Managed Care Jobs in USA

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:New Orleans LABaton Rouge LAMemphis TNLittle Rock ARJackson MSThe Im...

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:Charlotte NCWilmington NCRaleigh NCCharleston SCThe Immunology Field...

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:Boston MAWorcester MAProvidence RIAlbany NYBuffalo NYHartford CTPort...

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 role is field-based and candidates should live within the territory. This geography covers MI OH KY WV VA NC SC DC MD MA PA NY DE NJ CT RI VT NH ME and northern Indiana. The FRM Associate Director leads and develops a regional team of Field Reimbursement Managers who educate healthcare provider...

This role is field-based and candidates should live within the territory. This geography covers MI OH KY WV VA NC SC DC MD MA PA NY DE NJ CT RI VT NH ME and northern Indiana. The FRM Associate Director leads and develops a regional team of Field Reimbursement Managers who educate healthcare provider...

This role is field-based and candidates should live within the territory. This geography covers CA WA OR NV AZ UT ID MT WY CO NM OK KS NE SD ND MN IA MO IL WI AK HI southern Indiana and the UP of Michigan.The FRM Associate Director leads and develops a regional team of Field Reimbursement Managers w...

This role is field-based and candidates should live within the territory. This geography covers MI OH KY WV VA NC SC DC MD MA PA NY DE NJ CT RI VT NH ME and northern Indiana. The FRM Associate Director leads and develops a regional team of Field Reimbursement Managers who educate healthcare provider...

This role is field-based and candidates should live within the territory. This geography covers MI OH KY WV VA NC SC DC MD MA PA NY DE NJ CT RI VT NH ME and northern Indiana. The FRM Associate Director leads and develops a regional team of Field Reimbursement Managers who educate healthcare provider...

This role is field-based and candidates should live within the territory. This geography covers MI OH KY WV VA NC SC DC MD MA PA NY DE NJ CT RI VT NH ME and northern Indiana. The FRM Associate Director leads and develops a regional team of Field Reimbursement Managers who educate healthcare provider...

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 is a hybrid position based at our beautiful corporate office located in Brentwood TN with on-site work required Monday through Wednesday.DUTIES AND RESPONSIBILITIESLead contract negotiations and actively manage payer agreements for assigned hospitals ASCs and physician groups including commerci...

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 RESPONSIBILITIESLead contract negotiations and actively manage payer agreements for assigned hospitals ASCs and physician groups including commerci...

We are recruiting for a mission-driven Supervisor Pharmacy - Denver Health Medical Plan (* Weekly Hybrid Schedule *) to join our team!Were with you for lifes journey. At Denver Health purpose isnt just something we believe inits something we live every day for lifes journey. Our ValuesRespect Belo...

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...

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...

Excel. Empower. Advance. Shine. Belong. Explore. Flourish. Champion.Make It Happen At Hopkins!Johns Hopkins Health Plans (JHHP) is the managed care and health services business of Johns Hopkins Medicine one of the premier health delivery academic and research institutions in the United is a $2.5B b...

The Program Manager is responsible for driving strong cross-functional coordination and oversight of our Shared Services and vendor partners. This role is responsible for developing and maintaining program reporting to support effective Medicare Advantage and PACE program addition to program report...

POSITION SUMMARY:The incumbent is responsible for coordinating all the functions and activities related to patient access including but not limited to: front end customer service patient registration insurance/coverage verification appointment scheduling charge entry billing and managed care and a v...

The Program Manager Medicare Advantage Member Engagement and Retention is responsible for driving operational excellence and high-impact member engagement while ensuring regulatory compliance across the Medicare Advantage program. This role leads and executes key initiatives that strengthen member s...