Managed Care Jobs in USA

OverviewOpening for Operations Manager (BPO)Location: San Antonio ONSITE ONLYOperation Hours: 7am - 8pm CST Must be amenable to shifting schedule and weekend shiftsThe Manager Operations is accountable for translating Carenets service commitments into consistent high-quality execution across frontli...

Senior Director of FinanceJob DescriptionOrganizational SummaryUnion Settlement is an East Harlem based nonprofit organization founded in 1895. For 128 years Union Settlement has provided critical and innovative programming to children youth families and older adults. As a pioneer of the settlement...

At Easterseals PORT Health (ESPH) our mission is rooted in empowering individuals and strengthening communities. We are seeking a passionate Billing Specialist to join our Revenue Cycle Management team (RCM).This isnt just a job you will be influencing the patient experience and shaping the organiz...

POSITION SUMMARY:The Transitional Care Director provides leadership and support for BAYADAs Skilled Nursing Units Transitional Care Program (TCP).BAYADAs Skilled Nursing Unit (SNU) services provide highlevel medically complex care in the homedelivered by highly trained nurses who support children 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...

Job DescriptionBusiness Office ManagerSunset Rehab and HealthcareAre you a Business Office Manager seeking an exciting new career opportunity Look no further! Tutera Senior Living & Health Care is seeking rockstars to join our team! If you are dedicated and compassionate WE WANT YOU! What Will You D...

Posting Date05/15/20262766 Washtenaw RdYpsilantiMichigan48197-1506United States of AmericaAs a Regional Operations Manager at DaVita youll be a part of a Team that values work-life balance and where your personal and professional growth is a top priority.DaVita has an open position for a Regional Op...

At AstraZeneca we turn ideas into life changing medicines. Working here means being thinking big and working together to make the impossible a reality. Were focused 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 rea...

Come join our awesome team as a Sales & Marketing Director at the Senior Community Care of Michigan PACE clinic. We have great benefits and a great work environment!Senior Community Care of Michigan PACE is part of Volunteers of America National Services which serves as the Housing and Healthcare af...

Find your calling at Mercy!Provides professional nursing care to patients within the medical practice in support of and as directed by the physicians. Assists the physician in the treatment of patients and completes related clinical paperwork. The incumbent in this position shall carry out his or he...

The Provider Network Strategy Specialist is responsible for analyzing developing and executing network development strategies to support the growth and optimization of the organizations Value-Based Care (VBC) provider network. This role plays a key part in identifying network gaps evaluating provide...

The Practice Transformation Coach serves as a strategic advisor and subject matter expert driving clinical quality improvement and operational performance across provider practices within Astranas valuebased care network in the New York metropolitan area.This role partners closely with physicians pr...

SummaryThe Department of Community and Human Services values diverse perspectives and life experiences. The Department encourages people of all backgrounds to apply including Black Indigenous and People of Color immigrants refugees women LGBTQ people with disabilities veterans and those with lived e...

The University of Iowa Health Care Care Coordination Division is seeking a Nurse Clinician to function as a clinical nurse expert within the Emergency Department and care coordinator for the assigned patient population facilitating seamless transitions across the continuum of care. The nurse functio...

City/StateRichmond VAWork ShiftFirst (Days)Overview:Sentara Health Plans is hiring for a Behavioral Health Care Coordinator/RN/LPC/LCSW/LMFT - Whole Person Care for Residential Facilities- Hybrid in the Central Virginia (Richmond and Petersburg VA)!Position Status: Full-time permanent (40 hours/week...

SummaryAudit and authorize reimbursement of specific medical stop loss claims. Effectively mitigate client medical stop loss claims and provide excellent customer service.Why should you join the BlueCross BlueShield of South Carolina family of companies Other companies come and go but weve been part...

The University of Iowa Health Care Care Coordination Division is seeking a Nurse Clinician to function as a clinical nurse expert within the Medical Surgical Services - Inpatient units and care coordinator for the assigned patient population facilitating seamless transitions across the continuum of...

SummaryAudit and authorize reimbursement of specific medical stop loss claims. Effectively mitigate client medical stop loss claims and provide excellent customer service.Why should you join the BlueCross BlueShield of South Carolina family of companies Other companies come and go but weve been part...

The PACE Associate Medical Director will promote and model the mission vision and values of Golden Valley Health Centers. Supports and directly participate in the medical delivery of care and ensures the delivery of quality health care services for the participants in the PACE program. Supports and...

Pay Range:$73600.00 - $110400.00Please emailif you are a candidate seeking a reasonable accommodation for the application and/or interview process.At BCBSRI our greatest resource is our people.We come from varying backgrounds different cultures and unique experiences. We are hard-working caring and...