Managed Care Applications Manager
Mediant Health Resources
Lead the development, integration, and deployment of health plan applications and system enhancements, ensuring solutions are delivered and operational Oversee core health plan systems including claims adjudication platforms, EDI/X12 transactions, CRM systems, data warehouses, and reporting/analytics tools Manage integrations between health plan systems, provider systems, and external partners using EDI, APIs, and HIE connectivity. Translate business and operational requirements into technical solutions while coordinating with enterprise architecture and infrastructure teams to meet security, compliance, and performance standards Evaluate existing applications and workflows to identify inefficiencies and implement system or process improvements that support health plan operations Manage and mentor technical staff, including hiring, performance management, and day-to-day team direction while partnering with business departments to support operational needs Senior Epic and MEDITECH Revenue Cycle Consultants #J-18808-Ljbffr Mediant Health Resources
$46.92k
...in on-campus student homes and provide care, guidance, supervision, and support for... ...Providing daily supervision and mentorship * Managing household routines and student schedules... ...spouses must complete individual employment applications. To learn more and apply, visit ( .SuggestedFull timeWork from homeRelocationRelocation packageFlexible hoursWeekday work- ...proud to partner with a respected hospice provider in the DFW Metroplex, seeking a compassionate Pediatric RN Case Manager to provide exceptional hospice care to children and their families in the comfort of their homes. Reporting to the Managing Director - Hospice,...SuggestedFull timeTemporary workReliefLocal areaFlexible hours
- ...Care/Medication Technician Morada Senior Living proudly manages a strong and growing network of care and lifestyle-focused Independent Living, Assisted Living and Memory Care, and Skilled Nursing communities across Texas and Oklahoma serving residents and families...SuggestedFull timePart timeImmediate startFlexible hoursShift work
$97.6k - $200.6k
...shaping the future of life sciences and health care? Deloitte’s Center for Health Solutions (... ...and health care ecosystem. As a Research Manager at Deloitte, you will: Shape market-... ...estimate has not been adjusted for the applicable geographic differential associated with the...SuggestedLocal area- ...Description Job Description Buckner Home Care LLC Employee Location will be our at... ...-Time We are seeking a Home Care Manager to join our new Buckner Home Care services... ...treat our employees is how we treat all applicants – with respect. Buckner is an equal opportunity...SuggestedFull timeWork experience placement
$16 - $29 per hour
...Optum is a global organization that delivers care, aided by technology to help millions of... ..., insurance verification, collection of applicable co-insurance and/or co-payments and... ...Responsibilities: Greets patients as they arrive and manages wait time Complete check-in and check-...Hourly payMinimum wageFull timeTemporary workWork experience placementWork at officeLocal areaMonday to Friday$41.2 - $62.17 per hour
Job Description: The RN Hospital Care Manager I delivers comprehensive care management services to designated patients, leveraging clinical... ...Intermountain, I acknowledge that I will comply with all applicable Intermountain policies and expectations. If applying for a remote...Hourly payRemote work$89.68k - $134.52k
...Home Health Patient Care Manager And RN Hybrid Explore opportunities with DFW Home Health, a part of LHC Group, a leading post-acute... ...homes as prescribed by the physician and in compliance with applicable laws, regulations, and agency policies. Coordinates and supervises...Minimum wageFull timeWork experience placementWork at officeLocal area- ...Comprehensive Care Management RN Pay Rate: $50-55/Hr on W2 (Including Per diem) Temp to Perm: Yes Travel: Yes Length of Assignment:... ...maintain confidentiality with all aspects of patient information in accordance with all applicable policies and regulations. AA2ITDaily paidPermanent employmentTemporary workCasual workShift work
$60.2k - $107.4k
...is a global organization that delivers care, aided by technology to help millions of... ...care industry forward. As a Telephone Case Manager RN with UnitedHealth Group, you'll... ...of online calendars and other software applications ~ Reliable transportation to travel within...Minimum wageFull timeWork experience placementLocal areaRemote workFlexible hours$49.92k - $97.36k
...Opportunity for a Texas licensed RN to join Molina as a Field Care Manager to work with our Medicaid members in the service delivery... ...and written communication skills. • Microsoft Office suite/applicable software program proficiency, and ability to navigate online...Full timeContract workWork at officeLocal areaMonday to Friday- ...structured cabling, access control, video surveillance, nurse call, audiovisual, and other low‑voltage communications systems. You will manage projects through scoping, pricing, staffing, and ensure production on time, within budget, and with high technical quality. #J-188...
