- Bishop McCarthy Center (Vineland, NJ)
- Employee Heath/ Managed Care ...Control Registered Nurse has oversight over functions of the employee health program which include pre employment ... more
- BAYADA Home Health Care (Cape May, NJ)
- **$5,000 Sign On Bonus!** **Cape Regional Home Health Care Managed by BAYADA** is looking for compassionate and dedicated **full-time, part-time or ... more
- Highmark Health (Dover, DE)
- …implement and evaluate care for eligible members with chronic and complex health care , social service and custodial needs in a nursing facility or ... more
- Highmark Health (Dover, DE)
- …implements effective utilization management strategies including: review of appropriateness of health care services, application of criteria to ensure ... more
- CVS Health (West Cape May, NJ)
- …of your health . This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with ... more
- CVS Health (Dover, DE)
- …business. You will utilize your clinical and analytical skills within a managed care environment to positively impact the health of plan members while also ... more
- Highmark Health (Dover, DE)
- …in Medical Management in a Health Insurance Plan; strong knowledge of managed care industry **LICENSES AND CERTIFICATION** **Required** + Medical Doctor or ... more
- Highmark Health (Dover, DE)
- …streams, and population health management. **Preferred** + 7 years of experience in managed care , primary care management or other clinical setting. + ... more
- Humana (Dover, DE)
- …services such as inpatient rehabilitation. **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed ... more
- Humana (Dover, DE)
- …services (such as inpatient rehabilitation). **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed ... more
- Highmark Health (Dover, DE)
- …related, progressive experience int he area of specialization + An understanding of managed care principles and practices is essential + Demonstration of strong ... more
- Highmark Health (Dover, DE)
- …achieve successful and measurable outcomes. Will monitor and analyze the delivery of health care services in accordance with claims submitted, and analyzes ... more
- Highmark Health (Dover, DE)
- …Additional relevant education level and/or years of experience: * Experience in navigating managed care system * Certification or equivalent training in Word ... more
- Highmark Health (Dover, DE)
- …leadership group. **ESSENTIAL RESPONSIBILITIES** + Manage and oversee the state's managed care organization (MCO) contractual performance as specified in ... more
- Vaco (Dover, DE)
- …organizations to realize the most value from their technology and resources through Managed Services, Data & Analytics, EHR, ERP, Advisory, Virtual Care and ... more
- Takeda Pharmaceuticals (Dover, DE)
- …opportunities and adaptability to changing market conditions + Demonstrated understanding of managed care landscape and how it influences/impacts business + ... more
- RELX INC (Dover, DE)
- …Family Benefits, including bonding and family care leaves, adoption and surrogacy benefits* Health Savings, Health Care , Dependent Care and Commuter ... more
- Takeda Pharmaceuticals (Dover, DE)
- …within a specific geographic area. + Establish professional working relationships with Health Care Providers decision makers, support staff, and influencers ... more
- Humana (Dover, DE)
- …Medicaid managed - care + 1-2 years of experience with Medicaid Managed Care Procurement processes + Ability to analyze regulatory requirements and assist ... more
- Takeda Pharmaceuticals (Dover, DE)
- …clinics and hospital accounts. **How you will contribute:** + Research prospective Health Care Professionals (HCPs) to identify the right customer stakeholders ... more