• Plante Moran (Denver, CO)
    …are met and high- quality support is consistently provided. Collaborate with internal Managed IT team members and our clients to design and implement customized ... Count on us. Our "we- care " culture is more than just a motto; it's a...managed service solutions that meet clients' goals and expectations. Conduct regular… more
    Upward (08/12/25)
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  • Clever Care Health Plan (Huntington Beach, CA)
    …outcomes. The Case Manager ensures members progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the ... and innovation. Job Summary The role of the Case Manager is to promote quality , cost-effective outcomes...license issued by the California BRN required. *Certified Case Manager (CCM) preferred *Certified Managed Care more
    Upward (07/31/25)
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  • Lundbeck (Indianapolis, IN)
    …and/or experience in other areas of the business; ie, marketing, sales training, managed care account manager , sales operations, account management is ... and transform lives. Join us on our journey of growth! As an Area Sales Manager (ASM) you will be responsible for leading, developing, and managing a diverse, high… more
    HireLifeScience (09/20/25)
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  • Lundbeck (San Diego, CA)
    …and/or experience in other areas of the business; ie, marketing, sales training, managed care account manager , sales operations, account management is ... and transform lives. Join us on our journey of growth! As an Area Sales Manager (ASM) you will be responsible for leading, developing, and managing a diverse, high… more
    HireLifeScience (07/11/25)
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  • Legend Biotech USA, Inc. (Raritan, NJ)
    …project plans across functional teamsDefines the interdependent deliverables and ensures that quality , risk, cost, time are managed within the overall approved ... immunotherapy in the treatment of multiple myeloma.Legend Biotech is seeking Senior Project Manager , Site PMO as part of the Technical Operations team based in… more
    HireLifeScience (08/07/25)
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  • Legend Biotech USA, Inc. (Raritan, NJ)
    …for site's Strategic Initiatives Team.Defines the interdependent deliverables and ensures that quality , risk, cost, time are managed within the overall approved ... myeloma.Legend Biotech is seeking a Strategic Initiatives & Capacity Expansion Project Manager as part of the Technical Operations team based in Raritan, NJ.… more
    HireLifeScience (08/09/25)
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  • HealthCare Support (Odessa, TX)
    …Support is actively seeking a Case Manager to fill an opening with a Managed Care Company in Odessa, TX . Daily Responsibilities for Case Manager : ... and risk assessment interventions per program guidelines. LTSS service care manager will have 3 days of...feedback to leadership on opportunities to improve and enhance quality of care and service delivery for… more
    Upward (08/10/25)
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  • HealthCare Support (New Albany, OH)
    …hospital setting, alternative care setting such as home health or ambulatory care required. Healthcare and/or managed care industry experience. Case ... RN Field Case Manager HealthCare Support is actively seeking a RN...ensure appropriate administration of benefits Utilizes case management and quality management processes in compliance with regulatory and accreditation… more
    Upward (08/08/25)
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  • DATAPATH INC (Duluth, GA)
    …Percentage None Job Shift Day Job Category Information Technology IT Manager -Internal Support DataPath specializes in designing, manufacturing, and supporting both ... All of our solutions are backed by industry leading management tools, customer care and field support. At DataPath we are passionate about developing easy-to-use… more
    Upward (07/31/25)
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  • Lucile Packard Children's Hospital (Palo Alto, CA)
    …others. * Ability to solve problems and identify solutions. * Knowledge of managed care environment and patient service delivery systems and knowledge of ... Manager works closely with physicians, VP of Ambulatory Care , COO for Packard Children's Health Alliance (PCHA), Faculty...flow and analyzes needs for the practice to assure quality patient care . * Partners with the… more
    Upward (08/07/25)
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  • MaineGeneral Rehabilitation and Long Term Care - Gray Birch (Augusta, ME)
    …a unique opportunity to work in a dynamic healthcare environment dedicated to providing quality patient care . Unit Highlights: - Facility Type: Long-Term Care ... Details Client Name MaineGeneral Rehabilitation and Long Term Care - Gray Birch Job Type Travel Offering...are from 6:45 PM to 7:15 AM, with scheduling managed by the team manager Additional Information:… more
    Upward (08/12/25)
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  • Sprenger Wellspring Silver Maple (Massillon, OH)
    …and procedures and Quality Assurance Plan, State Licensing standards, and managed care regulations. Certificates and Licenses: Current CPR and First Aid ... (LPN) - NIGHT SHIFT Department: Nursing Reports To : Subacute Detox Nurse Manager FLSA Status: Hourly Duties and Responsibilities include the following. Other duties… more
    Upward (08/12/25)
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  • Central Vermont, Home Health and Hospice (Barre, VT)
    …1 year in case management or discharge planning preferred. Knowledge of managed care , insurance processes, and community resources. Strong communication, ... RN will work closely with interdisciplinary teams to ensure quality , cost-effective care and smooth transitions across...If you are a compassionate and resourceful RN Case Manager committed to guiding patients through the healthcare system,… more
    Upward (08/12/25)
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  • HealthCare Support (Houston, TX)
    …prior to processing authorization requests. Accurately enters the required information into the managed care platform, adhering to UM policies and procedures. 5. ... clinical information to authorize medically necessary inpatient and outpatient care , utilizing nationally recognized evidenced based clinical criteria or approved… more
    Upward (08/09/25)
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  • Air Conditioning Contractors of America (Sterling, VA)
    …Air Conditioning provides a family-oriented work environment that delivers high quality service by prioritizing customer satisfaction, and top-notch results. At ... related duties as directed by the Service & Installation Manager . Job Qualifications: High school graduate and graduate of...Us: We are a unique mix of being professionally managed and organized while maintaining a family environment where… more
    Upward (08/03/25)
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  • Managed Care Quality

