C
United States (Remote)
$56.4–90.4K / year
Job Summary: Complex Population Service Determination Specialist II is responsible for processing medical necessity and noncommunity supports and…
6 days ago
Showing 1–20 of 24 jobs
United States (Remote)
$56.4–90.4K / year
Job Summary: Complex Population Service Determination Specialist II is responsible for processing medical necessity and noncommunity supports and…
6 days ago
United States (Remote)
From $37.00 / hour
Sagility combines industry-leading technology and transformation-driven BPM services with decades of healthcare domain expertise to help clients draw…
1 mo. ago
Centene Corporation
New Hampshire, US (Hybrid)
$31.00 – $55.00 / hour
Position Purpose: Provides expertise based on experience with identifying, overseeing, and managing the coordination of transition of members in the community.
4 days ago
Success Matcher
San Francisco, California, US (Hybrid)
$90–100K / year
Are you an LVN who loves patient care but is ready to step away from traditional clinical settings and dive into the fast-paced world of health tech?
2 mo. ago
Centene Corporation
Addison, Illinois, US (Hybrid)
$23.00 – $39.00 / hour
Position Purpose: Assists in developing, assessing, and coordinating holistic care management activities to enable quality, cost-effective healthcare outcomes.
6 days ago
Centene Corporation
United States (Remote)
$34.00 – $61.00 / hour
Position Purpose: Act as the liaison for all statewide appeals, fair hearings, review organizations, and other external type appeals.
3 wk. ago
Seamless Assist
United States (Remote)
$26.00 – $32.00 / hour
About Cardiac Care Alliance (CCA) Cardiac Care Alliance is a Management Services Organization (MSO) committed to building a high-performance…
1 mo. ago
Centene Corporation
Glenview, Illinois, US (Hybrid)
$23.00 – $39.00 / hour
Position Purpose: Assists in developing, assessing, and coordinating holistic care management activities to enable quality, cost-effective healthcare outcomes.
4 days ago
Centene Corporation
United States (Remote)
$18.00 – $28.00 / hour
Position Purpose: Supports care management activities and the teams assigned to members to ensure services are delivered by the healthcare providers…
1 mo. ago
United States (Remote)
From $37.00 / hour
Sagility combines industry-leading technology and transformation-driven BPM services with decades of healthcare domain expertise to help clients draw…
2 mo. ago
Vida Health
United States (Remote)
$36.00 – $38.00 / hour
Vida is looking for a licensed RN or LPN to manage clinical review requests, escalations, and member inquiries in a fully remote, virtual care setting.
2 days ago
GlobalHealth
United States (Remote)
$19.00 – $24.00 / hour
Description WHO WE ARE: GlobalHealth is a fast-growing Medicare Advantage HMO health insurer.
1 wk. ago
Centene Corporation
United States (Remote)
$56.2–101K / year
Position Purpose: Develops, assesses, and facilitates complex care management activities for primarily mental and behavioral health needs members to…
6 days ago
Centene Corporation
Medford, New York, US (Hybrid)
$36.00 – $65.00 / hour
Position Purpose: Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of…
6 days ago
WVU Medicine
United States (Remote)
Welcome! We’re excited you’re considering an opportunity with us!
2 mo. ago
Salvo Health
United States (Remote)
$25.00 – $26.00 / hour
Salvo Health is taking a new approach to help millions of Americans facing chronic health conditions, centered on chronic gut health and metabolic…
1 yr. ago
United States (Remote)
$87–225K / year
Job Title: Virtual Primary Care Nurse Practitioner - Western Region Job Location: Work at Home, California, United States Job Location Type: Remote…
1 wk. ago
Privia Health
United States (Remote)
From $20.00 / hour
Working closely and in support of telephonic Care Advice Line registered nurses, Population Health support staff, primary care providers (PCP’s),…
3 mo. ago
United States (Remote)
$65–88.6K / year
Become a part of our caring community The Licensed Behavioral Health Utilization Management Professional 2 uses behavioral health knowledge and…
3 wk. ago
HealthEdge
United States (Remote)
Overview HealthEdge® offers AI-powered operational infrastructure for health insurance companies, guaranteeing an enduring financial edge in an…
5 days ago