Managed Care Jobs

Experienced healthcare revenue cycle leader needed to manage and optimize managed care claims operations in San Diego for a premier healthcare consulting firm.

Lead payor contracting and credentialing strategy at knownwell, a pioneering weight-inclusive healthcare company backed by Series A funding.

Highmark Inc. seeks a skilled Medical Case Manager to provide coordinated care for members handling complex medical and social health needs in a remote work setting.

An RN Care Manager role at Capital Blue Cross involves coordinating comprehensive care for members with complex health needs, emphasizing education and quality outcomes.

Lead clinical and utilization management efforts as Medical Director at Presbyterian Health Plan to impact healthcare quality and cost-effectiveness statewide.

Serve as a passionate advocate and driving force for AIDS Healthcare Foundation's Pharmacy services by building meaningful relationships and advancing patient care.

Lead strategic marketing initiatives targeting Managed Care Organizations to drive engagement and expand insurance coverage with Cardinal Health.

Advance cancer care as a Revenue Cycle Manager at The US Oncology Network, managing multi-site revenue processes and compliance in a thriving remote role.

HiLabs is looking for a strategic Vice President of Growth and Strategy to drive enterprise sales and amplify business development in healthcare AI solutions.

AbbVie needs a knowledgeable Field Reimbursement Manager to provide local expertise and support on patient access and reimbursement in Immunology Gastroenterology within Oklahoma and Arkansas.

Medical Staff Services Specialist I position at SIU Medicine focused on credentialing and administrative support for healthcare providers.

Lead AbbVie's national medical affairs team to drive scientific strategy and engagement with priority healthcare accounts.

Privia Health seeks a detail-oriented Credentialing Specialist to oversee provider credentialing and re-credentialing processes within a technology-driven healthcare environment.

An Enrollment Specialist I is sought to manage Medi-Cal member records and eligibility processes while delivering quality member services in Fairfield, CA.

Telecom IT Systems Analyst Advisor needed at Sedgwick to manage telecom projects and vendor relations in a collaborative remote work environment.

Lead strategic partnerships and physician relations for Genesis Orthopedics, driving growth through FQHC engagement across Chicago.

Nimble Solutions is looking for an experienced Managed Care Contracting Analyst to lead contract negotiations and optimize managed care strategies across multiple states.