5107 medical management jobs found

SCAN Health Plan in Long Beach, CA is seeking a Nursing/Medical Management leader to oversee clinical staff, ensure regulatory compliance, and drive performance improvement. You will coach staff, conduct audits, and develop education plans, with a focus on policy guidance and escalation of complex issues. The role offers mostly remote work with monthly travel to the California HQ and a strong focus on quality care for seniors. #J-18808-Ljbffr

SCAN, a nonprofit health organization founded in 1977 and serving multiple states, seeks a Nursing Operations Leader to oversee Medical Management staff, ensure regulatory compliance, and drive performance improvements. The role emphasizes coaching, education, and adherence to CMS/DMHC/DHCS/NCQA standards. The position offers a mostly remote work model with monthly travel to SCAN's Long Beach headquarters ( relocation to Cerritos in 2027 ) and an annual bonus program, wellness benefits, generous #J-18808-Ljbffr

Founded in 1977 as the Senior Care Action Network, SCAN began with a simple but radical idea: that older adults deserve to stay healthy and independent. That belief was championed by a group of community activists we still honor today as the “12 Angry Seniors.” Their mission continues to guide everything we do. Today, SCAN is a nonprofit health organization serving more than 500,000 people across Arizona, California, Nevada, New Mexico, Texas, and Washington, with over $8 billion in annual revenue. With nearly five decades of experience, we have built a distinctive, values-driven platform dedicated to improving care for older adults. Our work spans Medicare Advantage, fully integrated care models, primary care, care for the most medically and socially complex populations, and next-generation care delivery models. Across all of this, we are united by a shared commitment: combining compassion with discipline, innovation with stewardship, and growth with integrity. At SCAN, we believe...

SCAN Health Plan in Long Beach, CA is seeking a Nursing/Medical Management leader to oversee clinical staff, ensure regulatory compliance, and drive performance improvement. You will coach staff, conduct audits, and develop education plans, with a focus on policy guidance and escalation of complex issues. The role offers mostly remote work with monthly travel to the California HQ and a strong focus on quality care for seniors. #J-18808-Ljbffr

Founded in 1977 as the Senior Care Action Network, SCAN began with a simple but radical idea: that older adults deserve to stay healthy and independent. That belief was championed by a group of community activists we still honor today as the “12 Angry Seniors.” Their mission continues to guide everything we do. Today, SCAN is a nonprofit health organization serving more than 500,000 people across Arizona, California, Nevada, New Mexico, Texas, and Washington, with over $8 billion in annual revenue. With nearly five decades of experience, we have built a distinctive, values-driven platform dedicated to improving care for older adults. Our work spans Medicare Advantage, fully integrated care models, primary care, care for the most medically and socially complex populations, and next-generation care delivery models. Across all of this, we are united by a shared commitment: combining compassion with discipline, innovation with stewardship, and growth with integrity. At SCAN, we believe...

Founded in 1977 as the Senior Care Action Network, SCAN began with a simple but radical idea: that older adults deserve to stay healthy and independent. That belief was championed by a group of community activists we still honor today as the "12 Angry Seniors." Their mission continues to guide everything we do. Today, SCAN is a nonprofit health organization serving more than 500,000 people across Arizona, California, Nevada, New Mexico, Texas, and Washington, with over $8 billion in annual revenue. With nearly five decades of experience, we have built a distinctive, values-driven platform dedicated to improving care for older adults. Our work spans Medicare Advantage, fully integrated care models, primary care, care for the most medically and socially complex populations, and next-generation care delivery models. Across all of this, we are united by a shared commitment: combining compassion with discipline, innovation with stewardship, and growth with integrity. At SCAN, we...

