Managed Care Recertification Specialist Jobs in USA

DescriptionPosition at Nuvance Health Med Practice PCOBGYN HospitalistopportunityatVassarBrothers Medical Centerin Poughkeepsie NY (75 minutes North of New York City)Vassar Brothers Medical Center(VBMC)ofNuvanceHealth proudly joining Northwell Healthlocatedjust 75 minutes north of New YorkCityis see...

Are you an internal caregiver student or contingent worker/agency worker at UMass Memorial Health CLICK HERE to apply through your Workday account.Exemption Status:ExemptHiring Range:$101025.60 - $181854.40Please note that the final offer may vary within this range based on a candidates experience s...

Job DescriptionThe Michigan Department of Health and Human Services mission is to provide opportunities services and programs that promote a healthy safe and stable environment for residents to be self-sufficient. We are committed to ensuring a diverse workforce and a work environment whereby all em...

Job Requisition ID:53928BPIS: 12061Opening Date:06/01/2026Closing Date: 06/15/2026Agency: Department of Healthcare and Family ServicesClass Title:EXECUTIVE II - 13852Skill Option:NoneBilingual Option:NoneSalary: Anticipated starting salary $6589/monthly; Full salary range $6589 - $9541/monthlyJob Ty...

At Hispanic Housing our vision is to provide affordable housing that people are proud to call creating quality housing a safe and stable environment and by providing superior customer service we help create part of the foundation that enables people to make a better life for themselves their famili...

Anticipated End Date:Position Title:Managed Care Coordinator (VA Foster Care Program)Job Description:Managed Care Coordinator (VA Foster Care Program)Must reside within the locations of Norfolk Virginia Beach Chesapeake Newport News or Suffolk VA.Location: This field-based role enables associates to...

DescriptionAbout UsInform Diagnostics a Fulgent Genetics Company is a nationally recognized diagnostics laboratory focused on anatomic pathology subspecialties including gastrointestinal pathology dermatopathology urologic pathology hematopathology and breast pathology. Founded in 2011 our parent en...

Anticipated End Date:Position Title:Managed Care Coordinator-Clinician NonRNJob Description:Managed Care Coordinator-Clinician NonRNLocation: Roanoke VA. The ideal candidate will reside in Charlottesville Lexington or Staunton VA. Other locations include Norfolk VA; Chesapeake VA; or Richmond VA. Vi...

Job Title: Pharmacist Clinical Managed CareLocation: Portland ORShift Details: Day Shift 5x8 Hours 08:00 AM 05:00 PM Contract Duration: 26 Weeks Orientation: 40 Hours (Non-Billable Reduced Orientation Job) Schedule Notes: Rare weekend coverage (a few times per year)Required QualificationsPharmD...

Atlantic Pacific Companies is a dynamic industry leader with a growing and diverse portfolio of properties throughout Florida Georgia Texas California North Carolina and Washington D.C.We are looking for passionate people who enjoy challenges and helping others. Does this sound like you Join us!Our...

Site: Mass General Brigham IncorporatedMass General Brigham relies on a wide range of professionals including doctors nurses business people tech experts researchers and systems analysts to advance our mission. As a not-for-profit we support patient care research teaching and community service striv...

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...

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 RESPONSIBILITIESDevelops and executes payer negotiation and contracting strategies for assigned ambulatory surgery centers (ASCs) and physician gro...

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...

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...

Your work days are brighter here.Were obsessed with making hard work pay off for our people our customers and the world around us. As a Fortune 500 company and a leading AI platform for managing people money and agents were shaping the future of work so teams can reach their potential and focus on w...

DescriptionPOSITIONSUMMARY: Working in a fast paceddead lineoriented environment you will provide short-termadultand child counseling for avariety of diagnostic Mental Health forMedi-Cal charts and berequiredto meet contractual requirements.DUTIESDevelop andmaintaina professional relationshipwithc...

About Us:As a non-profit organization Valley Cities Behavioral Health Care is dedicated to serving our community by offering a wide range of mental health services from inpatient to outpatient care. We believe that our employees are our greatest asset and we are committed to creating a supportive an...

About this Job The mission of the Louisiana Department of Health is to protect and promote health and to ensure access to medical preventive and rehabilitative services for all residents of the State of Louisiana.Learn more about Louisiana Department of HealthThis vacancy is being announced as a Ful...