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Managed Care Organization Pharmacy Directory



1 Pharmacy Contract Administrator Managed Care-JD/Paralegal BOISE, United States Job Title-Pharmacy Legal Contract Administrator Managed Care Purpose The Managed Health Care Contracting (MHCC) Department services contracted third party entities utilizing Albertson Companies 1800 ...... Apply Now>>

2 Vice President, Provider Contracting / Network Development - Growing Managed Care Co.! Worcester, United States Minimum 10 years of experience in healthcare management with a thorough understanding of the healthcare market and the needs/concerns of healthcare providers. * Requires deep experience with managed ...... Apply Now>>

3 Corrective Managed Care (CMC) Coordinator - PharmD Baltimore, MD, USA Company Description We are a pharmacist-owned staffing firm specializing in managed care government contracting. We staff all positions relevant to pharmacy from call center representatives to senior ...... Apply Now>>

4 RN Director of Clinical Audits - Managed Care Plan Queens, NY, USA Compass Healthcare Consulting & Placement is seeking a RN Director of Clinical Audits for a large Managed Care organization located on the border or Queens & Nassau County. This is an excellent ...... Apply Now>>

5 Manager, Care Management (LTSS) Albuquerque, United States Familiarity with Medicaid managed care practices and policies, CHIP, and SCHIP. Previous experience as a lead in a functional area, managing cross functional teams on large scale projects or ...... Apply Now>>

6 RN Non-Waiver Care Coordinator Chicago, IL, USA Maxim Healthcare Services is in the need of 4 RNs for Non-Waiver Care Coordinator positions with areputable Managed Care Organization inChicago, IL! StartDate: August 6th, 2018/ASAP Schedule: M-F,8a ...... Apply Now>>

7 Experienced Medical Contracts Coordinator for Managed Care Ridgeland, MS, USA The individual is responsible for assisting the Managed Care Department in the consistent management of all Payor contracts. This generally includes involvement in the credentialing, contract ...... Apply Now>>

8 VP, Network Development & Contracting (Managed Care) Portland, OR, USA MBA or MHA degree preferred. * 10+ years of experience in managed care network development and provider relations/contracting management in a health care and/or managed care environment. * Previous ...... Apply Now>>

9 Director of Managed Care St. Petersburg, FL, USA Provide orientation, training and supervision of case managers/care coordinators , administrative support and other care team members; provide ongoing support and coordination/expertise through ...... Apply Now>>

10 Clinical Supervisor Philadelphia, PA, USA This oversight will include supervision of care management as required by regulation or contract and personnel management associated with the clinical delivery. The Clinical Supervisor is accountable ...... Apply Now>>

11 Manager, Authorization Support (Medical Operations) -Hawaii Honolulu, HI, USA Competencies Technical Skills Thorough knowledge of health care delivery, managed care concepts, management reporting tools, and medical management systems; ability to perform critical, in-depth ...... Apply Now>>

12 Telemetry Nurse - Travel - (Tele RN) - Lafayette Lafayette, IN, USA Consistent monitoring of each of your patients for level of pain as well as providing pain management care can be expected. This environment is innovative, creative and patient centric, providing an ...... Apply Now>>

13 Unit Manager Quality & Accreditation Chicago, United States ... managed care experience with 1 year quality management experience *Knowledge of medical terminology and procedures, management care products and programs and National Committee for Quality Assurance ...... Apply Now>>

14 Telemetry Nurse - Travel - (Tele RN) - Woonsocket Woonsocket, RI, USA Consistent monitoring of each of your patients for level of pain as well as providing pain management care can be expected. This environment is innovative, creative and patient centric, providing an ...... Apply Now>>

15 Managed Care Coordinator New York, NY, USA Insure High quality, cost effective care and services for Managed Care Plan Members through support of professional Care Management and/or Clinical Services activities. The position supports all ...... Apply Now>>

16 Admissions / Marketing Liaison - SNF LTC Inverness, FL, USA The primary purpose of your job position is to manage the facility census goals and annual budget projections. You are entrusted to provide innovative, responsible healthcare with the creation and ...... Apply Now>>

17 Medical Mgmt Specialist I - Transition of Care - ABQ (Bernalillo, Sandoval, Valencia, Torrence) Albuquerque, United States Plus 3 years wellness or managed care experience presenting clinical issues with members/physicians. * Knowledge of the health and wellness marketplace and employer trends. * Verbal and written ...... Apply Now>>

18 Onsite Inpatient Care Manager Gainesville, United States Preferred 1 year of experience in Managed Care Candidate Skills: * Intermediate Ability to analyze information and covert related activities into a comprehensive work plan * Intermediate Ability to ...... Apply Now>>

19 Lead Care Managers/Care Managers 2p-10p and 10p-6a Cary, United States Responsibilities Lead Care Managers/Care Managers needed for 2p-10p and 10p-6a. Responsibilities: - Build meaningful relationships with a specified number of seniors and their families as you provide ...... Apply Now>>

