• Sales Engineer 3, Managed Solutions - St.…

    Comcast (Independence, MO)
    …millions of customers every day. If you share in our passion for teamwork, our vision to revolutionize industries and our goal to lead the future in media and ... connect you to the support you need when it matters most, and should help you care for those who matter most. That's why we provide an array of options, expert… more
    Comcast (09/12/25)
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  • Resident Care Coordinator Assistant (Rcca)

    Athena Health Care Systems (Middletown, CT)
    …on non-completed sections of MDS. + Retrieves/Prints and faxes medical records to managed care companies for utilization review purposes. + Transmits MDSs to ... + Vacation and Personal Time + Health, Dental, and Vision Insurance We are an equal opportunity employer that...of personal characteristics, are encouraged to apply. Athena Health Care Systems and its managed centers follow… more
    Athena Health Care Systems (09/11/25)
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  • Medical/Health Care Program Analyst

    MyFlorida (Tallahassee, FL)
    …Plan Management Operations (PMO). PMO is responsible for the primary oversight of Medicaid's managed care programs, with a focus on the Statewide Medicaid ... Agency Secretary, AHCA is focused on advancing Governor DeSantis' vision for Florida's health care system to...Managed Care (SMMC) program. The bureau's primary… more
    MyFlorida (09/12/25)
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  • Resident Care Coordinator Assistant (Rcca)

    Athena Health Care Systems (Southbridge, MA)
    …on non-completed sections of MDS. + Retrieves/Prints and faxes medical records to managed care companies for utilization review purposes. + Transmits MDSs to ... + Vacation and Personal Time + Health, Dental, and Vision Insurance We are an equal opportunity employer that...of personal characteristics, are encouraged to apply. Athena Health Care Systems and its managed facilities/agencies follow… more
    Athena Health Care Systems (07/23/25)
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  • Enhanced Care Management Clinical…

    LA Care Health Plan (Los Angeles, CA)
    …and interdisciplinary care professionals in a hospital, medical group or managed care setting, such as a health insurance environment and/or experience ... with internal LA Care departments such as Care Management (CM), Utilization Management (UM), Managed ...+ Tuition Reimbursement + Retirement Plans + Medical, Dental and Vision + Wellness Program + Volunteer Time Off… more
    LA Care Health Plan (07/16/25)
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  • Care Management Specialist II

    LA Care Health Plan (Los Angeles, CA)
    …and interdisciplinary care professionals in a hospital, medical group or managed care setting, such as a health insurance environment and/or experience ... Care Management Specialist II Job Category: Clinical Department:...+ Tuition Reimbursement + Retirement Plans + Medical, Dental and Vision + Wellness Program + Volunteer Time Off… more
    LA Care Health Plan (09/06/25)
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  • Director Care Coordination

    Hunterdon Health Care System (Flemington, NJ)
    …to guide the development and implementation of a comprehensive transition of care model to ensure the appropriate utilization of resources, provision of discharge ... and in some aspects directs system-wide operations for the continuum of care relative to strategies, program development, planning, and evaluation and compliance… more
    Hunterdon Health Care System (09/06/25)
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  • Manager - Patient Services - Ventura County Health…

    Ventura County (Ventura, CA)
    …lead or supervisory position. NECESSARY SPECIAL REQUIREMENTS: + Two (2) years of experience in managed care + Must possess and maintain a valid license as a ... contributions. + Health Insurance Plans - Medical, dental, and vision plans for you and your dependents. A flexible...describe your professional experience in a hospital/clinic setting and/or managed care setting/health plan. In your response,… more
    Ventura County (09/09/25)
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  • Registered Nurse (RN) Manager, Appeals…

    LA Care Health Plan (Los Angeles, CA)
    …experience with health care grievance and/or appeals issues, preferably in a managed care or Medicaid Health Plan environment and/or public services or ... Program may substitute for the supervisory/management experience requirement. Preferred: Managed care experience. Skills Required: Excellent analytical, problem… more
    LA Care Health Plan (09/09/25)
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  • Customer Solution Center Appeals and Grievances…

    LA Care Health Plan (Los Angeles, CA)
    …Preferred Bachelor's Degree Experience Required: At least 2 years of experience in Managed Care with specific experience in resolving member and provider ... apply regulations. At least 5 years of experience in Managed Care working with Medicare, Medi-Cal and...+ Tuition Reimbursement + Retirement Plans + Medical, Dental and Vision + Wellness Program + Volunteer Time Off… more
    LA Care Health Plan (09/03/25)
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