Managed Care Recertification Specialist Jobs in USA

We are currently hiring a Part-timeREMOTE Utilization Review Nurse! If you are a licensed nurse with excellent critical thinking skills have experience in acute care settings and utilization review and value being part of a team that makes a difference you may be the right person for the position! A...

Job DescriptionThe MDHHS 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 employees are treated with dignity respect an...

DescriptionClinical LiaisonFull-timeYour experience mattersAt Ascension St. Thomas Rehabilitation Hospital we are committed to empowering and supporting a diverse and determined workforce who can drive quality scalability and significant impact across our hospitals and your role youll support those...

Full-timeDescription****Average salary rate is $27.63 (including wage incentives bonuses overtime shift differential etc.)****The Court Liaison plays a key role in supporting child welfare case progress by attending court hearings capturing and reporting critical information and monitoring complianc...

Full-timeDescription****Average salary rate is $27.63 (including wage incentives bonuses overtime shift differential etc.)****The Court Liaison plays a key role in supporting child welfare case progress by attending court hearings capturing and reporting critical information and monitoring complianc...

Title: Managed Care Communications SpecialistState Role Title:PR & Mktg Spec IVHiring Range: $80000 - $85490Pay Band: 5Agency: Dept of Med Assistance SvcsLocation:Dept of Medical Asst ServicesAgency Website:Recruitment Type: General Public - GJob DutiesThe Department of Medical Assistance Services (...

Department:13212 Enterprise Corporate - Managed Health Clinical insights & Operations: Contract ManagementStatus: Full timeBenefits Eligible:YesHours Per Week:40Schedule Details/Additional Information:8am-5pm M-F RemoteVariability in hours based on various project requirementsPay Range$51.05 - $76.6...

Anticipated End Date:Position Title:Managed Care Coordinator-Clinician NonRNJob Description:Managed Care Coordinator-Clinician NonRNLocation: Norfolk VA; Chesapeake VA; or Richmond VA. The ideal candidate will reside in Newport New Hampton or York County. Virtual: This role enables associates to wo...

JOB DESCRIPTIONPosition: Managed Care Reconciliation & Payments Specialist Pay Range: $33 - $36/HourlyReporting To: VP of Finance Work Type: On-site Position Summary Libertana is seeking a highly analytical and detail-oriented Managed Care Reconciliation & Payments Specialist to support the organiza...

At GSK we have bold ambitions for patients aiming to positively impact the health of 2.5 billion people by the end of the decade. Our R&D focuses on discovering and delivering vaccines and medicines combining our understanding of the immune system with cutting-edge technology to transform peoples li...

OverviewOpportunities for you!Consecutively recognized as a top employer by Forbes and in 2025 by NewsweekEligible for annual incentive programCommunity University leadership training coursesTuition reimbursement educationprogramsand scholarshipsVacation time starts building on Day 1 and builds with...

DescriptionMercy Rehabilitation Hospital SouthClinical LiaisonInpatient RehabilitationPart-TimeYour experience mattersAtMercy Rehabilitation Hospital South we are driven by a profound commitment to prioritize your well-being so you can provide exceptional care to others. Byjoining our team youre emb...

Job DescriptionGeneral Summary:The Senior Medical Director will define the clinical development strategy of an asset work with cross-functional multidisciplinary teams to define overall asset strategy as well as clinical trials strategy design and execution and may serve as the Medical Lead for clin...

Imagine a health plan provider that shares the same goals as its members and the medical teams who care for them. Standing with them and for them. Going beyond just covering costs to provide access to the best in health care and ensure the best possible outcome. We are Johns Hopkins Health Plans.Joh...

Quality Staffing Inc. also doing business as Goddard Mason Executive Search a leading full-service employment agency matching qualified talent with some of the areas top companies is looking for experienced Managed Care Specialiststo work through our agency as a contract employee with the Tennessee...

DescriptionAre you a Contracts and Managed Care Professional looking for a great company with a great mission and culture Then consider joining Devereux Florida as a Managed Care Specialist!Devereux provides mental and behavioral health services as well as child welfare case management services for...

Working with UsChallenging. Meaningful. Life-changing. Those arent words that are usually associated with a job. But working at Bristol Myers Squibb is anything but usual. Here uniquely interesting work happens every day in every department. From optimizing a production line to the latest breakthrou...

How you move is why were here. Now more than ever.Get back to what you need and love to do.The possibilities are endless...Now more than ever our guiding principles are helping us in our search for exceptional talent - candidates who align with our unique workplace culture and who want to maximizeth...

Our CompanyOhio Valley HospiceOverviewOffice Location: Beavercreek OHCoverage area: Cincinnati OHSchedule: Days FTAre you passionate about connecting people to compassionate care Ohio Valley Hospiceis seeking a Community Liaison in Cicinnati OHthat will serve as the face of our organizationpromoting...

Residing in Nashville or Franklin area highly preferred.PURPOSE AND SCOPE: Directs organizations activities of strategic planning evaluation coordination and implementation of various managed health care programs (HMOs PPOs POS etc). Oversees Divisions contractual relationships with managed care org...