Managed Care Jobs

This role involves becoming a gestational surrogate to help build families while receiving comprehensive support. The position covers all medical, legal, and travel expenses with no upfront costs to the candidate. Key responsibilities include maintaining a healthy lifestyle, attending scheduled medical appointments, and carrying a pregnancy to term. The opportunity is appealing due to the significant financial compensation package, which includes a pre-pregnancy payout and a total earnings potential exceeding $75,000. The agency provides obstetrician-managed care and matches candidates quickly through a medically cleared program. This full-time commitment is available to eligible women across the United States who have prior healthy pregnancy experience.

This senior accountant role within the finance department supports Astrana Health's growth in the healthcare industry by reporting to the VP of Finance. The position involves applying U.S. GAAP to prepare accurate financial statements, manage monthly and year-end close processes, and oversee cash deposits and bank reconciliations. Key responsibilities include analyzing financial data for management reports, coordinating external audits, and ensuring compliance with health plan regulations. The role appeals to candidates seeking to work in a mission-driven environment that prioritizes patient care and operational excellence. It offers a hybrid work arrangement combining office presence in Orange, California with remote flexibility, fostering a collaborative culture focused on integrity and innovation.

The Director of Finance role provides strategic leadership for Cenevia's financial operations, supporting a healthcare delivery organization dedicated to improving patient care outcomes. Key responsibilities include overseeing budgeting, forecasting, and financial reporting, managing internal controls and audits, and leading external audit processes. The position also involves analyzing financial data to drive cost savings, ensuring regulatory compliance, and guiding capital allocation strategies. This opportunity appeals to candidates seeking a mission-driven environment where they can influence long-term organizational sustainability. The role offers a hybrid work arrangement combining remote flexibility with in-office collaboration, supported by a culture that values diversity, professional growth, and work-life balance.

This role involves becoming a gestational surrogate to help build families for intended parents. The position requires women aged 20 to 39 with a history of healthy pregnancies and no prior delivery complications. Key responsibilities include undergoing medical screenings, attending all required prenatal appointments, and carrying the pregnancy to term while adhering to a healthy lifestyle. The opportunity is appealing due to comprehensive support covering all medical, legal, and travel expenses with no out-of-pocket costs for the candidate. The agency provides obstetrician-managed care and offers financial compensation for the duration of the process. Candidates must be U.S. citizens or permanent residents located in the United States.

This role involves becoming a gestational surrogate to help build families for intended parents. The position requires women aged 20 to 39.5 who have had at least one healthy pregnancy and maintain a healthy lifestyle. Key responsibilities include undergoing medical screenings, carrying the pregnancy to term, and attending all necessary medical appointments. The opportunity is appealing due to comprehensive support covering all medical, legal, and travel expenses with no out-of-pocket costs for the candidate. The agency provides obstetrician-managed care and financial compensation throughout the process. This is a full-time commitment that varies by location but generally requires being available for medical procedures and delivery.

This role involves becoming a gestational surrogate to help build families for intended parents. The position requires women aged 20 to 39.5 who have had at least one healthy pregnancy and maintain a healthy lifestyle. Key responsibilities include undergoing medical screenings, carrying the pregnancy to term, and participating in obstetrician-managed care throughout the process. The agency covers all medical, legal, and travel expenses, ensuring no out-of-pocket costs for the candidate. The opportunity is appealing due to the comprehensive financial support provided, the ability to make a meaningful impact on others' lives, and the structured, medically supervised environment that offers guidance and reassurance throughout the journey.

This full-time Registered Nurse Case Manager role at Avera McKennan Hospital supports the transition of patients from acute care settings to appropriate levels of post-hospitalization care. The position involves coordinating discharges to skilled nursing facilities, home health services, and rehabilitation centers while collaborating with physicians and payors to ensure efficient, evidence-based treatment. Key responsibilities include managing complex documentation, arranging transportation and medical equipment, and participating in multidisciplinary rounds to maintain continuity of care. The role appeals to nurses seeking a compassionate, mission-driven environment with a strong emphasis on teamwork and patient advocacy. Opportunities for career development through mentorship and hands-on training are available, and the position operates on a day shift schedule within the hospital.

