Managed Care Specialist
Virtual Vocations Inc
Bridging the gap between members and their healthcare benefits, the full-time Healthcare Operations Specialist will manage benefit coverage inquiries, claims, and authorizations while fostering member relationships to enhance retention. Key responsibilities Handle benefit coverage questions, claims, and authorizations Manage member relationships to support retention Clearly explain insurance concepts to members and providers Required qualifications Solid understanding of claims, liabilities, and insurance coverage Ability to remain calm under pressure and respond thoughtfully Strong communication skills, both verbal and written Basic comfort with business systems and databases Virtual Vocations Inc
- ...Ashton North LLC is seeking a Patient Care Coordinator in Bay Shore, NY to manage an assigned caseload and ensure continuous, reliable home care services. The role emphasizes maximizing authorized-hour utilization, coordinating with patients, caregivers, MLTCs, and...Suggested
- ...Aquatic Therapy is hiring a Clinic Support Associate for immediate, long-term employment. You will help manage front desk operations and assist clinicians with patient care — ensuring a smooth, welcoming experience for every patient. If you're looking for a hands-on role...SuggestedImmediate start
- ...Solventum is seeking a Remote (Indianapolis, IN) Post-acute Wound Healing Specialist to educate clinicians, drive adoption of Solventum solutions, and expand therapy utilization. You will manage accounts, support product placement and dressing changes, and ensure proper...SuggestedWork at officeRemote work
- ...Inc. is seeking an Intake Coordinator in Long Island City, NY to manage patient intake, follow up referrals, and coordinate with... ...meticulous record keeping and timely documentation to support home care services. The ideal candidate has at least 1 year of home care experience...SuggestedFull time
- Working remotely on a full-time basis, the Care Management Specialist II will manage the intake of inpatient and outpatient service requests, provide information to external customers and medical professionals, and handle complex lines of business while adhering to a permanent...SuggestedPermanent employmentFull timeRemote workWeekend work
- Managed Care Contracting Specialist (NV or UT) Remote Residing in Clark/Nye/Washoe County, NV or Salt Lake County/Utah County, UT Department Provider Network Management Reports To Senior Manager, Provider Network Management FLSA Status Non-Exempt Position Summary...Contract workRemote work
- ...Physical & Aquatic Therapy is seeking a Clinic Support Associate to join our front desk team and assist clinicians with patient care. You will help manage front desk operations, check in patients, and ensure a welcoming, efficient patient experience. This hands-on role...
- East River Medical Imaging, PC. in New York City seeks a capable Care Specialist to manage patient communications, scheduling, and data entry. You will verify patient information, respond to inquiries, and coordinate with physicians and staff to ensure a smooth patient...
- MJHS Health System is seeking a care coordination professional to support Elderplan members (ISNP/IESNP/Elderplan Plus) through comprehensive... ...effective care across the Elderplan continuum, leveraging prior managed care and health care experience to optimize patient outcomes in...
- Healthfirst is seeking a Support Coordinator to assist care managers with non-clinical activities such as creating cases and events, outreach to members, providers, and community organizations, and handling member mailings. You will support the team with authorizations...
- ...our busy in-office team in Pennsylvania. You will greet patients, manage check-ins/outs, answer calls, schedule appointments, and handle... ...in a fast-paced clinic setting, and collaboration with clinicians and staff to ensure timely patient care. #J-18808-Ljbffr LawallWork at office
- Job Juncture seeks a Patient Care Coordinator in New York to manage an assigned caseload and ensure consistent home care services. You will oversee staffing with reliable caregivers, monitor utilization, and communicate with patients, caregivers, MLTCs, and internal teams...
