Winchester, MA · On-site
$70 - $90/hr
Monitoring level of HMO patients on admission and throughout stay * Obtaining prior approval for all HMO patients throughout the facility for transportation, therapy, etc. * Tracking HMO and Medicare ...
New
Winchester, MA · On-site
$70 - $90/hr
Monitoring level of HMO patients on admission and throughout stay * Obtaining prior approval for all HMO patients throughout the facility for transportation, therapy, etc. * Tracking HMO and Medicare ...
New
Large HMO in sunny Daytona Beach, Florida is eager to talk to Family Medicine physicians regarding multiple needs in the surrounding suburb of Debary, FL. Opportunity Details * Large Florida HMO ...
Large HMO in sunny Daytona Beach, Florida is eager to talk to Family Medicine physicians regarding multiple needs in the surrounding suburb of Debary, FL. Opportunity Details * Large Florida HMO ...
Large HMO in sunny Daytona Beach, Florida is eager to talk to Family Medicine physicians regarding multiple needs in surrounding suburbs. Opportunity Details * Large Florida HMO looking for Family ...
Large HMO in sunny Daytona Beach, Florida is eager to talk to Family Medicine physicians regarding multiple needs in surrounding suburbs. Opportunity Details * Large Florida HMO looking for Family ...
$15.75 - $19.75/hr
Front/Back Office duties include scheduling appointments, Medicaid/HMO verification, taking vitals, taking injection or willing to learn, calling pharmacy and faxing prior authorizations to HMO ...
$15.75 - $19.75/hr
Front/Back Office duties include scheduling appointments, Medicaid/HMO verification, taking vitals, taking injection or willing to learn, calling pharmacy and faxing prior authorizations to HMO ...
West Palm Beach, FL · On-site
$15.75 - $19.75/hr
Front/Back Office duties include scheduling appointments, Medicaid/HMO verification, taking vitals, taking injection or willing to learn, calling pharmacy and faxing prior authorizations to HMO ...
West Palm Beach, FL · On-site
$15.75 - $19.75/hr
Front/Back Office duties include scheduling appointments, Medicaid/HMO verification, taking vitals, taking injection or willing to learn, calling pharmacy and faxing prior authorizations to HMO ...
Large HMO in sunny Daytona Beach, Florida is eager to talk to Family Medicine physicians regarding multiple needs in the surrounding suburb of Deltona, FL. Opportunity Details * Large Florida HMO ...
Large HMO in sunny Daytona Beach, Florida is eager to talk to Family Medicine physicians regarding multiple needs in the surrounding suburb of Deltona, FL. Opportunity Details * Large Florida HMO ...
Large HMO in sunny Daytona Beach, Florida is eager to talk to Family Medicine physicians regarding multiple needs in the surrounding suburb of Palm Coast, FL. Opportunity Details * Large Florida HMO ...
Large HMO in sunny Daytona Beach, Florida is eager to talk to Family Medicine physicians regarding multiple needs in the surrounding suburb of Palm Coast, FL. Opportunity Details * Large Florida HMO ...
Large HMO in sunny Daytona Beach, Florida is eager to talk to Family Medicine physicians regarding multiple needs in the surrounding suburb of Port Orange, FL. Opportunity Details * Large Florida HMO ...
Large HMO in sunny Daytona Beach, Florida is eager to talk to Family Medicine physicians regarding multiple needs in the surrounding suburb of Port Orange, FL. Opportunity Details * Large Florida HMO ...
Rumford, ME · On-site
This includes those who may have Medicare, Medicaid, HMO, or private insurance to cover their stay at various units. * Discharge planning is coordinated with physicians, nursing, patients, and ...
Quick apply
Rumford, ME · On-site
This includes those who may have Medicare, Medicaid, HMO, or private insurance to cover their stay at various units. * Discharge planning is coordinated with physicians, nursing, patients, and ...
Whittier, CA · On-site
$24/hr
Skill Set claims examiner, HMO, health
Whittier, CA · On-site
$24/hr
Skill Set claims examiner, HMO, health
Chicago, IL · On-site
$100 - $165/hr
Oversight and control of factors creating financial loss and liability related to OOS Medicaid and non-contracted HMO members seeking access to care.* Become the primary and immediate contact point ...
New
Chicago, IL · On-site
$100 - $165/hr
Oversight and control of factors creating financial loss and liability related to OOS Medicaid and non-contracted HMO members seeking access to care.* Become the primary and immediate contact point ...
New
Chicago, IL · On-site
Oversight and control of factors creating financial loss and liability related to OOS Medicaid and non-contracted HMO members seeking access to care. * Become the primary and immediate contact point ...
