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A.R
Aetna Resources
The Network Relations Manager will foster strong relationships with healthcare providers while managing contracts and improving provider experiences.
Centene Management Company
Lead a clinical team focused on providing housing and employment services to members while ensuring compliance with regulatory standards.
UPMC
UPMC Health Plan is hiring a fully remote Medical Director for Utilization Management to oversee quality healthcare delivery.
U.T.K.B
Up to $15K Bonus
Join as an RN Care Manager with competitive salary and remote work opportunities.
A.P
Antares Pharma
Join Halozyme as a Specialty Account Manager to drive new prescriptions and educate healthcare providers on innovative drug delivery solutions.
WNR
WNR
The Managed Care Service Representative facilitates insurance referrals and authorizations for patient visits while maintaining high standards of customer service.
HealthAxis Group
The Utilization Review Nurse is responsible for reviewing medical necessity for outpatient services and managing inpatient admissions.
A.R
Aetna Resources
The Appeals Nurse Consultant works remotely to review and resolve clinical appeals, ensuring compliance with healthcare regulations.
A.R
Aetna Resources
The UM Nurse Consultant at CVS Health coordinates healthcare services for members, requiring clinical expertise and effective communication skills.
Mom's Meals
The Manager of Healthcare Partnerships will focus on driving growth in Medicare Advantage through relationship management and strategic collaboration.
Humana
Humana
Join Humana as a Project Manager to lead business operation implementations in a remote role.
Go365
Go365
Join our team as a Bilingual Telephonic RN Care Manager, focusing on patient management for individuals with complex health conditions.
Centene Management Company
Join Centene as an Actuarial Intern to gain experience in the Managed Care industry while contributing to impactful projects.
Go365
Go365
The Clinical Director leads regional clinical strategy and provider engagement to enhance healthcare delivery and operational excellence.
Centene Management Company
Seeking a Manager for Ethics & Compliance to oversee compliance programs and privacy regulations in a remote capacity.