Job Summary Responsible for supervising and coordinating daily workflow and leadership of staff. Activities include developing operating procedures and managing personnel and resources. Responsible for supervising and coordinating daily workflow and leadership of staff. Activities include developing operating procedures and managing personnel and resources. Key Responsibilities Serves as a resource to the department staff by providing technical direction and resolving workflow problems or improvement opportunities within the department. Assesses individual workload and staffing patterns. Selects, assigns, and evaluates personnel, and recommends or initiates associated personnel actions. Takes caseload as needed to assist with staffing needs. Ensure authorization timeframes and regulatory requirements are met. Interviews, hires, trains, and reviews all eligibility personnel in addition to problem-solving and disciplinary actions. Participates in analysis of current policies and...

Job TitleResponsible for supervising and coordinating daily workflow and leadership of staff. Activities include developing operating procedures and managing personnel and resources.Key ResponsibilitiesServes as a resource to the department staff by providing technical direction and resolving workflow problems or improvement opportunities within the department.Assesses individual workload and staffing patterns. Selects, assigns, and evaluates personnel, and recommends or initiates associated personnel actions. Takes caseload as needed to assist with staffing needs. Ensure authorization timeframes and regulatory requirements are met.Interviews, hires, trains, and reviews all eligibility personnel in addition to problem-solving and disciplinary actions. Participates in analysis of current policies and procedures and in the development of new or updated standard operating procedures and workflows.Attends departmental, interdepartmental, and facility meetings as needed.Performs other...

JOB SUMMARY: Responsible for supervising and coordinating daily workflow and leadership of staff. Activities include developing operating procedures and managing personnel and resources. KEY RESPONSIBILITIES: Serves as a resource to the department staff by providing technical direction and resolving workflow problems or improvement opportunities within the department. Assesses individual workload and staffing patterns. Selects, assigns, and evaluates personnel, and recommends or initiates associated personnel actions. Takes caseload as needed to assist with staffing needs. Ensure authorization timeframes and regulatory requirements are met. Interviews, hires, trains, and reviews all eligibility personnel in addition to problem-solving and disciplinary actions. Participates in analysis of current policies and procedures and in the development of new or updated standard operating procedures and workflows. Attends departmental, interdepartmental, and facility meetings as needed....

JOB SUMMARY: Responsible for supervising and coordinating daily workflow and leadership of staff. Activities include developing operating procedures and managing personnel and resources. KEY RESPONSIBILITIES: Serves as a resource to the department staff by providing technical direction and resolving workflow problems or improvement opportunities within the department. Assesses individual workload and staffing patterns. Selects, assigns, and evaluates personnel, and recommends or initiates associated personnel actions. Takes caseload as needed to assist with staffing needs. Ensure authorization timeframes and regulatory requirements are met. Interviews, hires, trains, and reviews all eligibility personnel in addition to problem-solving and disciplinary actions. Participates in analysis of current policies and procedures and in the development of new or updated standard operating procedures and workflows. Attends departmental, interdepartmental, and facility meetings as...

Job Description Objective/Purpose: Provide strategic program leadership at the asset level for complex Medical priorities, ensuring that TA and asset strategies are translated into executable program plans that are well-governed, transparent, and deliverable with clear accountability and disciplined decision‑making. Serve as a core PMO partner to Therapeutic Area and Medical leaders, shaping execution approaches, governance frameworks, and cross‑functional alignment for key programs, launches, lifecycle initiatives, and transformation efforts within assigned scope. Improve program‑level execution confidence by integrating milestone management, dependency tracking, risk signaling, budget visibility, and structured escalation pathways across highly matrixed Medical teams. Contribute to strengthening the Medical PMO operating model by applying standards, mentoring junior PM talent, and advancing consistent, data‑enabled execution practices aligned to GCM principles to improve speed,...

IN SUMMARY... The Revenue Cycle Account Specialist is responsible for executing day-to-day revenue cycle functions for assigned client accounts, ensuring accurate, timely, and compliant processing across all billing activities. This role serves as a primary point of contact for clients while managing tasks such as charge entry, claims submission, payment posting, denial follow-up, and accounts receivable resolution. The Revenue Cycle Account Specialist supports the financial health of client accounts by maintaining workflow efficiency, resolving routine issues, and adhering to established billing guidelines and performance standards. This position requires strong attention to detail, effective communication, and a solid understanding of revenue cycle processes to ensure high-quality service and client satisfaction. WHAT YOU WILL DO... Function as primary liaison between  RCM and client. Build team relationships with physicians, practice administrators and office...