This role involves becoming a gestational surrogate to help build families for intended parents. The position requires women aged 20 to 39.5 who have previously had a healthy pregnancy and maintain a healthy lifestyle. Key responsibilities include undergoing medical screenings, carrying the pregnancy to term, and attending all required medical appointments. The opportunity is appealing due to comprehensive support covering all medical, legal, and travel expenses with no out-of-pocket costs for the candidate. The agency provides obstetrician-managed care and offers financial compensation for the duration of the process. This is a full-time commitment focused on personal contribution to family building.

The Sr. Director, Risk Adjustment Data & Analytics role is a senior leadership position within Alignment Health's data operations team, dedicated to advancing Medicare Risk Adjustment programs. The individual oversees the end-to-end data ecosystem, ensuring integrity and compliance while leading a multidisciplinary team of analysts and engineers. Key responsibilities include driving analytical insights for executive decision-making, maintaining rigorous data governance for audit readiness, and partnering with finance and clinical stakeholders to optimize revenue and care outcomes. This position appeals to candidates seeking to lead high-impact work in a mission-driven organization that prioritizes senior care. The role offers significant growth opportunities within a fast-growing company and is available in a remote work arrangement.

This role involves becoming a gestational surrogate to help build families for intended parents. The position requires women aged 20 to 39.5 who have previously had a healthy pregnancy and maintain a healthy lifestyle. Key responsibilities include undergoing medical screenings, attending all required prenatal appointments, and carrying the pregnancy to term. The opportunity is appealing due to comprehensive support covering all medical, legal, and travel expenses with no out-of-pocket costs. Candidates receive significant financial compensation and a pre-pregnancy payout. The agency provides obstetrician-managed care throughout the process. This is a full-time commitment that varies by location and individual case requirements.

This role involves becoming a gestational surrogate to help build families for intended parents. The position requires women aged 20 to 39.5 who have had at least one healthy pregnancy and maintain a healthy lifestyle. Key responsibilities include undergoing medical screenings, carrying the pregnancy to term, and attending all required medical appointments. The opportunity is appealing due to comprehensive support covering all medical, legal, and travel expenses with no out-of-pocket costs for the candidate. The agency provides obstetrician-managed care and offers financial compensation for the duration of the process. This is a full-time commitment that varies by location but typically involves significant travel to medical facilities.

This role involves becoming a gestational surrogate to help build families while receiving comprehensive support. The position covers all medical, legal, and travel expenses with no upfront costs to the candidate. Key responsibilities include maintaining a healthy lifestyle, attending scheduled medical appointments, and carrying a pregnancy to term. The opportunity is appealing due to the substantial financial compensation package, which includes a pre-pregnancy payout and a total earnings potential exceeding $75,000. The agency provides obstetrician-managed care and matches candidates quickly through a medically cleared program. Eligible candidates must be U.S. citizens or permanent residents aged 20 to 39 with a history of healthy pregnancies.

This role involves becoming a gestational surrogate to help build families for intended parents. The position requires women aged 20 to 39.5 who have previously had a healthy pregnancy and maintain a healthy lifestyle. Key responsibilities include undergoing medical screenings, attending all required prenatal appointments, and carrying the pregnancy to term. The opportunity is appealing due to comprehensive support covering all medical, legal, and travel expenses with no out-of-pocket costs. Candidates receive significant financial compensation and a pre-pregnancy payout. The agency provides obstetrician-managed care throughout the process. This is a full-time commitment that varies by location but generally requires being available for medical procedures and delivery.

This role involves becoming a gestational surrogate to help build families for intended parents. The position requires women aged 20 to 39.5 who have previously had a healthy pregnancy and maintain a healthy lifestyle. Key responsibilities include undergoing medical screenings, attending all required prenatal appointments, and carrying the pregnancy to term. The opportunity is appealing due to comprehensive support where all medical, legal, and travel expenses are fully covered with no out-of-pocket costs. Candidates receive significant financial compensation and a pre-pregnancy payout. The agency provides obstetrician-managed care and ongoing guidance throughout the entire process. This is a full-time commitment that varies by location and individual case requirements.

This full-time Senior Claims Examiner role within the Property & Casualty department focuses on managing complex commercial auto and trucking claims. The position involves investigating severe liability cases, determining settlement values, managing litigation processes, and establishing appropriate financial reserves. Key responsibilities include mentoring junior staff, communicating with brokers and attorneys, and ensuring compliance with insurance regulations across multiple jurisdictions. The role offers a hybrid work arrangement requiring weekly office attendance in select locations, with the remainder of the week available for remote work. Candidates are drawn to the company's inclusive culture, reputation as a Best Place to Work, and opportunities for professional growth within a family-owned organization.

