Job DetailsJob Location: Tustin - Tustin, CA 92782Position Type: Full TimeJob Category: AccountingAre you a detail‑driven problem‑solver who enjoys ensuring financial accuracy, consistency, and operational flow?Liberty Dental Plan is seeking an Accounting Coordinator to support key
Job DetailsShape the future of healthcare delivery across one of the nation’s leading academic health systems. Jefferson Health is seeking a visionary Enterprise Medical Director to lead clinical strategy and utilization management for our integrated health
Job Description General Summary: The Managed Care Contracting Associate Director will provide leadership and management oversight of Market Access Contract processes by facilitating pre- and post-deal analytics, negotiation, and administration of all Payer, Provider, Trade & Distribution, and
Hybrid based at our corporate office in Brentwood, TN, with on-site work required Monday through Wednesday for candidates in Nashville and surrounding areas. Remote option available for candidates outside of surrounding areas. DUTIES AND RESPONSIBILITIES Develops
Crum & Forster Company Overview Crum & Forster (C&F) provides market leading property & casualty, accident & health, specialty and standard commercial lines insurance solutions. A true underwriting company, we have a 200-year history of helping
Crum & Forster Company Overview Crum & Forster (C&F) provides market leading property & casualty, accident & health, specialty and standard commercial lines insurance solutions. A true underwriting company, we have a 200-year history of helping
JOB SUMMARY: The Utilization Management Clinical Pharmacist is responsible for playing a critical role in optimizing medication use, improving member outcomes, and ensuring regulatory compliance. This position serves as a clinical expert supporting medical injectable and
The Opportunity As a Medicaid Managed Care Senior Analyst, you will bring policy knowledge, project coordination, and management consulting experience to support Medicaid managed care contracting and compliance activities. In this role, you will help support the review of Medicaid
When you join the growing BILH team, youre not just taking a job, you’re making a difference in people’s lives.The Manager Care Coordinator initiates and process managed care insurance referral requests for patients of BILH Primary Care Practices, while maintaining
The Opportunity As a Medicaid Managed Care Associate, you will support the maintenance and development of Medicaid and Children’s Health Insurance Program (CHIP) managed care oversight, risk management, and compliance tracking resources. You will demonstrate strong subject matter expertise with
Description Position Summary: The Director, Managed Care is responsible for strategic partnerships with Managed Care Organizations, Post-Acute providers, and Health systems, including new business and revenue development through continued clinical integration and market expansion. Assists with business operations, audit/compliance, and
Employment Type:Full time Shift: Description: POSITION PURPOSE Provides managerial direction, leadership, consultation project management and specialized expertise in the delivery of large, complex and highly visible major payer contracting project initiatives and negotiations for Trinity Health
By joining Sedgwick, youll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with
Molina Healthcare is hiring several Associate Program Managers in our Government Contracts division. Associate program managers will be responsible for ensuring services, issue resolution, organization, communication, and cross-functional collaboration for a specific set of members, with
Department Overview This position is responsible for managed care, insurance verification and patient price estimate processes within the Centralized Managed Care & Price Estimates (CMC) department. This position supports the OHSU systems and operations of ambulatory practices, professional services and
Summary: The purpose of this position is to ensure accurate, compliant, timely billing and appropriate reimbursement for all professional vision or medical exams and vision material services from all vision insurance payers. This may include accurate
Manager Care Coordinator When you join the growing BILH team, youre not just taking a job, youre making a difference in peoples lives. The Manager Care Coordinator initiates and processes managed care insurance referral requests for patients of BILH Primary
Foster Care Coordinator Provide confidential administrative support/assistance to the department; support the department in all aspects of daily operations. Ensure high-touch coordination with Office of Children and Family Services (OCFS), Local Departments of Social Services (LDSS), and
Job Title Claims Auditor Job Description Are you ready to bring your clinical competencies to a world-class Medical Group known for the very highest clinical standards? Do you have a passion for the highest quality and
Job DetailsVirtual Primary Care/Telehealth Provider Job Description Jefferson Primary Care is currently accepting candidates for the position of Supplemental Access physician, to provide telehealth-based care in service to patients of the primary care network. This position is for a full-time