Managed Care Jobs in USA

IntroductionThis examination is being given to fill multiple full-time and part-time vacancies in the Behavioral Health Services department and to establish an eligible list to fill future vacancies. Resumes will not be accepted in lieu of an application. A completed application must be postmarked o...

The MFAH is an organization that is more than 100 years old and ranks nationally among the top 10 art museums in exhibition space memberships endowments and attendance. The MFAH is a multifaceted institution comprising multiple gallery buildings a sculpture garden two art schools and two house-museu...

IntroductionThis examination is being given to fill one vacancy in the Information Systems Department and to establish an eligible list which may be used to fill future vacancies. Resumes will not be accepted in lieu of an application. A completed application must be postmarked or received online by...

Summary:The Special Events Coordinator (SEC) will support all aspects of MFAHs Special Events department related to event planning and execution and related activities. The SEC will professionally plan implement and assist with a wide range of special events. The SEC is a friendly and patient indivi...

VP/Director of IT Summary We seek a very hands on VP or Director of IT to lead all aspects of the companys technology infrastructure ERP environment ecommerce and warehouse operations hardware systems and digital transformation strategy. This role ensures our technology stack-including NetSuit...

Job Summary: Provider Enrollment Specialist - Coordinate credentialing applications for commercial payers Medicare and Medicaid. - Ensure compliance with all enrollment requirements under the direction of the Provider Enrollment Manager. - Serve as a liaison between administration and staff to faci...

DUTIES: The Collector serves as the account representative for Hoag in working with insurance companies government payors and/or patients for resolution of payments and accounts resolution. Completes assigned accounts within assigned work queues. Obtains the maximum amount of reimbursement by ev...

NC Dept of Health and Human Services (DHHS) is seeking a Lead EDI Specialist / Tester to perform work related to support the Managed Care Transition Project. NC Dept of Health and Human Services (DHHS) is seeking a Lead EDI Specialist to perform work related to to support the Medicaid Reform Projec...

Job Title: Provider Enrollment Specialist (Onsite) Location: Irving TX 75039Employment Type: ContractDuration: Approximately 3 MonthsSchedule: Monday-Friday 9:00 AM - 5:00 PMStart Date: January 19 2026Work Type: OnsiteHours per Week: 40 Payrate:$24.13 / hr Important Note Only U.S. Citizens and Gr...

Duties and Responsibilities: Performs inpatient utilization management activities as determined by the utilization plan professional standards and requirements of payers: Works collaboratively with physicians and other healthcare team members to effect timely and appropriate patient management on an...

Job SummaryThe Managed Care Billing Logistics Representative plays a critical role in ensuring the seamless processing of billing transactions between National Vision and managed care organizations. This position requires expertise in managed vision care electronic data interchange (EDI) and applica...

This role is field-based and candidates should live within a reasonable distance from the primary city.Candidates may live in the following cities:Denver ColoradoOklahoma City OklahomaKansas City KansasThe Parkinsons Field Reimbursement Manager (FRM) acts as an alternative in-office resource that is...

This role is field-based and candidates should live within a reasonable distance from the primary city.Candidates may live in the following cities:Denver ColoradoOklahoma City OklahomaKansas City KansasThe Parkinsons Field Reimbursement Manager (FRM) acts as an alternative in-office resource that is...

This role is field-based and candidates should live within a reasonable distance from the primary city.Candidates may live in the following cities:Fresno CAThe Immunology Field Reimbursement Manager (FRM) acts as an alternative in-office resource that is available to address HCP questions about pati...

This role is field-based and candidates should live within a reasonable distance from the primary city.Candidates may live in the following cities:Denver ColoradoOklahoma City OklahomaKansas City KansasThe Parkinsons Field Reimbursement Manager (FRM) acts as an alternative in-office resource that is...

The Oral Migraine Field Reimbursement Manager (FRM) acts as a non-clinical in-office resource that is available to educate and address HCP questions about patient access. The FRM is a field-based role that calls directly on HCP offices in the assigned specific geography to address questions about pa...

The Oral Migraine Field Reimbursement Manager (FRM) acts as a non-clinical in-office resource that is available to educate and address HCP questions about patient access. The FRM is a field-based role that calls directly on HCP offices in the assigned specific geography to address questions about pa...

ResponsibilitiesManages the design and implementation of one or more clinical development programs in support of an overall Product Development Plan based on strong medical and scientific principles knowledge of compliance and regulatory requirements AbbVies customers markets business operations and...

CLINIC MEDICAL DIRECTOR Benefits: Location: Sacramento CA (Relocation assistance)Compensation: $371000 - $415000 PLUS Sign on BONUSAnnual Bonus: Eligible for an annual bonus of up to 12% of your base salary based on company financial performance.Schedule: Monday - Friday; 8am-5pm NO Nights NO weeken...

About the position:You will be responsible for daily Medicare/Managed Care census-building activities of one of our skilled nursing facilities in Chicago (in the Bronzeville Park neighborhood).  Depending on your success you may also (in the future) pick up responsibilities for other centers in the...