Job SummaryThe Prisma Health Physician is responsible for the provision of quality medical services to patients of Prisma Health-University Medical GroupAccountabilitiesEngages in the diagnosis prevention or treatment of disease defects or inj...

19 days ago
Full Time

Controller

Greenbrook Medical

profile New York City - USA

About UsGreenbrook Medical is building the new standard in primary care. We deliver high-touch relationship-based care through neighborhood clinics grounded in a simple belief that every senior deserves the kind of care we would want for our own families. Our model emphasizes time with patients coor...

19 days ago
Full Time

Provider Contracting Director Cigna Healthcare Flo...

Cigna Group

profile Sunrise - USA

Role SummaryReporting to the Florida Market Network Leader this position has overall accountability for managing the hospital and physician provider contracting functions for assigned geographies within the Florida markets. This role has accountability for executing the Regional/National Network Con...

19 days ago
Full Time

Manager, Clinical Pharmacy

Moda Health

profile Portland - USA

Lets do great things together!About ModaFounded in Oregon in 1955 Moda is proud to be a company of real people committed to quality. Today like then were focused on building a better future for healthcare. That starts by offering outstanding coverage to our members compassionate support to our commu...

19 days ago
Full Time

Revenue Cycle Analyst

Old Colony Elder Services

profile Brockton - USA

OCES is growing! We are expanding to 11 more towns covering the south shore area including Quincy Braintree Weymouth etc. APPLY NOW during this exciting time!OCES supports older adults and individuals with disabilities by providing vital information and coordination of services. By promoting healthy...

19 days ago
Full Time

Bariatric Patient Advocate

Northside Hospital

profile Cumming - USA

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...

19 days ago
Full Time

Clinical Genetics Physician Opportunity Cook Child...

Cook Children's Health Care System

profile Fort Worth - USA

Location:Medical Office Building-Fort Worth (750 8th Ave)Department:GeneticsShift:First Shift (United States of America)Standard Weekly Hours:40Summary:Cook Childrens Healthcare System (based in Fort Worth Texas) has an exciting opportunity for a Board Certified/Board Eligible Clinical Geneticist ph...

19 days ago
Full Time