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Centene Management Company
Join Centene as an Actuarial Intern to gain experience in the Managed Care industry while contributing to impactful projects.
Go365
Go365
Join our team as a Bilingual Telephonic RN Care Manager, focusing on patient management for individuals with complex health conditions.
Humana
Humana
Join Humana as a Project Manager to lead business operation implementations in a remote role.
Centene Management Company
Seeking a Manager for Ethics & Compliance to oversee compliance programs and privacy regulations in a remote capacity.
Go365
Go365
The Clinical Director leads regional clinical strategy and provider engagement to enhance healthcare delivery and operational excellence.
C.R
Capital Rx
The Appeals Technician manages appeals requests while ensuring high customer service and productivity in a remote setting.
A.R
Aetna Resources
Join CVS Health as a Utilization Management Nurse Consultant, utilizing your clinical expertise to coordinate healthcare services and benefits for members.
Centene Management Company
Centene is seeking a Trainer II to develop and conduct training programs for Pharmacy Services in a remote setting.
Centene Management Company
The Clinical Appeals Coordinator will manage statewide appeals and ensure compliance with healthcare regulations while working remotely.
Centene Management Company
The Senior Reimbursement Specialist will develop reimbursement standards and serve as a liaison to ensure compliance with state requirements.
Centene Management Company
Lead and manage contracting activities with healthcare providers while ensuring compliance and maximizing business opportunities.
Highmark
Highmark
The Pharmacy Business Consultant is responsible for leading strategic initiatives and providing mentorship within Pharmacy Services.
Experian
The Appeals Analyst role involves analyzing and pursuing appeal opportunities within managed care, operating in a fully remote environment.
A.R
Aetna Resources
CVS Health is seeking a remote Quality Management Nurse Consultant to audit clinical criteria and improve processes within the Medicaid and Duals Program.
University of Maryland Medical System
The Senior Decision Support Analyst at UMMS will coordinate financial and clinical decision support services, focusing on budgeting, cost accounting, and financial analysis.