• Case Manager

    Arms Acres (Bronx, NY)
    …and intervention with client support systems, including social service programs and managed care . ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. ... develop aftercare plans in conjunction with referring persons/agencies, EAPs and managed care /insurance entities. Attend and/or facilitate Family program.… more
    Arms Acres (12/19/25)
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  • Grievance & Appeals Coordinator I

    Centene Corporation (Indianapolis, IN)
    …competitive benefits including a fresh perspective on workplace flexibility. **Indiana Medicaid and Managed Care ** **Must be authorized to work in the US without ... Associate's degree preferred. 2+ years grievance or appeals, claims, related managed care experience, or relevant experience. Pay Range: $19.04 - $32.35 per… more
    Centene Corporation (12/19/25)
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  • Director, Transformation (AI) - Remote

    Molina Healthcare (Kenosha, WI)
    …experience in transformation, strategy, enterprise project or change management within a managed care or healthcare organization, or equivalent combination of ... teams through large-scale change and implementation efforts. + Deep understanding of managed care operations, provider networks, and healthcare delivery systems.… more
    Molina Healthcare (12/18/25)
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  • Mental Health Case Manager - Bell Unit

    UTMB Health (Cleveland, TX)
    …**New** Social Service UTMB Health Requisition # 2507085 The mission of Correctional Managed Care is to address the healthcare needs of underserved patient ... FUNCTIONS_** **:** + Contributes to the success of the UTMB Correctional Managed Care organization. + Assesses and documents a patient's mental health needs. +… more
    UTMB Health (12/18/25)
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  • Director, Risk Management

    Polk County Public Schools (Bartow, FL)
    …School Board personnel, students, and public. Directs the workers' compensation managed care and return-to-work programs. Oversees the administration of ... School Board personnel, students, and public. Directs the workers' compensation managed care and return-to-work programs. Oversees the administration of… more
    Polk County Public Schools (12/18/25)
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  • Director Commercial Provider Contract

    Highmark Health (Pittsburgh, PA)
    …or related field **EXPERIENCE** **_Minimum:_** + 7 - 10 years' experience in managed care network development and provider relations/contracting management in a ... healthcare and/or managed care environment + 7 - 10 years' experience in healthcare administration/financing/delivery or a related field + 5 - 7 years' of… more
    Highmark Health (12/18/25)
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  • Discharge Planner

    Prime Healthcare (Joliet, IL)
    …of Discharge Planning/ Utilization Management / Case Management terminology and functions, in both managed care and non- managed care environments. 2. ... Experience in basic to intermediate computer skills/knowledge 3. Current BCLS (AHA) certificate required upon hire and maintain current. Facility Specific Requirements (facility may require items listed below): + RN license upon hire preferred + LVN license… more
    Prime Healthcare (12/16/25)
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  • Revenue Cycle Manager

    Robert Half Management Resources (Vancouver, WA)
    …streamline revenue cycle processes and improve overall performance. * Collaborate with managed care organizations (MCOs) to address and resolve challenges ... standards related to Medicaid. * Effective communication skills to engage with managed care organizations and other stakeholders. * Proactive problem-solving… more
    Robert Half Management Resources (12/14/25)
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  • Patient Financial Access Facilitator

    Robert Half Office Team (Trumbull, CT)
    …funding referrals in line with departmental policies. * Maintain compliance with managed care requirements and healthcare regulations to ensure patient safety. ... applications in a high-pressure environment. * Familiarity with healthcare regulations and managed care requirements. * Proficiency in scheduling systems and… more
    Robert Half Office Team (12/13/25)
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  • Specialty Sales Representative, Immunology…

    Grifols Shared Services North America, Inc (New York, NY)
    …strategy, aligns tactics to the needs of the customer + Remain cognizant of managed care coverage throughout the business territory including major accounts and ... + Educate and promote IG product portfolio to customers including Primary Care Physicians, Allergists, Neurologists, Pharmacists, and Nurses. + Key Opinion Leader… more
    Grifols Shared Services North America, Inc (12/12/25)
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