20 Managed Care Coordinator Bronx, NY, USA We are seeking a Managed Care Coordinator to become a part of our team! You will coordinate medical and health services in hospitals, clinics or similar organizations. Responsibilities: * Oversee ...... Apply Now>>

21 RN / Medical Management Nurse Fresno, United States Risico Total Managed Care, Inc. (Risico) is seeking a qualified Medical Management Nurse to join the Risico Team in our Fresno office. We are very excited about the growth of our company and new ...... Apply Now>>

22 Manager - Care Management Albuquerque, NM, USA Familiarity with Medicaid managed care practices and policies, CHIP, and SCHIP * Previous experience as a lead in a functional area, managing cross functional teams on large scale projects or ...... Apply Now>>

23 Population Health Specialist Norwood, MA, USA Two to four years healthcare experience working within a Performance Improvement role; experience in either medical practice management, managed care provider relations, or hospital physician ...... Apply Now>>

24 RN Unit Manager, Care Pavilion Philadelphia, PA, USA The Unit Manager assumes 24-hour responsibility and accountability for the nursing care of all residents on an assigned unit. Supervises licensed nurses and other nursing personnel in the delivery of ...... Apply Now>>

25 Operations Manager - Care Homes wolverhampton, United Kingdom Work as Care Home Operations Manager for one of the care industries most exciting and up and coming organisations. Already the go to provider for adults with complex care needs this company have ...... Apply Now>>

26 Operations Manager - Care livesey, United Kingdom An exciting new job opportunity has arisen with an established healthcare provider; they are currently expanding and have a new role available as an Operations Manager. The company is a medium sized ...... Apply Now>>

27 Field Care Manager New York, NY, USA ... Managed Care experience Community-based or In-Home visit experience Experience working with either Geriatric, chronically ill or functionally challenged populations Job Type: Part-time/Per Diem ...... Apply Now>>

28 Assisted Living RN Director / Resident Care Director Lilburn, United States Responsibilities Responsibilities: -Provide strategic leadership for resident care in the community by managing, directing and monitoring the nursing team and medication care managers, as applicable ...... Apply Now>>

29 Program Director, Care Management Services New York, NY, USA Manages admissions and discharges, outreach and engagement, assessment and care coordination assignments. Oversees assessments and care management planning to assure timely access to appropriate ...... Apply Now>>

30 Care Transitions Coordinator Shelton, CT, USA Area Sales Manager, Care Transitions Manager, or AVP of Business Development Directly Supervises and Evaluates No direct reports Description The Care Transitions Coordinator is a clinical liaison ...... Apply Now>>

31 Deputy Manager Care London, United Kingdom This opportunity is working for a fantastic company who truly value their children in care and ... Ensuring that budgets are managed effectively and the use of finances is properly monitored. * To ...... Apply Now>>

32 Clinical Manager, PD Warwick, RI, USA Under the direction of the Vice President of Clinical Operations, the clinical manager is ... ZR Company Description At the VNA of Care New England, we believe that hospice is not a place but a ...... Apply Now>>

33 RN - UAS Reviewer - Registered Nurse for Managed Care Queens, NY, USA Compass Healthcare Consulting & Placement is conducting a search for a Full Time UAS Reviewer for our Client a well established and growing Managed Long Term Care Plan. This is a Full Time Direct ...... Apply Now>>

34 Health Center Manager Charleston, IL, USA ... managed care or ambulatory care setting required. Eight years of substantial management experience in the health care industry may be substitut... Apply Now>>

35 DIRECTOR, CLINICAL OPERATIONS - MEDICAID, GATEWAY HEALTH - BJ111572 Pittsburgh, PA, USA Managed Care * Lean/Six Sigma Company Description Specialized Healthcare Staffing is a provider-centric staffing model. I do what is best for the provider and my clients to find a good fit and to ...... Apply Now>>

36 General Manager Care Home Manager London, United Kingdom Our client a large Care provider are looking for experienced Care Home Managers to manage staff and effectively monitor appropriate care delivery systems and routines which meet the needs of the ...... Apply Now>>

37 Home Manager Care Home / Nursing Home stoke-on-trent, United Kingdom ... manager on behalf of a 110 bedded nursing home based in Stoke-On-Trent which provides nursing care, nursing dementia care, respite, convalescence and palliative care. Our client is looking for an ...... Apply Now>>

38 DIRECTOR CARE COORDINATION (RN Leader to Transition Acute Care Mgmt) Dearborn, MI, USA Collaborating with Appeals for managed care, risk review, and ongoing utilization evaluation. * Building solid relationships and service level agreements with post-acute providers to ensure programs ...... Apply Now>>

39 Director of Managed Care Chicago, IL, USA This position has direct reports, which are Managed Care Regional Account Directors in the assigned geographies. Principal Functional Responsibilities: Articulate our company value proposition and ...... Apply Now>>

40 Physician: Outpatient Primary Care and Addiction Management Job, Great Salary and Benefits Quincy, IL, USA An organization in Illinois needs a primary care physician with interest in helping patients ... If you or a colleague are interested in this or one of our other pain management jobs, please ...... Apply Now>>

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