• Population Health Managed…

    Ochsner Health (New Orleans, LA)
    …and guidelines for their assigned population . + Educates staff, students, patients, health care providers and other health care professionals. ... of Pharmacy and Medical Residents and provides education to health care providers as needed; and provides...other situations. + Adapts behavior to the specific patient population , including but not limited to: respect for privacy,… more
    Ochsner Health (01/01/26)
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  • Director of Business Development, Market Access

    Cardinal Health (Baton Rouge, LA)
    …matter expert on managed care , value-based payment methodologies, and population health trends, leveraging this knowledge to build credibility and trust ... OH. The _Director of Business Development, Market Access_ is a seasoned managed care executive and strategic individual contributor responsible for developing… more
    Cardinal Health (11/05/25)
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  • Medical Director - Medicaid (remote)

    Humana (Baton Rouge, LA)
    …of Humana processes, as well as a focus on collaborative business relationships, value based care , population health , or disease or care management. ... as inpatient rehabilitation. **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, ...as an MBA, MHA, MPH + Exposure to Public Health , Population Health , analytics, and… more
    Humana (01/01/26)
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  • Medical Director - IP Claims Management

    Humana (Baton Rouge, LA)
    …of Humana processes, as well as a focus on collaborative business relationships, value-based care , population health , or disease or care management. ... as inpatient rehabilitation. **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, ...as an MBA, MHA, MPH + Exposure to Public Health , Population Health , analytics, and… more
    Humana (12/11/25)
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  • LCSW - Full-time - Behavioral Health…

    Ochsner Health (Baton Rouge, LA)
    …and/or trauma upon the patient and their support system. + Advanced knowledge of managed care and public programs such as those funded by Medicare, Medicaid, ... and that matters. Come make a difference at Ochsner Health and discover your future today!** This job engages...personnel. + Advanced knowledge of an acute and chronic care medical setting, medical terminology and the psychosocial and… more
    Ochsner Health (10/29/25)
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  • Medical Director-Payment Integrity

    Humana (Baton Rouge, LA)
    …services such as inpatient rehabilitation. **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed ... includes experience in an inpatient environment and/or related to care of a Medicare type population (disabled...as an MBA, MHA, MPH + Exposure to Public Health , Population Health , analytics, and… more
    Humana (12/11/25)
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  • Director Reimbursement Design & Market Evaluation

    Highmark Health (Baton Rouge, LA)
    …reimbursement, through managed care contracting, provider reimbursement, consulting, population health delivery or related areas + 4 years Research and ... innovation. + Develop and maintains strategic provider relationships to understand the current health care delivery state, readiness for change, test value based… more
    Highmark Health (10/29/25)
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  • Utilization Management Nurse Consultant | NICU…

    CVS Health (Baton Rouge, LA)
    …consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions ... Utilization Management, or Neonatal Nursing. * Experience with Medicaid and/or managed care **Education** Bachelor's preferred, Associates required **Anticipated… more
    CVS Health (01/03/26)
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  • Medical Director - Pharmacy Appeals

    Humana (Baton Rouge, LA)
    …similar activities **Preferred Qualifications:** + Knowledge of the managed care industry, Integrated Delivery Systems, health insurance, or clinical group ... MCG, InterQual, NCCN, Micromedex, Lexicomp, Elsevier's Clinical Pharmacology + Exposure to Public Health , Population Health , analytics, and use of business… more
    Humana (12/03/25)
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  • Licensed Clinical Social Worker or Licensed…

    Ochsner Health (Slidell, LA)
    …and/or trauma upon the patient and their support system. + Advanced knowledge of managed care and public programs such as those funded by Medicare, Medicaid, ... and that matters. Come make a difference at Ochsner Health and discover your future today!** This job engages...personnel. + Advanced knowledge of an acute and chronic care medical setting, medical terminology and the psychosocial and… more
    Ochsner Health (10/08/25)
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