Managed Care Jobs in USA

At Boston Medical Center-Brighton our nurses are changing the face of healthcare. At every level and on every unit BMC Brighton nurses are advancing professional practice and delivering evidence-based care to our patients families and Medical Center Health Systems is one of the top places to work i...

Hourly Pay Range:$19.89 - $28.84 - The hourly pay rate offered is determined by a candidates expertise and years of experience among other factors.Position Highlights:Position: Insurance Representative ILocation: Skokie ILFull Time/Part Time: Full TimeHours: Monday-Friday 8am-4:30pmWhat you will do:...

OverviewAssociate Medical Director Opportunity!Monthly and Quarterly BonusesMedical Director StipendThrough our evidenced based medicine approach Concentras goal is to provide quality patient care while treating everyone with friendliness skill and respect. We strive daily to promote a diverse envir...

Highly prefer this person resides in Orlando FL or New Orleans LA. PURPOSE AND SCOPE:Supports FMCNAs mission vision core values and customer service philosophy. Adheres to the FMCNA Compliance Program including following all regulatory and FMS policy requirements.Directs the strategic initiatives re...

Title: Human Resources Analyst State Role Title:Human Resource Analyst IHiring Range: Based on qualifications & experiencePay Band: 4Agency: Virginia Military InstituteLocation:VMI HUMAN RESOURCES OFFICEAgency Website:Recruitment Type: Agency Employee Only - AJob DutiesVirginia Military Institute is...

OverviewBe inspired. Be valued. Belong. At Emory HealthcareAt Emory Healthcare we fuel your professional journey with better benefits valuable resources ongoingmentorshipand leadership programs for all types of jobs and a supportive environment that enables you to reach new heights in your career an...

AHCCCSArizona Health Care Cost Containment SystemAccountability Community Innovation Leadership Passion Quality Respect Courage TeamworkThe Arizona Health Care Cost Containment System (AHCCCS) Arizonas Medicaid agency is driven by its mission to deliver comprehensive cost-effective health care to Ar...

When you join the growing BILH team youre not just taking a job youre making a difference in peoples lives.Job Summary: Serves as a primary point of contact for patients and visitors in an outpatient unit and provides excellent customer service through clear communication. Reports to the manager w...

Department:39733 Enterprise Corporate - Care TransitionsStatus: Full timeBenefits Eligible:YesHours Per Week:40Schedule Details/Additional Information:Schedule Details/Additional InformationPreferred qualifications:3 years RN: Experience in case management triage with prior telephonic/remote experie...

This role is responsible for developing and implementing sales strategies for targeted commercial National Accounts(3000 employees and up) as well as the end-to-end sales strategy and process. This role includes sales leadership of matrix partners who facilitate and assist in the sales cycle and acc...

Primary City/State:Tucson ArizonaDepartment Name: Case Mgmt-HospWork Shift: DayJob Category:Clinical CareSCHEDULE: Full Time/ 40 HoursMonday-Friday 4 10 hour shifts7:00am- 5:30pmEvery 3 weeks weekend rotationHoliday rotations are required in this roleEnjoy a flat rate $3/hour weekend shift different...

Job Description Summary#LI-HybridThis position will be located at either the East Hanover NJ or Cambridge MA site and will not have the ability to be located remotely. This position will require travel as defined by the business (domestic and/ or international). Novartis is unable to offer relocatio...

Anticipated End Date:Position Title:Medical Management Specialist I- Wisconsin Family CareJob Description:Medical Management Specialist I Associate Referral Bonus: $250.00Location: It is required to be a Wisconsin resident. This role enables associates to work virtually full-time except for require...

Job Description Summary#LI-HybridThe ideal location for this role is the East Hanover NJ or Cambridge MA site but a distant working arrangement may be possible in certain states. Distant workers are responsible for the cost of home office expenses and any travel/lodging to the East Hanover or Cambri...

City/StateCulpepper VAWork ShiftFirst (Days)Overview:Sentara Health Plansis hiring a Care Coordinator/ Licensed Practical Nurse (LPN) for LTSS Waiver/ Home Health in Culpeper Warrenton Fauquier Catlett Madison Orange Brightwood Bealeton Washington Rappahannock County Gordonsville VA!Status: Full-tim...

Program: Specialty Care ServicesDepartment: Health ServicesReports to: Manager Specialty Care Services & Utilization ReviewStatus: 100% Full-Time Non-ExemptProbation: 90 daysBenefits: Medical Dental Vision; also including Life Insurance Long-Term Disability Employee Assistance Program and a 403(b) R...

GENERAL FUNCTION:The basic function of the Sales Associate is to attract and retain patients by delivering an exceptional patient experience foster patient retention and promote outstanding doctor satisfaction.MAJOR DUTIES & RESPONSIBILITIES:Drive profitable store sales by fostering a retail selling...

GENERAL FUNCTION:The basic function of the Optician is to attract and retain patients by delivering an exceptional patient experience foster patient retention and promote outstanding doctor satisfaction.MAJOR DUTIES & RESPONSIBILITIES:Drive profitable store sales by fostering a retail selling cultur...

SummaryDescriptionPosition Purpose:Audit and authorize reimbursement of specific and/or aggregate medical stop loss claims. Effectively mitigate client medical stop loss claims and provide excellent customer service.Logistics: iiSi Writing Medical Stop Loss Across the Nation one of BlueCross BlueS...

Thank you for considering a career at Ensemble!Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solut...