The Senior Clinical Pharmacy Strategist role at PacificSource supports the Vice President of Pharmacy Services in executing enterprise cost of care strategies and quality initiatives. Key responsibilities include analyzing quality metrics to identify care gaps, designing clinical programs to improve STARS and HEDIS performance, and leading cross-functional teams to deploy integrated quality programs. This position offers the opportunity to drive meaningful impact on member outcomes and regulatory compliance within a collaborative environment. The role emphasizes data-driven decision-making and strategic planning to optimize medication use and enhance patient safety. It is based in an office setting with minimal travel, supporting a culture committed to diversity, innovation, and community improvement.

This role involves serving as a gestational surrogate for individuals or couples seeking to build their families. The position requires candidates to be women aged 20 to 39 with a history of at least one healthy pregnancy and no prior delivery complications. Key responsibilities include undergoing medical screening, carrying the pregnancy to term, and participating in obstetrician-managed care with all medical, legal, and travel expenses fully covered. The opportunity is appealing due to the comprehensive financial support provided, including significant compensation and a pre-pregnancy payout, along with a supportive agency environment that covers all costs. The arrangement is based in the United States, with candidates eligible from various states including California, Texas, Florida, and others.

The Physician Navigator role at San Antonio Northeast Rehab focuses on managing referral relationships and driving business development within the local healthcare market. Key responsibilities include conducting in-person visits to establish connections with physicians and community partners, performing pre-admission clinical assessments to facilitate patient intake, and coordinating with managed care organizations to secure coverage. This position offers an opportunity to work in a mission-driven environment that values patient advocacy and community engagement. The role requires a background in nursing, therapy, or healthcare marketing and involves a mix of field work and office-based coordination.

The Regional Manager, Ambulatory Pharmacist role serves as a clinical leader within a rapidly expanding primary care organization, overseeing pharmacist teams across a multistate region. Key responsibilities include supervising staff, managing regional quality metrics such as CMS Star Ratings and HEDIS scores, and delivering direct patient care through chronic disease management and medication therapy optimization. The position blends approximately 70% clinical duties with 30% administrative oversight, requiring significant regional travel to support ambulatory care sites. This opportunity appeals to innovative leaders seeking to transform healthcare for seniors within a physician-led, family-owned culture that prioritizes career growth, work-life balance, and the chance to make a tangible impact on patient outcomes.

The Analytics Manager role leads a team within a high-performance healthcare and insurance analytics department, serving as a strategic bridge between business stakeholders and data architecture. Key responsibilities include managing team performance and project assignments, overseeing the delivery of complex weekly and monthly reports, and leading end-to-end data migration projects to modern cloud architectures. The position also involves architecting enterprise dashboards and defining long-term analytics roadmaps. This opportunity appeals to professionals seeking a collaborative culture at a fast-paced Inc. 500 company, offering significant growth potential and the flexibility of a remote work arrangement with provided Apple equipment.

This part-time OB/GYN Hospitalist role is based in Santa Cruz, California, within a mission-driven organization dedicated to reproductive justice and women's health. The position offers significant practice autonomy, allowing the physician to tailor their schedule between clinic-based care, laborist shifts, or a traditional full-scope model. Key responsibilities include managing prenatal and postnatal care, performing deliveries and obstetric surgeries, and collaborating closely with Certified Nurse Midwives in a co-managed care environment. The role is appealing due to its flexible work-life balance, modern hospital facilities including a Level II NICU, and a supportive culture that encourages mentorship and professional growth.

This part-time Social Work Consultant role at Emory Saint Joseph supports Kaiser Permanente members by facilitating safe and effective transitions from acute inpatient care to community settings. The position involves conducting comprehensive psychosocial assessments, collaborating with multidisciplinary teams to develop individualized discharge plans, and coordinating with internal and external resources to secure appropriate post-acute placements. Key responsibilities include navigating insurance benefits, educating patients and families on available services, and maintaining accurate clinical documentation. The role appeals to licensed social workers seeking to apply their expertise in a collaborative healthcare environment focused on holistic patient well-being and care continuity.