Managed Care Jobs in USA

**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...

The Senior Biller Manager would directly report to the Director of Operations. The Senior Biller Manager would be responsible for managing client accounts to coordinate their overall functions of billing maximizing cash flow while improving patient physician and other customer relations. Requires ST...

This role is field-based and candidates should live within a reasonable distance from the primary city. Talent will be hired at a level commensurate with experience. This geography covers the areas surrounding:Washington DCRichmond VAMarylandCoordinate commercial activity within in-field teams to en...

This role is field-based and candidates should live within a reasonable distance from the primary city. Talent will be hired at a level commensurate with experience. This geography covers the areas surrounding: Broomall Poconos Malvern and to the Delaware Border.Execute brand strategy and tactics in...

Site: Mass General Brigham IncorporatedMass General Brigham relies on a wide range of professionals including doctors nurses business people tech experts researchers and systems analysts to advance our mission. As a not-for-profit we support patient care research teaching and community service striv...

DescriptionAbout UsIntegrity Management Services Inc. (IntegrityM) is an award-winning women-owned small business specializing in assisting government and commercial clients in compliance and program integrity efforts including the prevention and detection of fraud waste and abuse in government prog...

This is what you will do: Associate Director US Market Access Contracts Management is responsible for the lifecycle management process of agreements with US Managed Care Organizations (Commercial and Government (ex: Medicare Advantage and Part D)) Specialty Distributors Specialty Pharmacies Group Pu...

About Upward Bound HouseUBH ends intergenerational family homelessness through crisis housing permanent housing and prevention services. For 30 years weve led with compassion equity and collaboration in a fast-paced mission-driven growth-minded environment.About the roleJoin UBHs new CalAIM program...

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...

SummaryUnderwrite a profitable book of business in the employer stop loss marketplace through Managed Care Organizations Third Party Administrators (TPAs) Brokers Hospitals and BlueCross BlueShield organizations and service all business to targeted profitability and service objectives. Utilizing eff...

DescriptionMount Sinai Network Practices - Call center Interview Day - Invite OnlyDate: Thursday June 4thTime: 9am - 6pm (Last interview at 5:30pm)Location: Hicksville Office (1000 South Oyster Bay Road) or via Zoom (if necessary).ResponsibilitiesThe Offsite Admin Support/ Patient Service Representa...

GRADE 22 LOCATION OF POSITION MDH Office of Pharmacy Services Clinical Services Division Baltimore MD Main Purpose of Job This position will supervise and direct all clinical pharmacy services for the Clinical Services Division provided to Office ofPharmacy Services (OPS) participants t...

The Regional Director of Business Development is a remote executive level position responsible for driving the expansion of clinical services in the assigned territory and managing strategic growth initiatives to increase revenue and direct sales to long-term care facility clients. The individual se...

DescriptionJob SummaryEstablishes plans directs coordinates evaluates and maintains the standards of nursing practices and operating policies and related patient care activities working in close collaboration with entity Administration and the System Nursing team to meet and support diverse organiza...

Job Family:Patient Access GeneralTravel Required:Up to 75%Clearance Required:NoneWhat You Will Do:As an Associate Director- Patient Access Operations Education and Quality you will act and lead in a manner that is reflective of the philosophy vision and values of Healthcare Management Solutions. In...

NationsBenefits is recognized as one of the fastest-growing companies in America and a Healthcare Fintech provider of supplemental benefits flex cards and member engagement solutions. We partner with managed care organizations to provide innovative healthcare solutions that drive growth improve outc...

DescriptionThe Mount Sinai Health System (MSHS) is a leading academic health system that includes clinical research and educational activities. The health system includes hospitals and ambulatory services spread across the New York City Metropolitan area. Our 48000 employees provide excellent clinic...

DescriptionThis is a hybrid position and must be located within 100 miles of any of the Mayo Clinic campuses for on-site expectations based on business needs.Plans manages and facilitates installation and support of small and medium software projects or systems across multiple business systems withi...

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...

POSITION SUMMARY:Responsible for the optimal functioning of the department by ensuring patients receive quick access excellent customer service quality patient care and are referred to the appropriate sources.Boston Medical Center (BMC) is more than a hospital. Its a network of support and care that...