• Employee Health / Managed

    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
    Bishop McCarthy Center (02/11/25)
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  • Registered Nurse, Home Health

    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
    BAYADA Home Health Care (02/07/25)
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  • Case Manager Long-term Care - Delaware

    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 (02/13/25)
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  • Care Manager RN (Delaware) Remote

    Highmark Health (Dover, DE)
    …implements effective utilization management strategies including: review of appropriateness of health care services, application of criteria to ensure ... more
    Highmark Health (02/20/25)
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  • Clinical Case Manager- Behavioral Health

    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 (02/13/25)
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  • Pharmacist - Clinical Advisor

    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
    CVS Health (02/13/25)
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  • Part-Time Weekend Medical Director (Remote)

    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 (12/13/24)
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  • Value-Based Reimbursement Specialist

    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
    Highmark Health (02/25/25)
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  • Medical Director - Mid West Region

    Humana (Dover, DE)
    …services such as inpatient rehabilitation. **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed ... more
    Humana (02/18/25)
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  • Medical Director- South Central

    Humana (Dover, DE)
    …services (such as inpatient rehabilitation). **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed ... more
    Humana (02/14/25)
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  • Senior Pharmacist

    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 (02/21/25)
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  • Payment Integrity Clinician - RN (Remote)

    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 (02/20/25)
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  • PA Office Support Representative

    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 (02/20/25)
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  • Medicaid Contract Director

    Highmark Health (Dover, DE)
    …leadership group. **ESSENTIAL RESPONSIBILITIES** + Manage and oversee the state's managed care organization (MCO) contractual performance as specified in ... more
    Highmark Health (01/28/25)
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  • Senior Epic HB/PB Analyst

    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
    Vaco (02/01/25)
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  • Regional Business Manager

    Takeda Pharmaceuticals (Dover, DE)
    …opportunities and adaptability to changing market conditions + Demonstrated understanding of managed care landscape and how it influences/impacts business + ... more
    Takeda Pharmaceuticals (02/08/25)
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  • Technical Lead - Professional Services Consultant…

    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
    RELX INC (02/22/25)
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  • Regional Business Specialist - GI (AZ and Las…

    Takeda Pharmaceuticals (Dover, DE)
    …within a specific geographic area. + Establish professional working relationships with Health Care Providers decision makers, support staff, and influencers ... more
    Takeda Pharmaceuticals (02/14/25)
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  • Senior Compliance Professional - Medicaid

    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
    Humana (02/20/25)
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  • Clinical Sales Specialist, IBD - Orange County, CA

    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
    Takeda Pharmaceuticals (02/22/25)
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