• Childrens Health System of Texas - TRINITY TOWERS (Dallas, TX)
    …Offering Non-Clinical Profession Professional Specialty Finance Job ID 16916795 Job Title Managed Care Contract Analyst Weekly Pay $1970.0 Shift Details Shift ... point of view Collaborate with other departments to prioritize and ensure Managed Care contract performance and all related analytic needs are met for the… more
    Upward (08/11/25)
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  • Novo Nordisk Inc. (Forrest City, AR)
    …elements in the market to identify and leverage business opportunities Analyze impact of managed care in the territory and its effect on prescribing decisions, ... objectives and align to audience needs Leverage understanding of impact of managed care in the territory and how it affects physicians prescribing decisions, and… more
    HireLifeScience (09/03/25)
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  • Eisai, Inc (Nutley, NJ)
    …to Neuroscience and Oncology products.Experience with utilization of outcomes studies in managed care or large healthcare organization environment.As a condition ... provides to patients, their families, and caregivers is Eisai's human health care (hhc) mission. We're a growing pharmaceutical company that is breaking through… more
    HireLifeScience (09/09/25)
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  • CoxHealth (Springfield, MO)
    …plan, direct, or coordinate medicine and health services in hospitals, clinics, managed care organizations, public health agencies, or similar organizations. Job ... and evaluation of performance. The Nurse Practitioner provides advanced nursing care and treatment to patients and performs physical examinations; orders diagnostic… more
    Talent (09/09/25)
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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 a plus. ... the Business Guides the identification of local market systems of care , patient flow, reimbursement, and provides innovation solutions Identifies strategic… more
    HireLifeScience (07/11/25)
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  • Daiichi Sankyo, Inc. (Denver, CO)
    …state, REMS and safety information with respect to DSI marketed products.Collaborate with managed care counterparts or MSLs to provide ongoing clinical updates ... creation and supply of innovative pharmaceutical therapies to improve standards of care and address diversified, unmet medical needs of people globally by leveraging… more
    HireLifeScience (08/05/25)
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  • Merck & Co. (Rahway, NJ)
    …and economic modelling. Key responsibilities also include overseeing the development of American Managed Care Pharmacy (AMCP) dossiers for US payers and Global ... studies to characterize disease burden and epidemiology, treatment patterns, health- care resource utilization and costs, physician and patient satisfaction surveys,… more
    HireLifeScience (08/28/25)
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  • UnitedHealth Group (San Antonio, TX)
    …standards of care , preventative health, and Star measures Experience in managed care working with network and provider relations Financial analytical ... team in San Antonio, TX. Optum is a clinician-led care organization that is changing the way clinicians work...work and live. As a member of the Optum Care Delivery team, you'll be an integral part of… more
    Talent (09/15/25)
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  • Clever Care Health Plan (Huntington Beach, CA)
    …issued by the California BRN required. *Certified Case Manager (CCM) preferred *Certified Managed Care Nurse (CMCN) preferred Skills *2-3 years in case ... management, disease management, managed care , or medical or behavioral health settings *High level of critical thinking and problem-solving skills *Strong work… more
    Upward (07/31/25)
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  • 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, ... incredible 112% year-over-year membership growth. Who Are We? Clever Care was created to meet the unique needs of...to making healthcare accessible for underserved communities. At Clever Care , you'll have the opportunity to make a real… 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 ... Group: Exempt Benefits Eligible: Yes Remote Eligible: No Department: Palliative Care Program Scheduled Weekly Hours: 20 At Lucile Packard Children's Hospital… more
    Upward (08/07/25)
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  • HealthCare Support (Ridgewood, NY)
    …Bachelor of Science in Nursing Completed NYSED-approved infection control coursework Managed long-term care insurance experience beneficial Case Management ... Manager of Care Delivery - RN HealthCare Support is actively seeking a Manager of Care Delivery - RN to fill an opening with a leading healthcare organization in… more
    Upward (08/08/25)
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  • HealthCare Support (Bronx, NY)
    …Bachelor of Science in Nursing Completed NYSED-approved infection control coursework Managed long-term care insurance experience beneficial Case Management ... Manager of Care Delivery - RN HealthCare Support is actively seeking a Manager of Care Delivery - RN to fill an opening with a leading healthcare organization in… more
    Upward (08/08/25)
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  • Soliant (State College, PA)
    …narcotic infusions and chemotherapy agents Perform drug therapy monitoring and pharmacist- managed consults per protocol In ambulatory care settings, contribute ... position offers a rare chance to work in both inpatient and ambulatory care settingsideal for pharmacists who want to develop broad clinical expertise. Unlike larger… more
    Talent (08/01/25)
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  • NORTHEAST TREATMENT CENTER (Wilmington, DE)
    …utilizing required instruments within appropriate timelines. Conduct periodic reviews with managed care companies for authorization of treatment. Assist client's ... utilizing required instruments within appropriate timelines. Conduct periodic reviews with managed care companies for authorization of treatment. Assist client's… more
    Upward (07/31/25)
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  • Insmed Incorporated (St. Louis, MO)
    …and issue/problem solving.Provide medical and scientific support to payers, commercial managed markets, and related health care organizations to facilitate ... Workplaces in Biopharma™, Best Workplaces in New York™, PEOPLE® Companies That Care , Best Workplaces for Women™, Best Workplaces for Millennials™, and Best Medium… more
    HireLifeScience (08/07/25)
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  • Sprenger Wellspring Silver Maple (Lorain, OH)
    …Ascertains knowledge of patient pay source and make visits appropriately. Ensures managed care patients have authorizations prior to visits. Submits schedules ... Nurse BASIC PURPOSE A clinically competent, Licensed Practical Nurse (LPN) delivers care to patients in their place of residence through the nursing process… more
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  • Sprenger Wellspring Silver Maple (Massillon, OH)
    …policies and procedures and Quality Assurance Plan, State Licensing standards, and managed care regulations. Certificates and Licenses: Current CPR and First ... and physicians 3. Supervises and evaluates all direct client care and initiates corrective action as necessary 4. Make...results and any other unusual observations 20. Document client care provided and the clients response or lack of… more
    Upward (08/12/25)
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  • Sprenger Wellspring Silver Maple (Lorain, OH)
    …experience in Insurance Billing field. Essential Job Functions: Responsible for Medicare, managed care , Mycare, and ancillary billing. Monthly review of ... Details Job Location Grace Management Services - LORAIN, OH Description Sprenger Health Care is a third generation, leading developer, owner and operator of senior… more
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  • HealthCare Support (Odessa, TX)
    …HealthCare 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 travel for...and high risk members and recommends a plan of care for the best outcome Acts as liaison and… more
    Upward (08/10/25)
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