Managed Care Jobs in USA

Overall PurposeThe Quality Operations Coordinator role is responsible of managing Quality operational support initiatives while overseeing special projects with a focus on supporting HEDIS and Pharmacy gap closures. This position requires daily problem-solving meticulous tracking and coordination ac...

DescriptionPosition SummaryThe Single Case Agreement (SCA) Specialist is responsible for securing reimbursement and coverage for services therapies or medical technologies on a patient-by-patient basis through negotiation with health plans. This role serves as a key liaison between providers payers...

DescriptionChildServe is seeking a Chief Medical Officer (CMO) to join its Executive Team and lead the organizations clinical vision and performance. The CMO will provide physician leadership for the Medical Staff while overseeing quality safety compliance and accreditation efforts. This role is res...

DescriptionHealthPartners is hiring for a Compliance Quality Improvement Coordinator.POSITION PURPOSE:Develops implements and coordinates a compliance program to ensure conformity with accreditation and regulatory requirements specifically:NCQA Health Plan Accreditation for applicable productsNCQA H...

Join Martins Point Health Care - an innovative not-for-profit health care organization offering care and coverage to the people of Maine and beyond. As a joined force ofpeople caring for people Martins Point employees are on amission to transform our health care system while creating a healthier com...

The primary territories for this role are located in IA KS MO OK AR. The ideal candidate preferred should reside in St. Louis MO or Kansas City MO.This is what you will do:The Senior Medical Science Liaison (Sr. MSL) is a field-based scientific expert that strategically supports the medical and scie...

Organizational OverviewUpward Bound House (UBH) is dedicated to ending the circle of intergenerational family homelessness. We compassionately provide a continuum of services ranging from crisis housing to permanent housing and homelessness prevention. With over 30 years of experience in family home...

Job ResponsibilitiesAre you passionate about making a real difference in peoples lives Join our team at the Office of Mental Health where we are dedicated to providing compassionate and accessible care to our community. We are seeking aProgram Manager III / Director of Quality Management and Complia...

Site: The General Hospital CorporationMass 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 strivi...

Help us change livesAt Exact Sciences were helpingchange how the world prevents detects and guides treatment for cancer. We give patients and clinicians the clarity needed to make confident decisions when they matter most. Join our team to find a purpose-driven career an inclusive culture and robust...

Job DetailsAssist the Office of Residential Life with lockouts administrative tasksJob Description.Work ShiftWorkday Day (United States of America)Worker Sub TypeTemporaryEmployee EntityPhiladelphia UniversityPrimary Location Address3243 School House Lane Philadelphia Pennsylvania United States of A...

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For questions regarding this position please contact the Recruiter listed in the Supplemental Information section.ABOUT THE POSITIONThe County of Riverside University Health System Community Health Centers is seeking a Revenue and Recovery Technician I to support Federally Qualified Health Center op...

Help us change livesAt Exact Sciences were helpingchange how the world prevents detects and guides treatment for cancer. We give patients and clinicians the clarity needed to make confident decisions when they matter most. Join our team to find a purpose-driven career an inclusive culture and robust...

Join Amplity the full-service go-to partner of biopharma companies that delivers flexible specialized medical commercial services. No matter where a drug is in its lifecycle we scale with ease to maximize resources improve impact for all our clients. Through strategic partnerships deep therapeut...

DEPARTMENT OF ECONOMIC SECURITYYour Partner For A Stronger Arizona. DES works with families community organizations advocates and state and federal partners to realize our collective vision: A thriving Arizona.DES serves more than 3 million Arizonans. Our Mission is to strengthen individuals familie...

Join Amplity the full-service go-to partner of biopharma companies that delivers flexible specialized medical commercial services. No matter where a drug is in its lifecycle we scale with ease to maximize resources improve impact for all our clients. Through strategic partnerships deep therapeut...

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...

PURPOSE AND SCOPE: Acts as a serving leader to direct administer and oversee the day to day operations and activities of dialysis facilities and programs within a specified and potentially changing geographic proximity. The scope includes but is not limited to chronic in-center clinics and home ther...

Job DetailsThe Department of Pathology and Genomic Medicine of the Sidney Kimmel Medical College at Thomas Jefferson University is recruiting for board certified full-time faculty members at the Assistant/Associate Professor level with subspecialty fellowship training or experience in Thoracic/Bone...