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Keywords: Attorney, Managed Care (Pharmacy), Location: USA

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Attorney, Managed Care (Pharmacy)

in the drafting, review and negotiations of critical/complex managed care, pharmacy and key transaction contracts... contracting matters and other contract-related duties for managed care, and other areas as directed. Functions as lead attorney...

Company: ThedaCare
Location: USA
Posted Date: 27 Aug 2025

Attorney Managed Care & Pharmacy

of all system contracts with managed care organizations (MCOs) and pharmaceutical-related entities, including 340B programs... with managed care and pharmaceutical regulations, including 340B regulations, STARK and anti-kickback statutes. Additional...

Posted Date: 31 Jul 2025

Director of Pharmacy Benefit Manager Oversight

of Pharmacy Benefit Manager Oversight is to assist the Commissioner of Insurance and Deputy Commissioner of the Health Care Access... state legislature regarding health care delivery systems. Call meetings with external stakeholders to explore pharmacy...

Posted Date: 22 Aug 2025

Legal Nurse: Investigate Medicaid Fraud/Patient Abuse

assurance issues; Case management, MDS 3.0 Resident Assessment, and/or managed care; Prior experience as a legal nurse... for Registered Nurses The Office of the New York State Attorney General's (OAG) Medicaid Fraud Control Unit (MFCU) is seeking...

Company: New York State
Location: New York City, NY
Posted Date: 16 Oct 2025

CA Medical Case Manager II

or managed care is helpful Strong interpersonal, time management, and organizational skills Computer proficiency and technical..., other health care providers, the employer, and the referral source Utilizes their medical and nursing knowledge to discuss the...

Company: CorVel
Posted Date: 15 Oct 2025
Salary: $31.46 - 47.59 per hour

Medical Case Manager II

, such as utilization review or managed care is helpful Strong interpersonal, time management, and organizational skills Computer..., physician, other health care providers, the employer, and the referral source Utilizes their medical and nursing knowledge...

Company: CorVel
Location: Raleigh, NC
Posted Date: 12 Oct 2025
Salary: $65436 - 98982 per year

CA Medical Case Manager II (La Mirada, CA)

background, such as utilization review or managed care is helpful Strong interpersonal, time management, and organizational..., other health care providers, the employer, and the referral source Utilizes their medical and nursing knowledge to discuss the...

Company: CorVel
Location: Irvine, CA
Posted Date: 10 Oct 2025
Salary: $31.46 - 47.59 per hour

CA Medical Case Manager II (Los Angeles, CA)

background, such as utilization review or managed care is helpful Strong interpersonal, time management, and organizational..., physician, other health care providers, the employer, and the referral source Utilizes their medical and nursing knowledge...

Company: CorVel
Posted Date: 10 Oct 2025
Salary: $31.46 - 47.59 per hour

CA Medical Case Manager II (Orange County, CA)

background, such as utilization review or managed care is helpful Strong interpersonal, time management, and organizational..., physician, other health care providers, the employer, and the referral source Utilizes their medical and nursing knowledge...

Company: CorVel
Location: Irvine, CA
Posted Date: 10 Oct 2025
Salary: $31.46 - 47.59 per hour

CA Medical Case Manager II (Inland Empire)

background, such as utilization review or managed care is helpful Strong interpersonal, time management, and organizational..., other health care providers, the employer, and the referral source Utilizes their medical and nursing knowledge to discuss the...

Company: CorVel
Posted Date: 10 Oct 2025
Salary: $31.46 - 47.59 per hour

Medical Case Manager I

/clients and coworkers. A cost containment background, such as utilization review or managed care is helpful..., other health care providers, employer and others. Utilizes their medical and nursing knowledge to discuss the current treatment...

Posted Date: 08 Oct 2025
Salary: $62306 - 93123 per year

CA Medical Case Manager II

/clients and coworkers. A cost containment background, such as utilization review or managed care is helpful..., physician, other health care providers, employer and others. Utilizes their medical and nursing knowledge to discuss the...

Company: CorVel
Posted Date: 05 Oct 2025
Salary: $31.46 - 47.59 per hour

Medical Case Manager II

or managed care is helpful. Strong interpersonal, time management and organizational skills. Computer proficiency and technical... with the patient, physician, other health care providers, employer and others. Utilizes their medical and nursing knowledge...

Company: CorVel
Location: Indianapolis, IN
Posted Date: 28 Sep 2025
Salary: $65436 - 98982 per year

Medical Case Manager II

or managed care is helpful. Strong interpersonal, time management and organizational skills. Computer proficiency and technical... with the patient, physician, other health care providers, employer and others. Utilizes their medical and nursing knowledge...

Company: CorVel
Location: Columbia, SC
Posted Date: 28 Sep 2025
Salary: $65436 - 98982 per year

Medical Case Manager I

/clients and coworkers. A cost containment background, such as utilization review or managed care is helpful..., other health care providers, employer and others. Utilizes their medical and nursing knowledge to discuss the current treatment...

Company: CorVel
Location: Marietta, GA
Posted Date: 26 Sep 2025
Salary: $62306 - 93123 per year

Medical Case Manager I

, attorneys, and advisors/clients and coworkers. A cost containment background, such as utilization review or managed care... Management to individuals through in person and telephonic communications with the patient, physician, other health care...

Company: CorVel
Location: Minneapolis, MN
Posted Date: 24 Sep 2025
Salary: $62306 - 93123 per year

CA Medical Case Manager II

or managed care is helpful. Strong interpersonal, time management and organizational skills. Computer proficiency and technical... with the patient, physician, other health care providers, employer and others. Utilizes their medical and nursing knowledge...

Company: CorVel
Location: Santa Rosa, CA
Posted Date: 19 Sep 2025
Salary: $31.46 - 47.59 per hour

Medical Case Manager I

/clients and coworkers. A cost containment background, such as utilization review or managed care is helpful..., other health care providers, employer and others. Utilizes their medical and nursing knowledge to discuss the current treatment...

Company: CorVel
Location: Syracuse, NY
Posted Date: 17 Sep 2025
Salary: $62306 - 93123 per year

Medical Case Manager

containment background, such as utilization review or managed care is helpful. Strong interpersonal, time management... in person and telephonic communications with the patient, physician, other health care providers, employer and others. Utilizes...

Company: CorVel
Location: USA
Posted Date: 27 Aug 2025
Salary: $62306 - 93123 per year

The State University of New York - Senior Counsel - Health Affairs

care, capital construction, public finance, labor grievances and arbitration, litigation oversight (the State's Attorney...; health information technology; managed care; Medicare/Medicaid Conditions of Participation (CoPs) and Conditions for Coverage...

Company: New York State
Location: Albany, NY
Posted Date: 10 Aug 2025
Salary: $143400 - 190000 per year