Managed Care knowledge jobs

Senior Medical Science Liaison, CVRM Pipeline

Genentech · Posted Nov 11, 2026

Open

Houston, Texas, United States
On-site
Full-time · Senior
$161K–$299K per year

Senior Medical Science Liaison, CVRM Pipeline

Genentech · Posted Nov 11, 2026

Open

Houston, Texas, United States
On-site
Full-time · Senior
$161K–$299K per year

Patient Access Representative - Orthopedics

VCU Health · Posted Nov 11, 2026

Open

Colonial Heights, Virginia, United States
On-site
Full-time · Associate
$17–$24 per hour

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The Patient Access Representative delivers high-quality customer service to patients of all ages, their families, visitors, medical staff, clinicians and co-workers, ensuring all interactions are courteous, timely and respectful.

Compensation

Compensation Range: $16.75 - $24.12

Responsibilities

Greet Patients/Answer Telephone
Collect all patient co-payments and deposits accurately per payer
Verify and update registration data, including demographic and insurance information
Secure required referrals/authorizations and link them correctly in the referral module
Obtain needed referrals and authorizations before scheduled procedures, tests, injections and surgeries

Requirements

High School Diploma or equivalent
Associates or Bachelor’s Degree in Accounting, Finance, Business Administration, Healthcare Administration or closely related field
Nice to have: medical terminology knowledge

Skills

Microsoft Office applications web-based platforms medical insurance knowledge HMO knowledge

Byram Urology Account Manager, PNW

Accendra Health, Inc. · Posted Jun 16, 2026

Open

Remote, United States
Remote
Full-time · Manager
$65K–$75K per year
2–5 years

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Generate new revenue for Urology products through sales calls and relationship building across Washington state.

Compensation

The base salary range is $65,000 to $75,000 annually, with an uncapped commission structure.

Responsibilities

Conduct daily sales calls
Maintain and drive sales growth in the Seattle to Portland geography
Consistent communication to all referral sources and internal partners
Conduct sales calls with each customer utilizing the Byram Urology Value Proposition
Complete weekly expense reports

Requirements

Bachelor’s Degree Preferred
Nice to have: multiple product-lines

Skills

medical sales B2B sales sales growth quota attainment Microsoft Word Excel Outlook clean driving record

RN Educator, Clinical Documentation Integrity - Must Reside in Colorado

Denver Health · Posted Sep 3, 2026

Open

Remote, United States
Remote
Full-time · Staff
$86K–$133K per year
9+ years

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The CDI Educator facilitates improvement in the overall quality, completeness, and accuracy of the medical record documentation through the education and training of the Clinical Documentation Integrity team and through extensive audit investigation, clinical criteria research, and data analysis.

Compensation

$85,600.00 - $132,600.00 / yr

Responsibilities

Perform complex clinical documentation of designated inpatient, outpatient, and ambulatory patient records to assess for accuracy, specificity, and compliance of provider documentation.
Draft and submit written queries to providers to achieve the necessary documentation clarification to achieve accuracy, specificity, and compliance of provider documentation.
Develop and deliver a formalized CDI orientation process, leveraging industry-endorsed content, adult learning methodologies, and subject matter expertise to train new team members.
Develop and perform an internal auditing process in partnership with the CDI Manager to validate query compliance and surface educational opportunities to inform the CDI continuing education plan.
Educate providers, coder, and the CDI team regarding clinical documentation concepts, health data, quality outcomes, and compliance regulations.

Requirements

Bachelor's Degree Nursing or related field
Associates Degree with equivalent level of additional experience
Nice to have: CDI certification
Nice to have: Coding certification

Oncology Nurse Navigator

Inova Health System · Posted Nov 8, 2026

Open

Fairfax, Virginia, United States +1 more
Full-time
3–5 years

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Provide safe therapeutic care and navigation for cancer patients across the continuum of care.

Locations (2)

Fairfax, Virginia, United States
Fair Oaks, Virginia, United States

Responsibilities

Guide patients and families through diagnosis, treatment and follow-up
Coordinate care plans and appointments
Advocate for patients and families
Provide educational and emotional support
Facilitate communication among multidisciplinary team

Requirements

BSN required
Nice to have: Previous oncology experience

Skills

Oncology knowledge Basic Life Support (BLS)Managed care knowledge

Manager Claims

Amerihealth Caritas · Posted Nov 6, 2026

Open

Newtown Square, Pennsylvania, United States
Hybrid
Full-time · Manager
competitive pay
3+ years

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The Manager of Claims is responsible for overseeing and coordinating operational activities within the Claims Unit, including claims processing, provider claims services, research, and projects.

Responsibilities

Manages day-to-day departmental operations and ensures priorities and tasks are completed accurately and on time
Identifies and resolves operational issues using established processes, subject matter expertise, and sound judgment
Ensures departmental performance standards and Service Level Agreements (SLAs) are consistently met
Coaches and develops team members to meet or exceed individual and departmental performance goals
Monitors employee performance and makes recommendations and decisions regarding promotions and disciplinary actions

Requirements

Bachelor's degree or equivalent combination of education and relevant work experience

Skills

Claims management Healthcare knowledge Managed care knowledge Insurance industry knowledge

Senior Medical Science Liaison, CVRM Pipeline

Senior Medical Science Liaison, CVRM Pipeline

Compensation

Responsibilities

Requirements

Skills

Benefits

Patient Access Representative - Orthopedics

Compensation

Responsibilities

Requirements

Skills

Byram Urology Account Manager, PNW

Compensation

Responsibilities

Requirements

Skills

RN Educator, Clinical Documentation Integrity - Must Reside in Colorado

Compensation

Responsibilities

Requirements

Oncology Nurse Navigator

Locations (2)

Responsibilities

Requirements

Skills

Manager Claims

Responsibilities

Requirements

Skills

Benefits

Benefits

Skills

Benefits

Benefits