• Manager, Growth & Community Engagement (Southern…

    Molina Healthcare (Las Cruces, NM)
    …an Equal Opportunity Employer (EOE) M/F/D/V. \#PJHPO Key Words: Medicare, Medicaid, Managed Care , Manager, Leader, Marketing, Duals, Enroll, Enrollees, Coverage, ... years' experience in business development, community relations or health care related activities. + 3 years Managed -...health care related activities. + 3 years Managed - Care , Medicaid experience; knowledge of advertising requirements… more
    Molina Healthcare (12/05/25)
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  • Discharge Planner - Crisis Stabilization Unit

    Prime Healthcare (Chula Vista, CA)
    …of Discharge Planning/ Utilization Management / Case Management terminology and functions, in both managed care and non- managed care environments. 2. ... the changing needs of our community. Our 291-bed, acute care hospital features the San Diego Spine & Joint...campus in Chula Vista. Services include psychiatric continuum of care for adult patients, inpatient services, and intensive outpatient… more
    Prime Healthcare (12/04/25)
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  • Lead Director, Pharmaceutical Contracting

    CVS Health (Minneapolis, MN)
    …Qualifications:** *10+ years of professional related experience *8+ years experience in managed care which may include PBM, Pharma, market access, account ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
    CVS Health (12/02/25)
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  • MDS Coordinator

    Magnolia Health Systems (Columbus, IN)
    …Rehabilitation is seeking an MDS Coordinator to- + MDS scheduling and completion for OBRA/PPS/ Managed Care utilizing RAI guidelines + Assist with care plan ... data collection for audits including but not limited to, State, Medicare, and Managed Care . + Participate in facility and company meetings per policy + Become… more
    Magnolia Health Systems (11/30/25)
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  • Discharge Planner - Crisis Stabilization Unit

    Prime Healthcare (Chula Vista, CA)
    …Discharge Planning/ Utilization Management / Case Management terminology and functions, in both managed care and non- managed care environments.2. ... the changing needs of our community. Our 291-bed, acute care hospital features the San Diego Spine & Joint...campus in Chula Vista. Services include psychiatric continuum of care for adult patients, inpatient services, and intensive outpatient… more
    Prime Healthcare (11/27/25)
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  • Regional Payer Account Director - Mid Atlantic

    Organon & Co. (Dover, DE)
    …**Required Education, Experience and Skills** + BA/BS. + Two plus years of managed care account manager or equivalent experience. + Customer knowledge and/or ... analytical capabilities. + Highly developed Leadership Skills. + Working Knowledge: Managed Care Operations, Contracting Strategy, Healthcare Systems Structure… more
    Organon & Co. (11/25/25)
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  • Executive, Ops Ambulatory Surgery Center

    Sutter Health (Mountain View, CA)
    …KNOWLEDGE:** + Demonstrated knowledge in areas of physician practice operations and financing and managed care business Prior experience in a managed care ... policies and procedures that ensure high-quality, efficient and compassionate patient care . Incumbent will work collaboratively with the geographic leadership team,… more
    Sutter Health (11/20/25)
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  • Manager - Patient Access Services

    Houston Methodist (The Woodlands, TX)
    …competency and professional pathway progression. + Communicates updates/changes to processes, managed care information, throughput, etc., in a timely manner. ... MS Office and EMR software + Functional knowledge of revenue cycle and managed care **SUPPLEMENTAL REQUIREMENTS** **WORK ATTIRE** + Uniform No + Scrubs No +… more
    Houston Methodist (11/06/25)
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  • Senior Clinical Pharmacist, Oncology Program

    Premera Blue Cross (Mountlake Terrace, WA)
    …+ Four (4) years of clinical program development,managementor consultation in a managed care setting **(Required)** + Board Certified in Oncology Pharmacy ... (HighlyPreferred) + Experience in managed care pharmacy + Experience and/or familiarity with EHR, Oncology provider practices, specialty pharmacy practices,… more
    Premera Blue Cross (11/05/25)
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  • Credentialing Verification Specialist

    Emory Healthcare/Emory University (Atlanta, GA)
    …diploma or equivalent and one year of credentialing experience in an acute care hospital, managed care organization and/or credentialing verification ... Floor Surfaces, Hot/Cold Temperatures, Indoor/Outdoor conditions, Latex, Lighting, Patient care /handling injuries, Radiation, Shift work, Travel may be required. Use… more
    Emory Healthcare/Emory University (11/04/25)
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