- ...Medication Aide / Med Tech – Deliver Safe, Accurate Medication Care for Our Residents At Sunrise Senior Living, we believe meaningful work starts with purpose. Our team members are passionate about making a positive difference in the lives of residents every day....Shift work
- ...Memory Care Director 366 566 Bethesda Gardens Fort Worth - Fort Worth, TX 76123 Description Memory Care Director The Memory... ...' rights and is a Resident advocate. Involves the care managers in problem solving and facilitates a pro-active problem solving...Full timeTemporary workReliefLocal areaFlexible hours
- ...Operations, with a focus on manufacturing, supply chain, and warehouse management capabilities. This includes building and maintaining a multi-... ...and delivery of enhancements through third-party partners. Applicants for the IT Head of Dynamics 365 position at the company should...
- ...interface engine (Corepoint), automated managed file transfer (GoAnywhere MFT) software,... ...issues; providing consulting services to application teams, vendors, and/or customers... ...Minimum of 2 years of experience in a Health Care environment preferred. Minimum 5 years...
- ...Globally recognized provider of automated solutions for securing & managing open source software Industry Computer Software Type... ...assessments it due diligence agentic appsec ai application security and application security testing About the Role...
$18 - $22 per hour
...We're hiring a Personal Injury Case Manager at The Injury Avengers, and this one comes with real room to grow. Bilingual in English and... ...why who we hire matters so much. We need people on our team who care about that mission as much as we do, not just people who can fill...Hourly payFull time$99k - $232k
...that blend cloud engineering, data, and AI capabilities. As a Manager you will lead teams, coach junior staff, manage project workstreams... ...'s skills, experience, qualifications and location, and applicable employment laws. All hired individuals are eligible for an annual...Full timeH1b- ...sponsorship opportunity; employer will not transfer or sponsor applicants for U.S. work authorizations. Applicants are required to be... ...Hires Only. No Solicitations or Recruiters. Technical Project Manager – Level III (Infrastructure / Platform) Why this role exists InfoIMAGE...Full timeWork at officeImmediate start
- ...Overview We are seeking a technically‑minded project manager to coordinate the roadmap, planning, and delivery across a growing portfolio of advanced dynamic simulations, data science, and engineering design products. This role will be responsible for aligning engineering...Full time
- ...Full time and PRN opportunities available Case Manager Career Opportunity Recognized for your abilities as a Case Manager Are... ...just a job; it positions you as a vital link between exceptional care and the transformative impact on each patient's journey. As the...Full timeContract workPart timeReliefFlexible hours
- ...by business needs. JOB SUMMARY The Software Development Manager leads and directs a team of C# engineers, ensuring best practices... ..., building, testing, deploying, maintaining, and supporting applications and systems to improve the Mobius platform. Hiring...Work experience placement
$198k - $368k
...response, and defensive controlsDirect network, infrastructure, and application penetration testing efforts to proactively discover and... ..., aligning them with the organization's goals and risk management strategies, and stay abreast of the latest threats so that testing...Contract workH1bLocal area- The Patient Care Manager is a registered professional nurse who ensures quality of patient care in the home. Primary function is for the overall administration of the clinical departments and monitoring of appropriate staffing and productivity. Coordinates care with the...
$45k - $55k
...respect and dignity. Benevolent Hearts Home Care has been awarded the highest honor a... ...earn from HCP, an independent experience management company ranking us 38th overall in the... ...opportunity employer and all qualified applicants will receiveconsideration for employment...Hourly payFull timeShift work- ...Job Description Job Description Description:Title: Care Manager - Remote- Texas/ Illinois/ /Arkansas/ Ohio/ Florida preferred Reports... ...activities in the CareVitality Care Management platform, as applicable, including required time reporting, in accordance with...Remote jobFull timeWork at officeWork from home
$163k - $322k
...Sciences CRM Global Delivery Lead Senior Manager, you will lead global delivery management... ...benefits/eligibility, prior authorization, care management).2+ years in commercial pharma... ...estimate has not been adjusted for the applicable geographic differential associated with the...Local areaVisa sponsorship- ...you need to deliver safe, high-quality care-so you can focus on what you do best.... ...Friday with some weekends * Our RN Case Managers raise the bar by providing clinical... ...opening. Our team will promptly review your application. Highly qualified candidates will be contacted...Full timeTemporary workMonday to FridayFlexible hoursWeekend workDay shift
$1,706 per month
...Profession RN Specialty Case Manager Job ID 19204732 Job... ...responsible for promoting patient-centered care by coordinating the plan of care for the... ...OPPORTUNITY EMPLOYER WHERE ALL QUALIFIED APPLICANTS WILL RECEIVE CONSIDERATION FOR EMPLOYMENT...Weekly payFor contractorsFor subcontractorShift workDay shift
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