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Managed Care Organization Pharmacy Directory



1 Contract Coordinator - Managed Care Drexel Hill, PA, USA Responsible for the communication of Managed Care contract rates and related terms for all Virtua entities, to include Virtua Joint Ventures (JV) and Virtua Medical Group (VMG). Facilitates dispute ...... Apply Now>>

2 Medicaid Managed Care Project Manager Austin, TX, USA Enforces Medicaid Managed Care Committee-established project roles and responsibilities. Identifies and plans for needed resources. Completes project deliverables within time, cost, and quality ...... Apply Now>>

3 Physician Director CHN Care Mgmt Quality/Analytics Centennial, CO, USA Reporting directly to the President, Colorado Health Neighborhoods and Managed Care Strategy, the Physician Director CHN of Quality, Care Coordination, Risk Adjustment and Analytics is a member of ...... Apply Now>>

4 Access & Reimbursement Manager, San Francisco San Francisco, CA, USA ... managed care and/or infusion experience (e.g. oncology, rare disease) within pharmaceutical industry · HUB and/or Patient service model experience, and financial assistance programs · Exemplary and ...... Apply Now>>

5 Director of Managed Care RN, Workers Comp Concord, CA, USA Dir. of Managed Care RN, Workers Comp - Concord, CA Our client, a fast-growing commercial insurance company, is seeking a RN Branch Manager of Telephonic Case Management for Workers Compensation... Apply Now>>

6 Managed Care Project Manager Bellville, TX, USA ATTN Austin, TX - IDR is seeking a Medicaid Managed Care Project Manager to manage a portfolio of four procurements for the HHSC Medicaid Managed Care (MMC) program which includes STAR Health, STAR ...... Apply Now>>

7 Facility Contract Manager- PST Lewis County, WA, USA Previous managed care contracting experience in facility contracting (hospitals/ health centers/ health clinics/ community health centers) * Ability to follow directions * Be detailed oriented... Apply Now>>

8 Manager - ICU Silverdale, WA, USA This position is for the Manager of a 20 bed multi-specialty ICU including Cardiothoracic Surgery, Intra Aortic Ballon Pumps, LVAD, CRRT. AACN Beacon Award Winning Unit 2013-2016, 2016-2019. 3 Star ...... Apply Now>>

9 Care Manager (License behavioral health clinicians & nurses needed) Oakland, CA, USA Knowledge of managed care and state specific expertise preferred. * Demonstrated experience exercising influence and negotiation skills to effectively manage patient care and health care outcomes... Apply Now>>

10 Care Manager - Applied Behavior Analysis (ABA) Vancouver, WA, USA Minimum of two (2) years, post licensure, of combined direct behavioral health clinical and managed care experience. Contracts may dictate other specific experience and/or licensure requirements... Apply Now>>

11 Manager Healthcare Data Analytics Los Angeles, CA, USA HEALTHCARE DATA ANALYTICS ROCK STARS TAKE NOTE Our Client, a progressive, successful managed care organization is looking for innovative and energetic Data Analytics professionals. The Healthcare ...... Apply Now>>

12 Senior Manager, Care Redesign San Francisco, CA, USA THE ROLE The Senior Manager, Care Redesign is responsible for day-to-day management of technical assistance offered by the CQC and Care Redesign team. The position serves as an Improvement Advisor to ...... Apply Now>>

13 Senior Financial Analyst, Managed Care - Phoenix or Tucson/9350.1050.0002 Phoenix, AZ, USA If you love managed care contracts and analyzing pricing methodology and cost trends to forecast profitability, we want you to join our team. In your job, you will have the ability to make a ...... Apply Now>>

14 Care Manager RN 2 QA Dallas, TX, USA JOB SUMMARY The Care Manager RN 2 QA is responsible for assessing and coordinating patient care across the continuum utilizing accepted criteria and guidelines to manage benefits and determine ...... Apply Now>>

15 Relocate to California - Permanent System Clinical Pharmacy Coordinator- Utilization Management San Francisco, CA, USA Managed care, health plan, pharmacy benefit management, or physician group experience is strongly recommended. * Prior experience developing clinical programs, presenting clinical information ...... Apply Now>>

16 LPN Med Care Manager Burlingame, CA, USA 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 LPN Medication Care Manager is responsible for ...... Apply Now>>

17 Mgr Comprehensive Care RN Round Rock, TX, USA JOB SUMMARY Manager Comprehensive Care Management RN manages the activities and staff responsible ... that affect the managed organization. Basic business knowledge, including but not limited to ...... Apply Now>>

18 Assistant Health Services Director Longview, WA, USA Ensures that residents care needs are met by coordinating with other community professionals, including physicians, discharge planners, nurses, home health agency staff, case managers, and state ...... Apply Now>>

19 Physician - Administration-Administration - Management Tucson, AZ, USA Understanding of clinical protocols, reimbursement challenges, and managed care principles * Ability to perform as a Physician Advisor to ensure the medical management of cases and quality of patient ...... Apply Now>>

