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.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. This geography covers the state of Kansas.Execute brand strategy and tactics in field sales performance effectively manage assigned te...

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 geography covers the areas surrounding: Northern Saint Louis Columbia Southern IllinoisExecute brand strategy and tactics in fiel...

SummaryReviews and evaluates medical or behavioral eligibility regarding benefits and clinical criteria by applying clinical expertise administrative policies and established clinical criteria to service requests. Utilizes clinical proficiency and claims knowledge/analysis to assess plan implement c...

We are currently seeking a highly motivated Provider Relations Market Performance Lead in the Beaumont area who will serves as a strategic field-based partner to physician practices supporting improvements in clinical quality risk adjustment operational efficiency and financial performance. This rol...

Corporate Accounts Receivable (A/R) ManagerLocation: Dayton OH (On-site Corporate Office)Schedule: MondayFriday Full-TimeWe are seeking an experienced Corporate Accounts Receivable (A/R) Manager to join a growing mid-sized senior care organization specializing in Skilled Nursing Memory Care and Assi...

Central Intake CoordinatorLocation: Dayton OH (Corporate Office On-site)Schedule: MondayFriday Full-TimeWe are seeking a motivated and detail-oriented Central Intake Coordinator to join our corporate team at a growing senior care organization specializing in Skilled Nursing Memory Care and Assisted...

OverviewYou Matter Here!Heywood Healthcare values our employees! We offer competitive wages great benefits and generous earned time off. Come work where you will matter!Hours: 40-Hours Monday through Friday 8:15-4:45 monthly evening meetings HybridSalary Range: $79000 - $102200DisclaimerWe are commi...

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...

City/StateBristol VAWork ShiftFirst (Days)Overview:Sentara Health in Bristol VA is looking to hire an Integrated Case Manager RN.This is a remote position; however candidates must reside in Bristol and surrounding areas as travel is required.The Integrated Case Manager is responsible for case manage...

City/StateHarrisonburg VAWork ShiftFirst (Days)Overview:Sentara Health in Harrisonburg VA is looking to hire an Integrated Case Manager RN.This is a remote position; however candidates must reside in Harrisonburg and surrounding areas as travel is required. The Integrated Case Manager is responsible...

About Blue Cross and Blue Shield of MinnesotaAt Blue Cross and Blue Shield of Minnesota we are committed to paving the way for everyone to achieve their healthiest life. We are looking for dedicated and motivated individuals who share our vision of transforming healthcare. As a Blue Cross associate...

Central Coast Home Health is a fast-growing organization with a great reputation throughout the Central Coast. We are seeking a full-time Medical Billing/Authorization Coordinator to join ourBilling team in our San Luis Obispo office. This is NOT REMOTEThe essential duties of this position will be a...

About Blue Cross and Blue Shield of MinnesotaAt Blue Cross and Blue Shield of Minnesota we are committed to paving the way for everyone to achieve their healthiest life. We are looking for dedicated and motivated individuals who share our vision of transforming healthcare. As a Blue Cross associate...

Job Family:Patient Account RepresentativeTravel Required:NoneClearance Required:NoneWhat You Will Do:The AdvancedReimbursement Analystwill identify document and collect managed care Medicare/Medicaid underpayments for Contract and Reimbursement Solutions Clients. Perform any and all related job duti...

City/StateWinchester VAWork ShiftFirst (Days)Overview:Sentara Health Plansis hiring an Integrated Nurse Case Manager/RN for Maternal Health/ Perinatal in Winchester Shenandoah Frederick Rockingham VA!The position requires both in-person face-to-face assessments and remote telephonic assessments for...

Find your calling at Mercy!Interviews uninsured/under-insured patients in a hospital setting to determine eligibility for State Medicaid benefits and Financial Assistance. Requires assisting patients in hospital rooms with the application processes to facilitate accurate and appropriate application...

DescriptionRISE provides services for people with disabilities including residential settings day programs employment assistance managed care and hourly supports.Our mission is to create opportunities for and with people. This encompasses not only individuals and families for whom we provide service...

Job Details7A-3:30PEOW & Every other holiday ONLY!Provides a positive patient experience to patients and families. Demonstrates strong communication and customer service skills while registering patients. Accurately searches and selects the correct patient. Gathers complete and accurate demographic...

Our CompanyAbilis Health PlanOverviewWe are seeking a skilled and detail-oriented Senior Provider Network Manager to join our health plan team. This position is responsible for establishing CMS-compliant cost-effective and competitive healthcare provider networks in assigned markets by negotiating a...