Care Management Manager Jobs in Grove City, OH

Empower patients by delivering compassionate, patient-centered palliative care through virtual consultations. Collaborate with a dynamic team to enhance quality of life for members with complex needs...

Oversee complex Allied Health claims, utilizing your expertise to analyze, negotiate, and resolve high exposure losses while fostering strong relationships with internal teams and external clients for...

Champion the development of Provider Direct Connect capabilities, driving product vision and strategy while collaborating with cross-functional teams to enhance provider engagement and deliver scalabl...

Grow your career with a dynamic team focused on client success, managing relationships, and delivering tailored solutions. Drive satisfaction and retention while collaborating across departments to en...

Empower clients by managing complex care needs through remote case management, ensuring access to high-quality treatment and support. Collaborate with multidisciplinary teams to enhance client engagem...

Transform provider analytics by leading data-driven insights for contracting, performance, and network strategy. Collaborate with cross-functional teams to enhance network adequacy and drive strategic...

Champion efficiency in the revenue cycle as you lead a dedicated billing team. Drive performance improvements, oversee compliance, and identify revenue opportunities while cultivating a culture of exc...

Elevate healthcare outcomes by leading clinical determinations and authorizations. Utilize your medical expertise to ensure compliance with national guidelines while collaborating with diverse teams i...

Join our team to utilize your nursing expertise in improving patient outcomes through effective utilization management. You'll apply clinical judgment for care coordination and enhance healthcare qual...

Join a team that's dedicated to optimizing healthcare services through effective utilization management. Leverage your clinical expertise to assess and coordinate care, ensuring members receive approp...

Support healthcare services by leveraging clinical expertise to assess, plan, and coordinate care for members. Collaborate with providers to ensure effective treatment and promote quality utilization...

Lead the charge in overseeing pre-commissioning and commissioning activities for liquefied hydrocarbon facilities, ensuring safety and efficiency while coordinating with teams and stakeholders through...

Take ownership of the sales process for self-funded stop-loss cases, evaluating risk, managing proposals, and collaborating with underwriters to enhance case preparation and market success...

Drive customer success by managing enterprise accounts, ensuring adoption and satisfaction with cybersecurity solutions. Collaborate cross-functionally to deliver value and strategic alignment through...

Elevate the Personal Care department by driving strategic billing and claims initiatives, optimizing processes for accuracy and compliance, and leading a high-performing team to achieve operational ex...

Unlock potential by leading a dynamic accounting team, managing full-cycle accounting processes, ensuring compliance, and driving process improvements in a fast-paced environment. Collaborate with fin...

Drive the success of inpatient Payment Integrity programs by overseeing audits, ensuring compliance, and enhancing quality across teams and vendors. Collaborate with stakeholders to optimize processes...

Transform operational excellence by leading a dynamic team to enhance client satisfaction, streamline processes, and drive continuous improvement across remote Central Operations. Collaborate with pee...

Join a team that's redefining insurance technology delivery by leading SaaS implementation programs. This hands-on role combines project management with team leadership to ensure successful client out...

Drive client success by managing small to medium accounts, enhancing engagement, and leveraging data insights to improve health outcomes and revenue growth. Collaborate with teams to implement solutio...

Transform healthcare analytics by leading the development of APR-DRG audit criteria. Collaborate with cross-functional teams to enhance payment integrity through data-driven insights and innovative so...

Join a dynamic team to lead Nurse Case Managers, enhancing patient support and education throughout treatment journeys while ensuring compliance and quality in case management processes...

Champion superior client service by managing eDiscovery projects, coordinating teams, and strategizing solutions to meet client goals. Build strong relationships and ensure seamless communication betw...

Lead the charge in optimizing utilization management operations, enhancing efficiency, and driving performance improvements. Collaborate with clinical and operational teams to ensure timely reviews an...

Drive accurate, evidence-based clinical claims while collaborating with Marketing, Legal, and Clinical teams. Build and manage the claims framework and evidence library to support bold, compliant mark...