• Clever Care Health Plan (Huntington Beach, CA)
    …offices. Bachelors degree or minimum two (2) years' experience in health plan, managed care or equivalent experience. Knowledge of CMS Star Programs, HEDIS, ... Advantage plans with an incredible 112% year-over-year membership growth. Who Are We? Clever Care was created to meet the unique needs of the diverse communities we… more
    Upward (07/31/25)
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  • Houston Eye Associates (Houston, TX)
    …(required); two years medical office experience (preferred) with knowledge of managed - care issues: Medicare, Medicaid, and 3rd-party payers; basic knowledge ... EXPERIENCE Preferred: Training in business office activities (required); two years medical office experience (preferred) with knowledge of managed - care issues. more
    Upward (08/08/25)
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  • Houston Eye Associates (Houston, TX)
    …(required); two years medical office experience (preferred) with knowledge of managed - care issues: Medicare, Medicaid, and 3rd-party payers; basic knowledge ... Training in business office activities (required); two years medical office experience (preferred) with knowledge of managed - care issues Bilingual a plus. more
    Upward (07/31/25)
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  • Managed Care Coordinator

    Elderwood (Waverly, NY)
    Salary $ 20 / $ 22 Overview Managed Care Coordinator Overview Mon-Fri 8am-4pm The Managed Care Coordinator assists and supports the LPN/RN MDS ... team meetings at the discretion of the MDS Coordinator . Responsibilities Managed Care Coordinator Essential Job Fuctions + Able to successfully interact… more
    Elderwood (10/07/25)
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  • Therapy Managed Care

    Elderwood (Buffalo, NY)
    Salary $20 - $22 / Hour Overview Therapy Managed Care Coordinator Be the vital connection between quality care and patient access. Elderwood is seeking a ... detail-driven Therapy Managed Care Coordinator to join our Rehabilitation Services team. In this role, you'll support our Directors of Rehab while serving as… more
    Elderwood (10/01/25)
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  • Managed Care Coordinator

    Elevance Health (KS)
    ** Managed Care Coordinator ** Location: Seeking candidates to work in Sedgwick, Cowley, Butler, or Reno County, Kansas. **_Please note that per our policy on ... flexibility, responsiveness to client needs, and direct, hands-on engagement. The ** Managed Care Coordinator ** is responsible for overall management of… more
    Elevance Health (09/27/25)
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  • CFSP Managed Care Coordinator

    Elevance Health (Bryson City, NC)
    **CFSP Managed Care Coordinator ** **Sign-on Bonus: $2500** **We are currently seeking people in the following counties and look forward to speaking with ... children and families thrive in safe, stable, and nurturing homes._ The **CFSP Managed Care Coordinator ** is responsible for the overall management of the… more
    Elevance Health (10/07/25)
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  • Managed Care Coordinator

    Elevance Health (Roanoke, VA)
    …considered for employment, unless an accommodation is granted as required by law. The ** Managed Care Coordinator - Southwest Virginia** is responsible for ... and pre-defined identification process, identifies members with potential clinical health care needs (including, but not limited to, potential for high-risk… more
    Elevance Health (09/27/25)
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  • Registered Nurse - Managed Care

    InGenesis (Columbia, SC)
    InGenesis is currently seeking a Registered Nurse / RN - Managed Care Coordinator to work for our client located in Columbia, SC. In this role you will ... staff (Medical Director, Case Manager, Preventive Services, Subrogation, Quality of care Referrals, etc.). * Participate in data collection/input into system for… more
    InGenesis (08/15/25)
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  • Managed Care Coordinator

    Beth Israel Lahey Health (Westwood, MA)
    care or specialty physicians, their patients and practices to coordinate and process managed care referrals and / or authorizations for patient care ... services, complying with BIDCO's and BIDMC's contractual rules for multiple managed care insurance payers. **Job Description:** **Essential Responsibilities:**… more
    Beth Israel Lahey Health (09/28/25)
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  • IPA Network Management Coordinator