Job TitleJob DescriptionObjective/Purpose:Provide strategic program leadership at the asset level for complex Medical priorities, ensuring that TA and asset strategies are translated into executable program plans that are well-governed, transparent, and deliverable with clear accountability and disciplined decision-making.Serve as a core PMO partner to Therapeutic Area and Medical leaders, shaping execution approaches, governance frameworks, and cross-functional alignment for key programs, launches, lifecycle initiatives, and transformation efforts within assigned scope.Improve program-level execution confidence by integrating milestone management, dependency tracking, risk signaling, budget visibility, and structured escalation pathways across highly matrixed Medical teams.Contribute to strengthening the Medical PMO operating model by applying standards, mentoring junior PM talent, and advancing consistent, data-enabled execution practices aligned to GCM principles to improve...

Job Description Objective/Purpose: Provide strategic program leadership at the asset level for complex Medical priorities, ensuring that TA and asset strategies are translated into executable program plans that are well-governed, transparent, and deliverable with clear accountability and disciplined decision‑making. Serve as a core PMO partner to Therapeutic Area and Medical leaders, shaping execution approaches, governance frameworks, and cross‑functional alignment for key programs, launches, lifecycle initiatives, and transformation efforts within assigned scope. Improve program‑level execution confidence by integrating milestone management, dependency tracking, risk signaling, budget visibility, and structured escalation pathways across highly matrixed Medical teams. Contribute to strengthening the Medical PMO operating model by applying standards, mentoring junior PM talent, and advancing consistent, data‑enabled execution practices aligned to GCM principles to improve speed,...

Coding Compliance Auditor As a key member of the Amazon One Medical Revenue Cycle team the Coding Compliance Auditor will be responsible for supporting Amazon One Medical Clinical and Revenue Cycle teams in managing and optimizing compliant healthcare revenue cycle operations. Demonstrating increased autonomy and strategic thinking and problem-solving skills, this role will perform detailed reviews of medical coding practices to ensure accuracy, compliance with regulatory requirements and adherence to organizational policies and procedures. This role reports into the Coding Compliance Auditing Manager, Revenue Cycle. As someone who naturally enjoys finding ways to improve the status quo, you adeptly identify and create processes necessary to get work done. You comfortably interact with your team members as well as other teams and easily tailor your message and communication style to different audiences. You have a high accountability bar and know how to motivate others,...

Indian Health Service in Poplar, MT, seeks a Medical Records Administration Specialist to lead the Health Information Management (HIM) program within the Fort Peck Service Unit. You will supervise Medical Records Technicians and guide policy for medico-legal documents, insurance requests, and information retrieval. The role requires planning, budgeting, staffing decisions, and leveraging technology to improve health data systems. #J-18808-Ljbffr

This job is with Biogen, an inclusive employer and a member of myGwork – the largest global platform for the LGBTQ+ business community. Please do not contact the recruiter directly. About This Role: As the Associate Director of Program Management within the Global Commercial and Medical (GCM) IT organization, you will lead intricate, cross-functional programs and oversee portfolio financials, including governance, annual budgeting, and month-end close. You will drive critical projects and product launches supporting our Patient Services Organization in RTP, NC, ensuring they are delivered on time, within budget, and with minimal oversight. Your role is pivotal in collaborating with stakeholders to drive decisions and proactively manage and mitigate issues and risks, consolidate portfolio-level status reporting and track performance, ensuring the portfolio delivers high-quality outcomes. You will support the GCM Leadership Team with monthly portfolio reviews and manage ad hoc...

