Managed Care Jobs in Roanoke (VA)
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Search Results - Managed Care Jobs in Roanoke (VA)
Prisma HealthRoanoke (VA)
Overview
In this role you will support and influence the financial strategy behind payer contracts and managed care initiatives. You’ll analyze initiatives, model financial outcomes, and assist in contract negotiations to align with organizational...
Ensemble Health PartnersRoanoke (VA)
requirements. Knowledge of medical terminology or CPT or procedure codes.
• Patient Access experience with managed care/insurance and Call Center experience highly preferred.
• Must be inquisitive and demonstrate openness to innovation including AI to explore...
UnitedHealth GroupRoanoke (VA)
Share insights on product design/marketing and collect staff input
• Fulfill duties to meet department and company goals
• Maintain knowledge of Medicare regulations, managed care landscape, and legislative context
Key requirements
• Health, Life...
Gallagher BassettRoanoke (VA)
radius.
Work Traits:
• Demonstrates adequate knowledge of managed care with emphasis on use of criteria, guidelines and national standards of practice.
• Advanced written and oral communication skills, along with organizational and leadership skills...
Merck Sharp & Dohme (MSD)Roanoke (VA)
and sustain senior-level relationships to support strategic engagement
• Align account plans with payer and managed-care considerations for optimal access
• Deliver regional business results and achieve P&L targets
• Embed a customer-centric vision across...
ViTAA Medical SolutionsRoanoke (VA)mindmatch.ai
cycle, payer relations, managed care or a closely related field.
• Experience with AI-enabled cardiovascular imaging, digital diagnostics, software as a medical device or advanced imaging analytics.
• Significant experience supporting medical technology...
UnitedHealth GroupRoanoke (VA)
into analytic specifications
• Understanding of Medicaid eligibility, enrollment, claims, and encounter data
• Familiarity with Medicaid payment and delivery systems (managed care and fee-for-service)
• Proficiency programming in SQL
• Excellent oral and written...
UnitedHealth GroupRoanoke (VA)
with contracting, finance, actuarial, and market teams
• Standardize and document repeatable processes for scalability
Key requirements
• Undergraduate degree or equivalent experience
• 3+ years analytical experience in healthcare pricing, managed care, provider...
NTT DATARoanoke (VA)
or managed-care organizations
• 5+ years shaping, selling, advising on, or delivering AI, data, automation, or digital transformation initiatives
• Experience in consulting, GTM, pre-sales, advisory, or client-facing roles
• Ability to travel up to 25...
UnitedHealth GroupRoanoke (VA)
field; OR CPQH/CHCQM certification
• 2+ years of experience in managed care, Medicaid, maternal/child health, pediatrics, or population health
• Proven technical skills with Microsoft Excel, PowerPoint, Word, and Adobe PDF
• Solid organizational, time...
SCAN Health PlanRoanoke (VA)
and corrective actions
• Actively support SCAN’s vision and goals
• Other duties as assigned
Key requirements
• Bachelor's Degree or equivalent experience
• 2+ years in managed care, healthcare, or case management
• 2+ years experience with seniors and remote...
SCAN Health PlanRoanoke (VA)
experience (or 4+ years in Healthcare/Managed Care)
• Experience with HEDIS and medical claims data preferred
• Advanced MS Office proficiency; strong MS SQL querying skills
• Snowflake experience preferred; SQL Server Reporting Services and Integration...
AbbottRoanoke (VA)
Overview
As a Diabetes Sales Specialist, you drive growth for ADC Products by engaging healthcare providers across channels and regions. You collaborate with Managed Care, Retail, and Point of Care teams to expand access and influence decisions...
UnitedHealth GroupRoanoke (VA)
determinations, and participate in peer consultations. The position supports health outcomes by ensuring appropriate ABA services are used within managed care. You work remotely within a fast-paced, cross-functional environment that values inclusion...
CommunityCareRoanoke (VA)
as required
Key requirements
• Strong knowledge of clinical pharmacy, managed care, population health, and medication safety
• Understanding of Medicare Advantage, Part D, Commercial plans; DSNP knowledge preferred
• Ability to evaluate complex regimens...
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