PennState Health is seeking a Medical Assistant for a job in Fleetwood, Pennsylvania. The role involves aiding with various health care services, obtaining specimens, conducting routine lab studies of specimens, and assisting with administrative functions such as coordinating patient flow and scheduling appointments and phone messages. This position requires a high school diploma or equivalent, certification or registration through an approved agency for Medical Assistants within 90 days of employment, and basic life support certification within 6 months of employment. Preferred qualifications include a graduate of an accredited Medical Assistant Program and previous outpatient experience.

Medical Assistant - $19-29 per hour

Medical Assistant

The Manager, Medicare Advantage Provider Engagement at BlueCross BlueShield of Tennessee is responsible for hiring, developing, motivating, and coaching a staff focused on provider engagement. This role involves overseeing functions related to MA provider education, engagement, and developing educational collateral to support the quality program. The manager will also implement strategies for HEDIS/STARS supplemental data collection, perform forecasting and analysis, and collaborate with specialists to identify and implement alternative payment models for cost control and quality improvement.

Manager Medicare Advantage Provider Engagement

Manager, Medicare Advantage Provider Engagement

Penn Medicine is seeking a full-time, day shift Ambulatory/Retail Pharmacy Manager for the Valley Forge pharmacy. This role involves providing leadership for all staff on their service, supporting the organizational, departmental, and service line missions. Responsibilities include developing short-term plans, incorporating best practices, meeting regulatory requirements, workforce planning, staff development, budget planning, and overseeing technology and clinical services partnerships. The manager will also work closely with customer leadership to maintain oversight of performance measures and operational goals related to patient care services.

Pharmacy Manager, Ambulatory/Retail--Full-time, Days--Valley Forge

Ambulatory/Retail Pharmacy Manager

As a Medical Assistant at Actalent, you will be a crucial part of the patient care team, supporting providers and nursing staff by guiding patients via telehealth visits. Responsibilities include answering calls, registering patients, conducting patient assessments, reviewing medical history, patient education, verifying insurance, accurate documentation into EPIC EMR system, and ensuring compliance with HIPAA laws. This is a fully remote role with a two-week onsite training period in New Haven, CT.

Remote Medical Assistant

The Care Manager/Coordinator (RN/SW) at AmeriHealth Caritas is responsible for engaging members, their caregivers, and providers to assess, plan, and establish individual member goals for achieving optimal health through self-management. This role involves facilitating and coordinating care, ensuring quality and cost-effective resource use, and serving as a single point of contact and advocate for members in the care coordination program. The position also includes overseeing care management activities within assigned practices to deliver high-quality services in line with Plan, NCQA, Federal/State standards.

Part-time Care Manager II - Remote Philadelphia area only

Part-time Care Manager II

As an experienced M.D. or D.O. in a managed care or healthcare administration setting, you will partner closely with the internal Case Management and Health Services Quality teams to coordinate care through evidence-based decision making. You will also lead the Quality Improvement Committee and chair the Credentialing Committee, perform outpatient case reviews, and support NCQA accreditation and quality case reviews. This role requires decisiveness, strong analytical and critical thinking skills, and the ability to influence internally and externally.

Medical Director Case Management & Quality

The Manager, Provider Relations at Molina Healthcare is responsible for network development, network adequacy, provider training and education, in alignment with the company's mission, core values, and strategic plan. This role serves as the primary point of contact between Molina Healthcare and contracted provider network, managing and coordinating Provider Services activities for the state health plan. The position involves a mix of strategic planning, contracting, education, outreach, and issue resolution to ensure a sufficient network of providers and compliance with regulations.

Manager, Provider Relations

The Care Manager, Behavioral Health at Magellan Health Services is a remote position supporting Louisiana, requiring a license in Louisiana. This role involves authorizing and reviewing utilization of mental health and substance abuse services, collecting and analyzing utilization data, assisting with discharge planning and care coordination, and participating in quality improvement projects. The position requires strong organization, time management, and communication skills, as well as knowledge of utilization management procedures, mental health and substance abuse community resources, and providers.

Care Manager, BH - Remote (Louisiana license required)

Care Manager, Behavioral Health

The Medical Assistant at St. Luke's University Health Network is responsible for assisting in the delivery of healthcare support for the practice. This role involves conducting pre-visit planning, preparing patients for examination, providing patient care services, and coordinating with the care team on various patient-related matters. The Medical Assistant plays a crucial role in maintaining the organization's values of excellence in patient care, education, and community service.

Medical Assistant, Berks Trust- Exeter

The Care Manager Transition of Care at Centene Corporation performs care management duties to assess, plan, and coordinate aspects of medical and supporting services across the continuum of care for post-discharge members, promoting quality and cost-effective care. This role involves completing medication review for pre-admission and post-discharge reconciliation, working with care management and coordination teams to identify transition support services, and facilitating the transition into active care management based on member needs.

Care Manager Transition of Care (CA Only)

Care Manager Transition of Care

This job involves implementing effective utilization management strategies, including reviewing the appropriateness of health care services, applying criteria to assure appropriate resource utilization, identifying opportunities for referral to a Health Coach/case management, and resolving quality issues. The role monitors and analyzes the delivery of health care services, educates providers and members, and develops strategies to improve provider performance/satisfaction and member satisfaction. Responses to customer inquiries and interventions or alternatives are offered.

Care Manager Behavioral Health (Remote)

Care Manager Behavioral Health

BAYADA Staffing is seeking Medical Assistants to work in various outpatient departments across Philadelphia, Delaware, Bucks, Montgomery, and Chester Counties. The role offers flexible scheduling with per-diem shifts or 5-day weekly assignments. BAYADA is an accredited, regulated, certified, and licensed home health care provider, ensuring compliance with all state/local mandates.

Medical Assistants - Outpatient Departments

The Pediatric Care Manager, RN at Centene Corporation is responsible for developing, assessing, and facilitating complex care management activities for primarily physical needs members to provide high quality, cost-effective healthcare outcomes. This includes personalized care plans and education for members and their families. The role involves evaluating member needs, developing care plans, coordinating care, and providing education and support. This is a remote position with local travel required for member visits, and candidates must reside in Broward County, Florida, with a preference for those in Pembroke Pines, Weston, or Dania Beach.

Pediatric Care Manager, RN (ECC)

Pediatric Care Manager, RN

Molina Healthcare is seeking a Case Manager RN to support members recently admitted to the hospital, ensuring a successful transition from inpatient to outpatient care. This role involves working remotely to coordinate care, conduct face-to-face and home visits, and educate members on various aspects of care. The position requires excellent computer skills, attention to detail, and the ability to multitask. Previous experience in case management, managed care, hospital, and/or home health is preferred.

Case Manager RN - Transition of Care Coach

The Medical Management Specialist I at Elevance Health is responsible for providing non-clinical support to the Medical Management and/or Operations/Case Management Departments. This role involves providing information on network providers, acting as a liaison between departments, maintaining and updating tracking databases, preparing reports, and contacting members and providers as needed. The position is remote, requiring the candidate to reside within 50 miles or one hour commute from Miami and Tampa, Florida.

Medical Mgmt Specialist I (US)

Medical Management Specialist I

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Medical Care Manager Jobs in Pottstown, PA Hiring Now