Managed Care Jobs in USA

Job DetailsThe Medical Laboratory Technician/Scientist (MLT/MLS) performs and monitors various medical laboratory analyses of patient specimens to provide accurate test results for confirming clinical diagnoses and treatment therapies. The MLT/MLS complies with regulatory requirements by following e...

Job DetailsThe Head Coach is responsible for leading all aspects of their respective NCAA sport program including recruiting training and mentoring student athletes to achieve success in competition academics and personal development. This position requires a strong commitment to fostering a culture...

Job DetailsTuesday through Friday 7:30 am -4pmNo weekend. No Holidays.2-3 years Med/Surg & or OR RN. Procedural experience a plus.With a commitment to patient- and family-centered care the professional nurse uses the nursing process in ways that values theuniqueness of each individual and addresses...

Job DetailsThe Care Progression Manager collaborates across interdisciplinary teams to advance health system strategies including initiatives focused on value-based care and payer population management. Partners with clinical operational and financial stakeholders to align care progression workflows...

Job Preview The Prior Authorization Specialist is responsible for ensuring that payers are prepared to reimburse Hopedale Medical Complex for scheduled services in accordance with the payer-provider contract. The representative will contact payers to request service authorizations and may collect fi...

Job Preview The Prior Authorization Specialist is responsible for ensuring that payers are prepared to reimburse Hopedale Medical Complex for scheduled services in accordance with the payer-provider contract. The representative will contact payers to request service authorizations and may collect fi...

Title: IT Lead EDI Specialist Location: Raleigh NC (Hybrid) Duration: 4 Months Interview Type: Webcam Interview Only 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 Hu...

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 territory covers the below major cities and surrounding areas:Philadelphia PAPittsburgh PAHarrisburg PAAtlantic City NJVineland NJ...

This leadership position is accountable for delivering overall commercial strategy of the PCS oncology assets by partnering closely with R&D in-line commercial in US international region and countries and other key stakeholders to plan for the commercialization of assets in the Oncology pipeline the...

**This is a casual (non-benefited) position located at Northwestern Medicine Catherine Gratz Griffin Lake Forest Hospital. This role provides additional staffing coverage for sick time PTO as well as weekend coverage. **The Case Manager/Social Worker reflects the mission vision and values of NM adhe...

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.Execute brand strategy and tactics in field sales performance effectively manage assigned territory and targeted accounts build strong...

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.Execute brand strategy and tactics in field sales performance effectively manage assigned territory and targeted accounts build strong...

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.Execute brand strategy and tactics in field sales performance effectively manage assigned territory and targeted accounts build strong...

The Customer Experience Representative plays a vital role in delivering a seamless and supportive client journey from initial contact through service this position you will serve as a key point of contact for clients ensuring their needs are understood addressed and managed with care and profession...

This is a hybrid position based at our beautiful corporate office located in Brentwood TN with on-site work required Monday through Wednesday.DUTIES AND RESPONSIBILITIESDevelops and executes payer negotiation and contracting strategies for assigned ambulatory surgery centers (ASCs) and physician gro...

DescriptionAre you a Contracts and Managed Care Professional looking for a great company with a great mission and culture Then consider joining Devereux Florida as a Finance Analyst!Devereux provides mental and behavioral health services as well as child welfare case management services for children...

Full-timeDescriptionPOSITION SUMMARYThe Transitional Case Management (TCM) Specialist provides outreach engagement and care coordination services to support continuity of care for individuals enrolled in Managed Care Organization (MCO) plans who are at risk of disengagement from behavioral health tr...

Discover a Career That Empowers You Join HUB International!At HUB International were more than just an insurance brokerage firm were a thriving community of entrepreneurs driven by purpose and passion. Every day we help individuals families and businesses protect what matters most by providing a b...

Field Reimbursement Manager Immunology BiologicsFlorida (Including Savannah Georgia)At AstraZenecaitsour patients that come first; every decision we make and action we take is centered around how we can better serve them.Itswhy we are shaping patient care for the future working along the whole expe...

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...