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Guidehealth
Guidehealth is looking for a part-time Medical Director in Psychiatry to oversee utilization management activities for a commercial health plan.
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CRD Careers (Independent Recruiters)
Join a national managed care organization as a Senior Clinical Coding Auditor & Trainer, focusing on improving coding accuracy and compliance.
Wellpartner
The Adjudication Associate (Omnicare) is responsible for claims processing and ensuring timely reimbursements while working overnight hours.
A.R
Aetna Resources
Join CVS Health as a Utilization Management Nurse Consultant, working from home to assess and coordinate healthcare services.
A.R
Aetna Resources
CVS Health is seeking a remote Appeals Nurse Consultant to process Medicare appeals and ensure compliance with clinical guidelines.
WNR
WNR
The Supervisor of Utilization Management will lead and support the clinical staff in managing utilization reviews and ensuring compliance with regulations.
E.R
Ensemble RCM
The Billing Specialist manages client billing and ensures compliance with contracts while supporting revenue cycle management at Ensemble Health Partners.
Highmark
Highmark
The Medical Director, Medical Policy role focuses on overseeing the development and management of medical policies at Highmark Inc.
A.P
Antares Pharma
Join Halozyme as a Specialty Account Manager to drive sales and educate healthcare professionals on innovative drug delivery solutions.
U.T.K.B
Up to $15K Bonus
Join a healthcare team as an RN Care Manager, providing case management and support for members' healthcare needs.
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.