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
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
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
Site: The General Hospital Corporation Mass 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
When you join the growing BILH team, youre not just taking a job, you’re making a difference in people’s lives.Under the direction of the Manager, Provider Enrollment and Reporting, the government payer Enrollment Specialist is responsible
This is a remote position. About Us Ellit Groups is a Private Equity-backed, woman, minority-led healthcare IT consulting firm focused on Provider and Payer organizations. We partner with healthcare leaders who value operational excellence, real-world experience,
LocationRemote, US Scheduled Hours40 Position SummaryPosition is responsible for the following critical functions: Managed Care pricing and rate contracting strategy, Transplant Contracting Data Collection, Managed Care fee schedule management – commercial and government payers, Managed Care Analysis and Reporting. In the performance
Awarded a Healthiest Employer, Blue Cross Blue Shield of Arizona aims to fulfill its mission to inspire health and make it easy. AZ Blue offers a variety of health insurance products and services to meet the
Job DetailsLevel: ExperiencedJob Location: Involuntary Remote TMC - Remote, SC 29486Position Type: Full TimeEducation Level: Bachelors DegreeSalary Range: $175,000.00 - $250,000.00 SalaryTravel Percentage: 20%Job Shift: DayJob Category: ExecutiveThis is a remote position but hybrid at one
Company Description At National Vision we believe everyone deserves to see their best to live their best. We help people by making quality eye care and eyewear more affordable and accessible. National Vision is one of the
Company Description At National Vision we believe everyone deserves to see their best to live their best. We help people by making quality eye care and eyewear more affordable and accessible. National Vision is one of the
Summary Reviews and evaluates medical or behavioral eligibility regarding benefits and clinical criteria by applying clinical expertise, administrative policies, and established clinical criteria to service requests or provides health management program interventions. Utilizes clinical proficiency, claims
Job Title 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
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
Description About ITS: Do you have the CHOPS? IT Solutions lives its values: Client Success is Our Success, Hungry for the Journey, Ownership Thinking, Passionate Problem Solving, and Surrender the Ego. If your values align, we
Company Overview At Motorola Solutions, we believe that everything starts with our people. We’re a global close-knit community, united by the relentless pursuit to help keep people safer everywhere. We build and connect technologies to help
Job Summary: The Clinical Care Manager-Massachusetts is a community based registered nurse responsible for providing monitoring, follow-up and clinical care management to dually-eligible enrollees with complex medical, behavioral and social care needs. This position focuses on integrating health services
Become a part of our caring community The Field Care Manager Nurse 2 assesses and evaluates member needs to support optimal health and wellness outcomes. In this role, you will partner with members, families, and care teams to