    HCA Healthcare (Campbell, CA)
    …and integrity. We care like family! Jump-start your career as a Managed Care Network Management Coordinator today with HCA Healthcare. **Benefits** ... Eligibility for benefits may vary by location._** Come join our team as a Managed Care Network Management Coordinator . We care for our community! Just… more
    HCA Healthcare (09/17/25)
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  • Field Coordinator

    Centers Plan for Healthy Living (Brooklyn, NY)
    …department and assists with the care of all members enrolled in CPHL's managed care plans. The Field Coordinator schedules and completes in-person visits ... they need for healthy living. JOB SUMMARY: The Field Coordinator is an essential team member of Centers Plan...detail and multi-tasking skills Preferred: + Experience working in managed care environment + Experience working with… more
    Centers Plan for Healthy Living (07/15/25)
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  • Customer Service Representative

    Sea Mar Community Health Centers (Vancouver, WA)
    …education, and public health coverage case management. Under the direction of the Managed Care Manager and Coordinator , they pro-actively contact customers, ... you have any questions regarding the position, email Michelle Orellana Arriaza, Managed Care Regional Coordinator , at ###@seamarchc.org. Sea Mar is an Equal… more
    Sea Mar Community Health Centers (07/19/25)
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  • Behavioral Health Provider (O-6 Billet)…

    Immigration and Customs Enforcement (Port Isabel, TX)
    …Managers, BH Medical Assets Support Team), and other IHSC personnel (ie, Field Medical Coordinator , Managed Care Coordinator , etc.), other health ... behavioral health services at DHS ICE facilities, providing clinical care . Responsibilities include, treatment planning, crisis intervention, and program… more
    Immigration and Customs Enforcement (10/05/25)
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  • Managed Care AIC Contracts Manager…

    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...for new contract access as back up to contract coordinator . Participate in regional meetings as directed by VP,… more
    Option Care Health (09/20/25)
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  • Resident Care Coordinator Assistant…

    Athena Health Care Systems (Middletown, CT)
    We are hiring a Resident Care Coordinator Assistant (RCCA) to join our dynamic care team at Wadsworth Glen Health Care and Rehabilitation Center in ... you to grow within the company. As a Resident Care Coordinator Assistant, you will assist the...of MDS. + Retrieves/Prints and faxes medical records to managed care companies for utilization review purposes.… more
    Athena Health Care Systems (09/11/25)
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  • Resident Care Coordinator Assistant…

    Athena Health Care Systems (Southbridge, MA)
    We are hiring a full-time Resident Care Coordinator Assistant (RCCA) to join our dynamic care team at Southbridge Rehabilitation & Health Care Center! ... you to grow within the company. As a Resident Care Coordinator Assistant, you will assist the...of MDS. + Retrieves/Prints and faxes medical records to managed care companies for utilization review purposes.… more
    Athena Health Care Systems (07/23/25)
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  • Patient Care Coordinator

    Access Dubuque (Dubuque, IA)
    Patient Care Coordinator **Dubuque Physical Therapy** 1 Positions ID: 82228 Posted On 09/24/2025 **Job Overview** Dubuque Physical Therapy is looking for a ... **full-time Patient Care Coordinator ** to join our team in...& Work Comp Hirschbach Motor Lines, Inc. Administrative Service Coordinator Managed Solutions Group Education Recruitment and… more
    Access Dubuque (09/26/25)
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  • Service Coordinator (Dispatcher)

    Access Dubuque (Dubuque, IA)
    Coordinator - Cargo & Work Comp Hirschbach Motor Lines, Inc. Patient Care Coordinator Dubuque Physical Therapy Administrative Service Coordinator ... Service Coordinator (Dispatcher) ** Managed Solutions Group** 1 Positions ID: 81138 Posted On 09/09/2025 **Job Overview** Managed Solutions Group has an… more
    Access Dubuque (09/11/25)
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  • Managed Care Contract Manager

    AdventHealth (Maitland, FL)
    …Provides guidance and direction to PFS, Central Denials, Patient Access and Managed Care staff regarding contract terms and policies including; governmental ... key contract data elements which are populated into the Managed Care database including addition of new...contract language, including rate updates, to the Information Systems Coordinator for scanning with appropriate filing form for the… more
    AdventHealth (09/12/25)
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