Chicago, IL · On-site
Oversight and control of factors creating financial loss and liability related to OOS Medicaid and non-contracted HMO members seeking access to care. * Become the primary and immediate contact point ...
$100 - $165/hr
Oversight and control of factors creating financial loss and liability related to OOS Medicaid and non-contracted HMO members seeking access to care.* Become the primary and immediate contact point ...
New
$100 - $165/hr
Oversight and control of factors creating financial loss and liability related to OOS Medicaid and non-contracted HMO members seeking access to care.* Become the primary and immediate contact point ...
New
Chicago, IL · On-site
Oversight and control of factors creating financial loss and liability related to OOS Medicaid and non-contracted HMO members seeking access to care. * Become the primary and immediate contact point ...
Chicago, IL · On-site
Oversight and control of factors creating financial loss and liability related to OOS Medicaid and non-contracted HMO members seeking access to care. * Become the primary and immediate contact point ...
Chicago, IL · On-site
$100 - $165/hr
Oversight and control of factors creating financial loss and liability related to OOS Medicaid and non-contracted HMO members seeking access to care. Become the primary and immediate contact point ...
Chicago, IL · On-site
$100 - $165/hr
Oversight and control of factors creating financial loss and liability related to OOS Medicaid and non-contracted HMO members seeking access to care. Become the primary and immediate contact point ...
JOB SUMMARY: To provide administrative and clerical support to ensure the efficient operation of the department. KEY RESPONSIBILITIES: * General clerical duties including copying, scanning and faxing.
JOB SUMMARY: To provide administrative and clerical support to ensure the efficient operation of the department. KEY RESPONSIBILITIES: * General clerical duties including copying, scanning and faxing.
HMO Health Benefits for provider & eligible dependents * Group Term Life * Group Disability · * Malpractice Insurance * Paid Leave Time * CME Stipend * Licenses, Fees & Dues reimbursed * Travel ...
HMO Health Benefits for provider & eligible dependents * Group Term Life * Group Disability · * Malpractice Insurance * Paid Leave Time * CME Stipend * Licenses, Fees & Dues reimbursed * Travel ...
San Antonio, TX · On-site
Knowledgeable of all benefit programs offered by the CFHP, Medicaid, HMO, PPO, ASO.
San Antonio, TX · On-site
Knowledgeable of all benefit programs offered by the CFHP, Medicaid, HMO, PPO, ASO.
San Antonio, TX · On-site
Knowledgeable of all benefit programs offered by the CFHP, Medicaid, HMO, PPO, ASO.
San Antonio, TX · On-site
Knowledgeable of all benefit programs offered by the CFHP, Medicaid, HMO, PPO, ASO.
San Antonio, TX · On-site
Knowledgeable of all benefit programs offered by the CFHP, Medicaid, HMO, PPO, ASO.
San Antonio, TX · On-site
Knowledgeable of all benefit programs offered by the CFHP, Medicaid, HMO, PPO, ASO.
An HMO (Health Maintenance Organization) job typically refers to a role within a healthcare organization that provides managed care services to patients. Employees in HMO roles may work in various capacities, such as case management, claims processing, provider relations, or patient coordination. Their primary responsibility is to ensure efficient healthcare delivery while managing costs and maintaining compliance with healthcare regulations.
As an HMO Medical Officer, your daily tasks often include reviewing patient medical records for pre-authorization or claims, consulting with physicians and healthcare providers on case management, and conducting medical audits to ensure compliance with policies. You’ll also participate in utilization review meetings and help develop clinical guidelines to improve care quality and operational efficiency. This role is highly collaborative, requiring regular interaction with both clinical and administrative staff. By balancing clinical expertise with healthcare management, you play a key role in delivering effective and sustainable patient care within the HMO structure.
To thrive as an HMO (Health Maintenance Organization) Medical Officer, a medical degree with appropriate licensure and experience in clinical medicine are essential. Familiarity with healthcare management systems, medical auditing tools, and utilization review protocols are typically required. Strong analytical thinking, decision-making, and interpersonal communication skills help HMO Medical Officers navigate complex cases and work collaboratively with providers and administrative teams. These competencies are vital for ensuring high-quality, cost-effective patient care and compliance with organizational standards.
The most popular types of Hmo jobs are:
States with the most job openings for Hmo jobs include:
The top searched job categories for Hmo jobs are:
Winchester, MA • On-site
$70 - $90/hr
Other
Medical, Dental, Vision, Retirement, PTO
Posted 3 days ago
New
FULL TIME
Qualifications for Nurse Case Manager
