• Nurse Navigator - Transitions of Care

    Hackensack Meridian Health (Edison, NJ)
    …(BSN) or 1 year experience for non BSN HackensackUMC employees. + Knowledge of managed care principles. + Knowledge of Quality Improvement Program - New Jersey ... our mission to transform healthcare and serve as a leader of positive change. The **Transitions of Care Navigator** is a member of the healthcare team and… more
    Hackensack Meridian Health (08/15/25)
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  • Behavioral Health Care Manager II…

    Elevance Health (Rocky Hill, CT)
    …range of experience with complex psychiatric/substance abuse cases required. + Prior managed care experience required. Please be advised that Elevance Health ... **Behavioral Health Care Manager II** A proud member of the...is designed to advance our strategy but will also lead to personal and professional growth for our associates.… more
    Elevance Health (10/07/25)
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  • CIC Advanced Practice Clinician - NP / PA - Hybrid

    Commonwealth Care Alliance (Springfield, MA)
    …electronic medical record strongly preferred (eCW a plus) + Experience working with managed care population + Experience with Medicaid or Medicare programming ... Clinician (APC - NP or PA) serves as a lead for medical care delivery and ...Team Collaboration:** + Serve as a clinical mentor and leader for medical care + Proactively and… more
    Commonwealth Care Alliance (10/07/25)
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  • Director - Professional Billing Organization…

    Stanford Health Care (Palo Alto, CA)
    …area. + Knowledge of patient registration, billing, A/R, cash-management requirements, managed care contractual terms and requirements, health insurance ... Care job.** Are you a seasoned revenue cycle leader ready to make a significant impact at one...The Director of Professional Billing Organization at Stanford Health Care offers a unique opportunity to lead more
    Stanford Health Care (09/05/25)
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  • REMOTE - Director Clinical Programs, Health Plan

    Martin's Point Health Care (Portland, ME)
    …RN, NP, PA, PharmD, or similar clinical licensure. + 5+ years' experience in managed care , utilization/ care management, and program development. + Strong ... Care , we believe better health comes from better care . We're looking for a collaborative leader ...TRICARE members. Job Description In this role, you'll: + Lead strategy, design, and execution of innovative clinical programs.… more
    Martin's Point Health Care (09/20/25)
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  • Director, Revenue Cycle Payer Performance

    Baylor Scott & White Health (Dallas, TX)
    …This role serves as a critical liaison between Revenue Cycle leadership and Managed Care leadership to support and streamline payer communications. The Director ... a matrixed organizational structure, collaborating closely with teams across Revenue Cycle, Managed Care , Finance, and Operations. **Essential Functions of the… more
    Baylor Scott & White Health (09/04/25)
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  • Behavioral Health Care Manager II - CA…

    Elevance Health (Walnut Creek, CA)
    …range of experience with complex psychiatric/substance abuse cases required. + Prior managed care experience required. _For URAC accredited areas, the following ... **Behavioral Health Care Manager II** **Carelon Behavioral Health** **Location: Preferred...is designed to advance our strategy but will also lead to personal and professional growth for our associates.… more
    Elevance Health (10/08/25)
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  • Behavioral Health Care Manager II

    Elevance Health (Rocky Hill, CT)
    …of experience with complex psychiatric/substance abuse cases required. + Prior managed care experience required. **Preferred Skills, Capabilities, and ... **JR168947 Behavioral Health Care Manager II** Responsible for managing psychiatric and...is designed to advance our strategy but will also lead to personal and professional growth for our associates.… more
    Elevance Health (10/05/25)
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  • Behavioral Health Care Manager II

    Elevance Health (Denver, CO)
    …in the United States** . Licensure is a requirement for this position. + Prior managed care experience required. For candidates working in person or virtually in ... depression, and insightful analytics to improve the delivery of care . **Behavioral Health Care Mgr II** Location:...is designed to advance our strategy but will also lead to personal and professional growth for our associates.… more
    Elevance Health (09/26/25)
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  • Family Care Coordination Assistant Director

    City of New York (New York, NY)
    …State agencies (eg, SDOH, SOMH, OASAS, OPWDD), community health, mental health, and managed care organizations around child mental health services at DHS. ... of succeeding in permanent housing and independent living, improving access to care and health outcomes for low-income and vulnerable populations. The Office brings… more
    City of New York (08/13/25)
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