Managed Care Jobs

Abby Care is seeking an experienced Payer Authorization Operations Manager to own Indiana prior authorization operations, lead a small team, and manage complex Medicaid and payer relationships to ensure continuous care.

Carelon Behavioral Health is hiring a Provider Relationship Account Manager to cultivate provider relationships, resolve complex provider issues, and support network retention across a defined portfolio.

Support the Operational Oversight – Compliance Team by monitoring TennCare LTSS data, ensuring compliance, and helping drive audit and process improvement initiatives.

Experienced market access leader needed to design and execute payer-facing strategies and patient support initiatives for Ascendis Pharma's Endocrinology Rare Disease portfolio from the Princeton, NJ office.

Lead Medicare product strategy and lifecycle execution for SelectHealth, driving product launches, partnerships, compliance, and financial performance across multiple geographies.

Provide credentialing support and administrative coordination for SIU HealthCare's Medical Staff Office, managing provider data, applications, and managed care plan interactions in a remote role with Illinois residency requirements.

Lead Sana’s distributed claims operations team to drive accurate, timely adjudication, appeals, compliance, and scalable process improvements across claims systems and workflows.

Experienced market access leader sought to manage payer contracting, optimize reimbursement, and build strategic partnerships to expand access to Millennium Health services.

Millennium Health is seeking a strategic Director of Market Access Operations to lead payer contracting, profitability analysis, and cross-functional initiatives that expand reimbursement and access for its laboratory services.

Experienced data and reporting professional needed to manage Medicaid state reporting, integrate claims data, and produce compliant, timely reports and dashboards for a nationwide managed care organization.

Vynca seeks a Director of Account Management to lead and scale relationships with healthcare plans, driving retention, expansion, and high-quality partner experience.

Drive new business for a market-leading homecare SaaS platform as a Mid-Market Account Executive focused on outbound prospecting, demos, and quota attainment in the NYC metro area.

Enable Dental is hiring a Payer Relationship Manager to manage national and regional health plan accounts, drive partner satisfaction and growth, and ensure operational performance against contractual commitments.