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Managed Care Organization Pharmacy : Rhode Island

100 Romano Vineyard Way      North Kingstown,  RI 02852
NPI: 1194919597


1 Director Level Managed Care Liaison us Director Level, Managed Care Liaison New Team, Top Company One of our clients, a leading pharmaceutical company, is adding a new team (Medical Affairs Directors) that will be the primary medical ...... Apply Now>>

2 Care Manager II (CA) EL VERANO, CA, USA Interqual, NCCN) and government sponsored managed care programs. Licenses/Certifications: Current state's RN license Centene is an equal opportunity employer that is committed to diversity, and ...... Apply Now>>

3 Healthcare Services Manager us Demonstrated working knowledge of health care cost containment concepts and managed care principles. * Knowledge of medical benefits and medical/transplant network administration. * Knowledge of ...... Apply Now>>

4 Director, Managed Care and Patient Growth New York, United States ... managed care contracting or network development and strategic planning, two (2) years of which must have been in a responsible administrative, managerial or supervisory capacity; or 2. Bachelor ...... Apply Now>>

5 Supervisor Health Care Services us Providence is calling a Supervisor Health Care Services to Providence Health Plan Partners, Medical Management in Beaverton, OR. We are seeking a Supervisor Health Care Services that is responsible ...... Apply Now>>

6 Vice President of Payor Contracting us Reporting to the CEO of MCMF, the Vice President is responsible for the strategy and execution of managed care contracting and ensuring other departments have a clear understanding of contract ...... Apply Now>>

7 Clinical Manager - Registered Nurse (Rn) Lakewood, WA, USA Clinical Manager (RN) Aveanna Healthcare, the largest pediatric home health care company in the U.S., is hiring a Registered Nurse to fill the role of Clinical Manager to assist the Director of ...... Apply Now>>

8 Business Analyst III Tacoma, WA, USA ... are • Advanced knowledge of Microsoft Applications, including Excel and Access preferred • Project management experience preferred Benefits and Payment Configuration: • Bachelor's degree in ...... Apply Now>>

9 Clinical Quality and Training Manager us Clinical Quality and Training Manager - Utilization Review AllMed Healthcare Management's mission is to improve the quality and integrity of healthcare by providing independent medical review ...... Apply Now>>

10 Clinical Manager PCU Bremerton, United States Harrison is looking for a Clinical Manager to join our PCU that will be moving to our NEW HOSPITAL in Silverdale! This 500,000 Square-foot hospital will be the most energy efficient hospital in ...... Apply Now>>

11 Care Coordinator Sisters of St. Francis Alameda, CA, USA Req ID 2019-1461 Job Locations Management & Corporate Job Category Salaried - 72 Shift Day Who We Are Expressing our faith heritage, Elder Care Alliance is an integrated system committed to serving ...... Apply Now>>

12 Payroll Manager Seattle, WA, USA Veras model is anchored by three core elements: high engagement, managed care and organizational culture change, which combine to drive down utilization of costly services like ER, inpatient ...... Apply Now>>

13 CNA, Care Manager Lynnwood, United States Working here is an unbelievable privilege and it will be something I carry with me for the rest of my life!" - Sunrise Team Member At Sunrise, our Care Manager is responsible for providing the ...... Apply Now>>

14 Care Services Director - Social Worker us Create, maintain and manage care services budget with Executive Director and Board of Directors. Detailed Duties and Responsibilities * Research and evaluate current and potential services for ...... Apply Now>>

15 Med Care Manager Lynnwood, United States Working here is an unbelievable privilege and it will be something I carry with me for the rest of my life!" - Sunrise Team Member At Sunrise, our Med Care Manager is responsible for providing the ...... Apply Now>>

16 Inpatient Care Manager - Nurse Manager us We'll transform healthcare in the Bay Area--together. We've been named an "Elite" Medical Group for ... Assists in the operations of Care Management functions including planning, monitoring, and ...... Apply Now>>

17 Care Navigator Seattle, WA, USA Case Management certification preferred. Work Experience * Minimum of five years of clinical practice in an acute care setting within the last five years is required. * Three years previous ...... Apply Now>>

18 Practice Manager Anchorage, AK, USA These dyad relationships are responsible to ensure exceptional delivery of patient care. You are ... Population Health Management Done Right Our model has proven its worth in the market since 2012. We ...... Apply Now>>

19 Physician Practice Manager II - UW Medicine Heart Institute Service Line Seattle, WA, USA The UW Medicine Heart Institute provides acclaimed services in cardiac care. Our areas of specialty ... The Clinic Manager, under minimal direction of the Director, is responsible for managing all ...... Apply Now>>

20 Business Analyst II Tacoma, WA, USA Knowledge of managed care information systems and experience in benefits, pricing, contracting or claims preferred. Knowledge of provider reimbursement methodologies preferred. Previous structured ...... Apply Now>>