Job Title: Supervisor-Health Information Management Unit: Health Information Shift: Full-Time-Days-8:00 a.m.-4:30 p.m. Facility: Atrium Medical Center Under the general management of the Premier Regional HIMS Manager, the Site Supervisor of HIMS is responsible for the overall planning, organizing, staffing, and controlling all record processing function of HIMS except for coding and transcription. All work is carried out in accordance with the Joint Commission on the Accreditation of Healthcare Organizations and Health Information Management Services approved policies and procedures. The incumbent is responsible for monitoring productivity, working with the Regional Manager to establish standards, and general maintaining the supervisory responsibility for these functional areas of the HIMS department. This individual is responsible for overseeing the site work area as well as the performance appraisals of site HIMs direct reports. Education Minimum Level of Education Required:...

About This Role: As the Associate Director of Program Management within the Global Commercial and Medical (GCM) IT organization, you will lead intricate, cross-functional programs and oversee portfolio financials, including governance, annual budgeting, and month-end close. You will drive critical projects and product launches supporting our Patient Services Organization in RTP, NC, ensuring they are delivered on time, within budget, and with minimal oversight. Your role is pivotal in collaborating with stakeholders to drive decisions and proactively manage and mitigate issues and risks, consolidate portfolio-level status reporting and track performance, ensuring the portfolio delivers high-quality outcomes. You will support the GCM Leadership Team with monthly portfolio reviews and manage ad hoc requests as needed. Reporting to the Director of Portfolio Management and Operations for Global Commercial and Medical IT, you will be a key player in driving the success and efficiency...

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. As an Evaluation & Management Medical Coder, you will provide coding and coding auditing services directly to providers. This includes the analysis and translation of medical and clinical diagnoses, procedures, injuries, or illnesses into designated numerical codes. The ideal candidate will possess prior experience of any kind talking to physicians, non - physician providers and / or their staff....

Evaluation & Management Medical CoderOptum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.As an Evaluation & Management Medical Coder, you will provide coding and coding auditing services directly to providers. This includes the analysis and translation of medical and clinical diagnoses, procedures, injuries, or illnesses into designated numerical codes. The ideal candidate will possess prior experience of any kind talking to physicians,...

Medical Billing Specialist-Revenue Cycle Management In summary... The Revenue Cycle Account Specialist is responsible for executing day-to-day revenue cycle functions for assigned client accounts, ensuring accurate, timely, and compliant processing across all billing activities. This role serves as a primary point of contact for clients while managing tasks such as charge entry, claims submission, payment posting, denial follow-up, and accounts receivable resolution. The Revenue Cycle Account Specialist supports the financial health of client accounts by maintaining workflow efficiency, resolving routine issues, and adhering to established billing guidelines and performance standards. This position requires strong attention to detail, effective communication, and a solid understanding of revenue cycle processes to ensure high-quality service and client satisfaction. What you will do... Function as primary liaison between RCM and client. Build team relationships with physicians,...

Outpatient Coder Job Type: Travel Profession: Health and Information Management Specialty: Medical Coder - Outpatient Shift Details: 5x8 Rotating Job Order Details: Start Date 08/18/2026 End Date 11/17/2026 Duration 13 Week(s) Float Required No Client Details: City Las Vegas State NV

About Summit Summit Therapeutics Inc. is a biopharmaceutical oncology company with a mission focused on improving quality of life, increasing potential duration of life, and resolving serious unmet medical needs. At Summit, we believe in building a team of world class professionals who are passionate about this mission, and it is our people who drive this mission to reality. Summit’s core values include integrity, passion for excellence, purposeful urgency, collaboration, and our commitment to people. Our employees are truly the heart and soul of our culture, and they are invaluable in shaping our journey toward excellence. Non-small Cell Lung Cancer (NSCLC) HARMONi: Phase 3 clinical study which was intended to evaluate ivonescimab combined with chemotherapy compared to placebo plus chemotherapy in patients with EGFR-mutated, locally advanced or metastatic non-squamous NSCLC who were previously treated with a 3rd generation EGFR TKI. HARMONi-3: Phase 3 clinical study which is...