- ...Brooklyn seeks a full-time Registrar / TH Staff Assistant 2 (Evenings) to support ambulatory care registration and patient flow. You will interview patients, verify demographics, manage insurance eligibility, and assist with inpatient admissions and bed assignments using...Full timeAfternoon shift
- To support the organization's goals, the full-time Care Engagement Specialist will manage member outreach, schedule preventive service appointments, and educate members on health plan benefits while working remotely. Key responsibilities Make outbound and receive inbound...Full timeRemote work
- MTM Health is seeking a Customer Care Representative to be the frontline face of our team, handling inbound calls from Members, Clients... ...and empathy. Based in Missouri and working remotely, you will manage 60-80 calls daily, with higher volumes on Mondays, and contribute...Remote job
- ...Full-Time Customer Service Representative to join our compassionate team at the front desk. You will create warm first impressions, manage patient records, and support clients with empathy and efficiency. The role emphasizes organization, multitasking, and professional...Full time
- ModernMD Urgent Care in New York seeks a friendly front desk receptionist to greet patients, register visits, verify insurance, and collect payments. You will respond to calls, manage scheduling, and keep the EMR updated, supporting a smooth patient flow and a positive...
- ...Representative for our reception team. This in-person role handles phones, welcomes clients and pets, schedules appointments, and manages digital records in a busy veterinary practice. Experience with veterinary settings and solid computer skills are preferred, but attitude...
- Metropolitan Jewish Health System, Inc. is seeking a Care Management Coordinator to ensure high quality, cost-effective care for Elderplan/HomeFirst members. You will support care management activities, liaise between members and vendors, and ensure CMS/DOH regulatory compliance...
- VNS Health in New York, NY seeks a coordinator to manage referrals and intake, ensuring timely, safe patient transitions. You will collect... ...eligibility and coordinate with hospitals, physicians, and care teams to support admissions and continuity of care. The role emphasizes...
- ..., NY is seeking a part-time Front Desk Coordinator to support clinic operations. You will greet patients, manage appointments, assist clinicians with patient care, and help maintain a welcoming, efficient front desk environment. The role requires strong customer service...Part time
- Allegheny Health Network is seeking a Referral Coordinator to manage post-acute care referrals and coordinate patient transitions from hospital to home. The role emphasizes accuracy, timely documentation, and collaboration with clinical partners. Onsite 8-week training...Remote work
- ...Health in Somerset, New Jersey is hiring a Medical Receptionist to be the friendly first contact for patients and visitors. You will manage calls, schedule appointments, verify information, maintain records, process payments, and support clinic operations in a fast-paced...
$20.8 - $31.2 per hour
Advocate Health in North Carolina is seeking a full-time Call Center Administrator to process referrals, coordinate with practices, and manage insurance authorizations. This role requires a High School Diploma or GED, computer skills, and customer service experience. The...Remote jobHourly payFull timeMonday to Friday- Child Development Associates, Inc. seeks a Child Care Eligibility Specialist I to manage a caseload in the Alternative Payment Program. You will conduct eligibility interviews, enroll families, process changes, and ensure regulatory compliance while building trust with...Remote jobFull timeWork at officeWeekend workAfternoon shift
- Talent mining and minerals is seeking a Recruitment Virtual Assistant / Candidate Care Coordinator to support our fast-paced blue-collar recruitment and labour hire operations. You will manage the candidate journey from application and initial screening through onboarding...
- ...Client Service Representative to join our front desk team in Glen Head, NY. This non-clinical role focuses on welcoming clients, managing appointments, and coordinating with the medical team. As a front desk professional, you will handle calls, assist with client questions...
- ...ADP, Inc. in Brooklyn, NY is seeking a full-time Veterinary Receptionist to welcome clients and patients, manage front desk duties, schedule appointments, and handle payments with accuracy. The role emphasizes outstanding customer service, patient confidentiality, and...Full time
- To support a growing care management program, the full-time Care Management Support Specialist will manage service requests, maintain case documentation, and compile reports while ensuring audit readiness in a remote environment. Key responsibilities Respond to service...Full timeWork at officeRemote work
$85k - $95k
...is seeking a Registered Nurse to join their dedicated team. The RN will provide crucial medical oversight, manage medication, and train staff to ensure optimal care for individuals with disabilities. A valid NYS RN License is required, along with preferably Med/Surg...Full timeMonday to Friday
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Managed Care Specialist. Be the first to apply!
- caregiver visa sponsorship New York, NY
- plant health care specialist New York, NY
- adult caregiver New York, NY
- weekend live in caregiver New York, NY
- caregiver New York, NY
- child care specialist New York, NY
- professional caregiver New York, NY
- cna caregiver New York, NY
- caregiver overnight New York, NY
- caregiver assisted living New York, NY

