Managed Care Jobs in USA

Description and FunctionsOpen Until FilledGENERAL DESCRIPTION: This is your opportunity to make a difference in the lives of the men and women who have served our country! The Veterans Home of Wyoming is looking for a motivated Shahbaz (Certified Nurse Aide) to provide care in a home-like setting us...

Anticipated End Date:Position Title:Provider Network ManagerJob Description:Provider Network Manager Hybrid 1: This role requires associates to be in-office 1 - 2 days per week fostering collaboration and connectivity while providing flexibility to support productivity and work-life balance. This ap...

Job DescriptionBe a part of a world-class academic healthcare system at UChicago Medicineas an Ambulatory Medication Access Coordinator in the Specialty Pharmacy. In this role you will be responsible for handling inbound and outbound phone calls conducting and completing necessary third party (insur...

SummaryResponsible for submitting stop loss claim packets and responding to any requests for additional information. Additionally the claims must be tracked and monitored. Complex analysis is performed and queries are generated to file and validate the claim submissions.DescriptionLogistics: This po...

Anticipated End Date:Position Title:Provider Network Manager SeniorJob Description:Provider Network Manager SeniorHybrid 1: This role requires associates to be in-office 1 - 2 days per week fostering collaboration and connectivity while providing flexibility to support productivity and work-life bal...

Anticipated End Date:Position Title:Nurse Case Manager IIJob Description:Telephonic Nurse Case Manager IILocation: This role enables associates to work virtually full-time with the exception of required in-person training sessions providing maximum flexibility and autonomy. This approach promotes pr...

DescriptionAbout UsIntegrity Management Services Inc. (IntegrityM) is an award-winning women-owned small business specializing in assisting government and commercial clients in compliance and program integrity efforts including the prevention and detection of fraud waste and abuse in government prog...

Make a Difference in Someones Life!At Monarch we work together to provide life-changing care in communities across North Carolina and Rhode Island. As a team we provide hope promote wellness and empower individuals and families impacted by mental illness substance use disorders intellectual and deve...

DescriptionThis is where you change your storyAt Meadows Behavioral Health we understand that new directions to career advancement and improvement can be scary but we are excited to offer you a possible new rewarding chapter with us! Come join us in transforming lives!Who are weMeadows Behavioral He...

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...

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...

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...

Sr. Data Platform EngineerJob purpose summaryReal Times suite of Interventional Analytics solutions enables post-acute facilities to seamlessly collaborate with their partner hospitals health systems ACOs and managed care plans to improve care reduce costs and achieve a level of interoperability. Re...

AtAstraZenecawe turn ideas into life changing medicines. Working here means being thinking big and working together to make the impossible a reality.Werefocused on the potential of science to address the unmet needs of patients around the world. We commit to those areas where we think we can really...

DescriptionRecognized by Newsweek in 2024 and 2025 as one of Americas Greatest Workplaces for DiversityMake Lives Better Including Your Own. If you want to work in an environment where you can become your best possible self join us! Youll earn more than a paycheck; you can find opportunities to grow...

Welcome to Cherry Health - video about Cherry HealthRN Supervisor Westside Health Center (OBGYN) Cherry HealthThe RN Supervisor at Cherry Healths Westside Health Center provides clinical leadership and operational oversight for the Family Practice and OBGYN departments. This role is ideal for an e...

AtAstraZenecawe turn ideas into life changing medicines. Working here means being thinking big and working together to make the impossible a reality.Werefocused on the potential of science to address the unmet needs of patients around the world. We commit to those areas where we think we can really...

This is a remote position supporting clinical requests for dialysis patients eligibility for kidney transplant. Work entails focus on daily computer and file work.Requirement: Registered Nurse with dialysis experience is a must.There is no patient interaction.Remote location open to any USA city.PUR...

PURPOSE AND SCOPE:Serves as a designated expert consultant for the Clinical Quality function. Contributes to strategic direction to facilitate the achievement of company goals for improved patient outcomes and superior quality standards for assigned division. Provides expertise support and guidance...

The Clinical Care Manager is responsible for utilization management by conducting utilization review activities population management cross-system consultation provider management and treatment quality monitoring. The Clinical Care Manager must utilize clinical knowledge of best practices and eviden...