beBeeManagedCare Jobs in United States

The ideal candidate will be board certified or eligible with experience in outpatient primary care and managed care. A valid Florida medical license is required for this position. · ...

This professional will focus on educating both customers and sales personnel about managed care. They will also be responsible for enrolling prospective pharmacies into retail pharmacy solutions. · Support account management of strategic customers within territory. · Assist membe ...

Geriatric Clinician Role · Our organization is seeking a highly qualified Geriatric Clinician to lead the management of healthcare services tailored specifically for seniors. This position offers the unique opportunity to leverage one’s clinical expertise while fostering relation ...

Job Overview: · We are seeking a skilled geriatric clinician to join our team. · The role involves managing Medicare Advantage HMO plans for patients aged 65 and above in an outpatient setting with regular working hours from Monday to Friday. · ...

Job Description · We are seeking a skilled professional to lead our managed care operations. As Director of Managed Care, you will be responsible for overseeing the performance, productivity, and medical management outcomes of our managed care activities. · Provide strategic lead ...

The role involves participation in a multidisciplinary team for case and disease management as well as advising the team on high-risk cases through its structure. Additionally, the incumbent will participate in special projects supporting care improvement for members. · >, 'Condu ...

Job Description: · The role of a Growth & Community Engagement Senior Specialist is to drive enrollment growth and improve the overall choice rate for Molina Healthcare. The successful candidate will be responsible for carrying out enrollment events, achieving assigned membership ...

Job Overview · This role involves supporting account management of strategic customers within a designated territory. · ...

As a Medical Professional in our thriving outpatient setting, you will provide high-quality patient care. You will be responsible for common primary care services and procedures, as well as managed care experience. · <ul style= ...

Strategic Business Director Opportunity · We are seeking a seasoned Business Development Professional to drive the successful launch of a cardiovascular product. · This strategic role involves engaging with stakeholders across hospital systems and academic institutions to promote ...

Job Description · The Managed Care Market Manager role involves building and maintaining relationships between health care providers and the retail pharmacy network. · Sustain effective account management for strategic customers within a designated territory. · ...

About the Job · This senior-level position is designed for professionals who thrive in fast-paced environments with minimal supervision. The primary responsibility of improving the plan's overall 'choice' rate requires collaboration with other key departments. · Maintaining deep ...

The ideal candidate will possess excellent problem-solving abilities and strong communication skills, as they will be working closely with various stakeholders. They must also have experience managing multiple projects simultaneously and prioritizing tasks effectively. · Responsi ...

About Us · Our team plays a crucial role in understanding customer needs, market trends and competitive landscapes to shape effective business strategies. The Network and Payor Relations division focuses on forging valuable partnerships with Pharmacy Benefit Management companies ...

About the Position: · The successful candidate will work with patients, providing high-quality care and managing their health needs. They will also collaborate with other healthcare professionals to ensure seamless patient care. · Benefits: · This role offers an attractive comp ...

Job Overview · The role of the Director of Managed Care is to oversee and coordinate the functions involved in managed care operations and contracting activities. This includes monitoring and updating administrative staff on political, legal, and regulatory trends related to mana ...

About our Healthcare Partnerships Division · We are looking for a highly skilled professional to join our team as a sales support advisor. This role is crucial in building and maintaining strong relationships with our pharmacy network, ensuring seamless execution of managed care ...

Integrated Case Manager- Registered Nurse Role Summary: · Sentara Health in Suffolk, VA is hiring an Integrated Case Manager RN for a remote position. Candidates must reside in Suffolk and surrounding areas as travel is required. · The Integrated Case Manager is responsible for c ...

Job Description · The position of Managed Care Analyst involves providing data and analytics to support contract negotiations and administration. · Create periodic reports on payer performance, utilization, reimbursement, and other clinical financial data. · Assess and monitor co ...

Job Summary: · This position is part of a team responsible for ensuring that utilization management responsibilities are performed according to the highest and most current clinical standards. The incumbent reviews escalated cases electronically using Medical Policy criteria sets ...