Salud Healthcare Salud Healthcare is transforming the delivery of value-based care by empowering provider organizations with data-driven insights, modern technology, and operational excellence. As a rapidly growing Management Services Organization (MSO), Salud partners with physician groups to
Lumexa Imaging is one of the countrys largest providers of outpatient medical imaging. With over 5,000 team members and more than 185 outpatient imaging centers across 13 states, our team conducts more than 4 million outpatient
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
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
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
About Acadia Pharmaceuticals Acadia is committed to turning scientific promise into meaningful innovation that makes the difference for underserved neurological and rare disease communities around the world. Our commercial portfolio includes the first and only FDA-approved
The Managed Services Analyst I role delivers excellent customer service to both internal and external clients, assisting them with GHX products or services. This role supports administrative processes and tasks in support of team objectives. This position
Comcast Business offers a suite of Connectivity, Communications, Networking, Cybersecurity, Wireless, and Managed Solutions to help global organizations of all sizes prepare for what’s next. Powered by the nation’s largest Gig-speed broadband network and backed by 24/7
Become a part of our caring community Job Description Summary The Field Care Manager Physical Health RN /Field Care Manager Nurse assesses and evaluates members needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families