21 Travel Nurse RN - Case Management - $1,692 per week Puyallup, Washington, USA ... managed care and the use of healthcare resources in the most cost-effective way possibleEnsure that the proper treatment is administered at the appropriate time in order to maximize health and well ...... Apply Now>>

22 Care Coordinator - RN or LPN Walnut Creek, CA, USA Comprehensive knowledge of workers' compensation, insurance, and managed care, suggested. Familiarity with long- term care and/or sub-acute care, recommended. Education Requirements Current, active ...... Apply Now>>

23 Project Manager- Healthcare Experience Preferred Seattle, United States The ideal candidate would have experience managing healthcare projects. The purpose of this position is to lead individual, multi-disciplined real estate project solutions for clients, with direct ...... Apply Now>>

24 Case Manager - Skilled Nursing Facility (PRN) Tacoma, WA, USA Comprehensive knowledge of workers' compensation, insurance, and managed care preferred. Ability to negotiate coverage and provide complete and timely case management reports required. Prior ...... Apply Now>>

25 Quality Measurement Analyst us An emphasis in Medicare or Medicaid/Medi-Cal managed care... Apply Now>>

26 Care Manager Ossining, United States The Care Manager will report to the Assistant Director of the Health Home Program, who is based in Ossining. The Health Home program is a New York State program for individuals on Medicaid who have ...... Apply Now>>

27 Project Manager (Healthcare Facility) us ... manage and complete facility type projects within a multi-disciplined healthcare infrastructure. Projects occur across multiple campuses in the Northwest. Essential Duties and Responsibilities... Apply Now>>

28 Nurse-RN Care Mgr PB (Full Time) Voorhees, United States As a RN Care Manager, your responsibility to patients' progress is through the delivery of high-quality and cost-effective health care while achieving positive clinical outcomes. In addition, patient ...... Apply Now>>

29 Healthcare Regulatory IT Implementation Manager us A minimum of 5 years consulting and/or healthcare industry experience is required. * Use of MS ... Demonstrated management and conflict resolution skills to effectively lead and motivate others... Apply Now>>

30 Vice President, Strategic Planning and Market Development us The University HealthCare Alliance Vice President of Accountable Care Operations leads the development of overall planning, budget, and management of the Accountable Care Division and manages the ...... Apply Now>>

31 Business Healthcare Analyst us We'll transform healthcare in the Bay Area--together. We've been named an "Elite" Medical Group for ... Confers with users, managers, and other departments to determine impact and dependencies of ...... Apply Now>>

32 Health Care Compliance Analyst Santa Rosa, United States Developing risk management strategies to avoid non-compliance * Designing policies and procedures to implement mental health Medi-Cal managed care regulations * Assisting the Compliance Officer in ...... Apply Now>>

33 Care Coordination Supervisor - Youth Residential Housing Facility [ 080 ] Lake Oswego, OR, USA This individual also works with the Robinswood management team to review all referrals, assess ... The Care Coordination Supervisor acts as the primary Robinswood liaison to the Clackamas County ESD ...... Apply Now>>

34 Project Manager - Healthcare Tenant Improvements us The Seneca Group is currently seeking skilled project managers to join our healthcare team in the Seattle area. Candidates should have a minimum of 3 years of demonstrated excellence in healthcare ...... Apply Now>>

35 RN Medical Care Manager Los Angeles, CA, USA APLA Health is currently seeking a RN Medical Care Manager to join our Baldwin Hills Team! We offer great benefits, competitive pay, and great working environment! We offer: * Medical Insurance... Apply Now>>

36 Manager, Healthcare Analytics - West Tacoma, WA, USA The Manager, Healthcare Analytics drives the execution of analytics strategy through the discovery, development, and implementation of leading-edge analytics that answer important business questions... Apply Now>>

37 MSO QI Specialist San Francisco, CA, USA Knowledge of managed care, Medi-Cal and Medicare is strongly preferred. ESSENTIAL JOB FUNCTIONS: * Coordinate and participate in QI projects including the Practice Improvement Programs (PIP), inter ...... Apply Now>>

38 Manager, Population Health Management Honolulu, HI, USA The Care Management Manager is responsible for providing administrative and clinical leadership and oversight of the Population Health Management staff to ensure successful delivery of complex case ...... Apply Now>>

39 Physician / Administration / California / Permanent / Medical Director: Utilization Review / Sacr... Sacramento, California, USA Responsible for a number of activities related to the management of medical care and clinical services such as cost management, utilization review, quality assurance, and medical protocol development... Apply Now>>

40 Medical Director San Francisco, United States Managed care or population health experience in clinically integrated network or health plan settings. About us: We are headquartered in San Francisco, with R&D in Tel Aviv, and are backed by Sequoia ...... Apply Now>>

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