20 On-Call Case Manager / Care Coordinator Bellingham, WA, USA On-Call Case Manager / Care Coordinator Ten-Step Hourly Range: $25.90 - $33.79, DOQ Are you interested in working on an on-call basis and making a difference in your community? The Northwest Regional ...... Apply Now>>

21 Managed Care Specialist Seattle, WA, USA Previous experience selling in hospital and/or healthcare industry. Equal Opportunity Employer-minorities/females/veterans/individuals with disabilities/sexual orientation/gender identity... Apply Now>>

22 Manager, Care Management Beaverton, OR, USA 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>>

23 Chief Medical Officer (St. Thomas More & St. Mary Corwin Hospitals) Pueblo, CO, USA Knowledge of Joint Commission, managed care and health policy is essential with proven success in effective integration of medical management * Board certified in an approved clinical specialty ...... Apply Now>>

24 Registered Nurse Manager, Cardiovascular Thoracic ICU (Permanent Roles) Oakland, CA, USA Registered Nurse Manager, Cardiovascular Thoracic ICU (Permanent Roles) Includes Cedars Sinai, Stanford Children's and many others. Locations include Los Angeles, Glendale, Beverly Hills, Long Beach ...... Apply Now>>

25 Practice Manager - Cardiology Clinic Beaumont, TX, USA ... as managed care concepts Ability to recognize and communicate variances in key practice indicators Must be computer literate and have strong organizational skills Normal office environment... Apply Now>>

26 Case Manager (Care Management) Seattle, WA, USA Case Manager (Care Management) - Posting 20581 Position Summary : Full-time position available for the Care Management Program located in White Center - Seattle. The interdisciplinary team member is ...... Apply Now>>

27 PCMH Care Coordinator* Zephyrhills, FL, USA Officer Supervisor/Manager Job Summary: PCMH Care Coordinator (LPN) with Manage Care Humana Gold experience also responsible for facilitating care coordination services for patients in need of ...... Apply Now>>

28 Care Manager (Registered Nurse/RN) LPN Gig Harbor, WA, USA The RN Care Manager is responsible for the coordination of the patients care and services. Promotes quality care using a collaborative process that coordinates, monitors, and evaluates services ...... Apply Now>>

29 Clinical Manager - ICU/CCU Castro Valley, CA, USA The Clinical Manager (CM) is accountable for the delivery of high quality nursing care and the clinical management of the department on a 24-hour basis. The Clinical Manager (CM) reports to the ...... Apply Now>>

30 Health Care Consultant Seattle, WA, USA Description Milliman's Seattle Health Practice is seeking a Healthcare Management Consultant to join our team. We are looking for an experienced consultant with interest and experience in state ...... Apply Now>>

31 Clinical Manager Perioperative Services Surgical Services and Sterile Processing Burien, WA, USA With more than 700 care sites across the U. S. , from clinics and hospitals to home-based care and ... Anne has been training it's leadership team in the use of lean management techniques for health ...... Apply Now>>

32 Program Manager, Accreditation and Regulatory Management Seattle, WA, USA Minimum two years' experience in a managed care, health insurance or health care setting. Minimum two years' experience with NCQA accreditation (health plan accreditation preferred). Minimum two ...... Apply Now>>

33 Clinical Utilization Mgt Coordinator RN Reno, NV, USA Coordinator serves as a principal liaison between Physician Advisors, Case Managers and finance to oversee and coordinate processes and systems related to the denials received from the Managed Care ...... Apply Now>>

34 Associate, Realtime Management Care Guide Home, WA, USA ... management applications preferred Career Framework Role Performs routine assignments in the entry level of the Professional Career Band. Uses existing procedures to solve routine or standard problems... Apply Now>>

35 Program Service- Hospice/Palliative Care Director Portland, OR, USA ... Care Program ... These include cost management, revenue and referral generation, cash flow management, and ...... Apply Now>>

36 Veterinary Regional Manager San Francisco, CA, USA Seattle - Los Angeles- San Francisco PetVet Care Centers is a Network of over 260 Specialty and ... Overview Regional Managers support the Hospital Administrators, Managers and Medical Directors to ...... Apply Now>>

37 Clinical Appeals Specialist GSMC Longview Longview, TX, USA This position further enables financial recovery reporting for CHRISTUS Health leaders and support for contract negotiation with payers, especially managed care companies. Properly identify denial ...... Apply Now>>

38 Health Services Manager Olympia, WA, USA ... managed care standards, regulations, policy and procedures; annually monitor clinic operations and implement corrective action. * Monitor and assess the quality and appropriateness of dental and ...... Apply Now>>

39 Care Coordination Supervisor - Posting #20-053 Vancouver, WA, USA The Care Coordination Supervisor is to ensure compliance with state, manage care plan, ACH HUB and agency regulations and policies. • The Care Coordination Supervisor is to provide oversight and ...... Apply Now>>

40 Associate Care Director Redmond, WA, USA Are you ready to move into a management role? Are you a talent Medication Caregiver or Lead NAC ... Loves the residents, loves the care team and leads by example? * Looks forward to going to work ...... Apply Now>>

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