    McLaren Health Care (Flint, MI)
    …+ Five (5) years' experience performing quality management activities in a managed care organization, including HEDIS, NCQA, including at least two (2) ... We are looking for a Manager , Quality , to join us in...Information Set (HEDIS) process. Facilitates the delivery of medical care in a cost efficient and quality more
    McLaren Health Care (07/16/25)
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  • Managed Care AIC Contracts…

    Option Care Health (Nashville, TN)
    …negotiations, preparation, financial analysis, business review, and implementation of assigned Managed Care clients, 340B, and Health System Partnership ... home and alternate site infusion services provided by Option Care . . Responsible for managed care...infusion therapy. With more than 2,900 clinical experts, Option Care Health is able to provide high- quality more
    Option Care Health (09/20/25)
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  • Senior Managed Care Operations (MCO)…

    Molina Healthcare (Cleveland, OH)
    …integrity and other cost recovery processes + Direct PM experience in Managed Care Operations (claims, system configuration, provider data management preferred) ... and appreciates the member environments we serve + Exposure to all Managed Care industry functional departments **JOB QUALIFICATIONS** **Required Education** +… more
    Molina Healthcare (10/05/25)
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  • Global Program Manager - IT Hardware Asset,…

    Abbott (Abbott Park, IL)
    …more than 160 countries. At Abbott, you can do work that matters, grow, and learn, care for yourself and your family, be your true self, and live a full life. You'll ... **The Opportunity:** This role is responsible for overseeing the global Managed Print Services (MPS) program, including strategic planning, performance monitoring… more
    Abbott (08/01/25)
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  • Senior Managed Care Analyst

    Atrius Health (Newton, MA)
    …welfare benefit package. **Job:** **Accounting/Billing/Finance* **Organization:** **Finance* **Title:** *Senior Managed Care Analyst* **Location:** *Newton MA - ... community specialists and skilled nursing facilities. Our vision is to transform care to improve lives. Atrius Health provides high- quality , patient-centered,… more
    Atrius Health (09/02/25)
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