Managed Care Jobs in USA

Job DescriptionTheVaccine Customer Representative (VCR) supports customers by providing clinical information on our Companys vaccines as well as education and resources. They do this to support customer operational and financial needs such as reimbursement information and contract adherence in an ef...

Job PurposeThe Claims Supervisor is responsible for overseeing and directing a specific assigned team and assist with review of delegated Managed Care Claims. Responsibilities include administering claims adjudication and payment maintaining claim records and providing direction to providers and/or...

Territory: Denver Territory (Colorado/Nebraska)Known for its scientific and operational excellence Regeneron is a leading science-based biopharmaceutical company that discovers invents develops manufactures and commercializes medicines for the treatment of serious medical conditions. Regeneron marke...

The Occupational Therapist (OTR) is responsible for providing high-quality occupational therapy services to patients requiring part-time intermittent visits. This position assesses therapeutic needs develops and implements treatment plans and works as part of an interdisciplinary rehabilitation team...

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...

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 Case Manager Manager acts as a...

Has the responsibility for providing direct and indirect nursing care to assigned patients. Manages delivery of participants Activities of Daily Living (ADLs) assistance in the Day Center. Supervises personnel care attendants (PCAs). Performs clinical tasks within scope of responsibility under the s...

SUBSIDIARY: Joseph J. Peters Institute (JJPI)PROGRAM: Safety & Responsibility Programs (SRP)ROLE TYPE: Full-TimeJOB OVERVIEW:Joseph J. Peters Institute a nationally recognized provider serving children adolescents and adult survivors of trauma as well as individuals who engage in problematic sexual...

SUBSIDIARY: Joseph J. Peters Institute (JJPI)PROGRAM: Safety & Responsibility Programs (SRP)ROLE TYPE: Full-TimeJOB OVERVIEW:Joseph J. Peters Institute a nationally recognized provider serving children adolescents and adult survivors of trauma as well as individuals who engage in problematic sexual...

Field Reimbursement Manager - Dermatology (Cleveland/Akron OH) The Reimbursement Business Manager (RBM) is a critical front-line member of the Regeneron Commercial and Field Reimbursement Management team. We are seeking someone to support HCP offices in acquiring appropriate access to Regeneron prod...

The Clinical Care Manager is responsible for care coordination for members identified in integrated care physical health and community based settings who would benefit from connection to various mental health substance use and social determinants of health (SDOH). The Clinical Care Manager must util...

As an Associate Director Field Medical Affairs you will play a pivotal role as a field-based professional within Dermatology. Use your expertise that will provision the business objectives across the product life cycle. We deliver strategic and operational support by establishing developing maintain...

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...

OverviewClinical Documentation Improvement Manager Clinical Doc IntegrityFull Time 80 Hours Per Pay Period Day ShiftCovenant Medical Group Overview:Covenant Medical Groupis the employed and managed medical practice organization of Covenant Health providing comprehensive care across East Tennessee. W...

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...

Alignment Health is breaking the mold in conventional health care committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people united in our mission to put the senior first. We have built a team of talented and experi...

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...

SummaryThe Department of Community and Human Services values diverse perspectives and life experiences. The Department encourages people of all backgrounds to apply including Black Indigenous and People of Color immigrants refugees women LGBTQ people with disabilities veterans and those with lived e...

Alignment Health is breaking the mold in conventional health care committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people united in our mission to put the senior first. We have built a team of talented and experi...