- Sanford Health (Sioux Falls, SD)
- …Full time **Weekly Hours:** 40.00 **Job Summary** The Chief Operating & Experience Officer, Health Plan is a critical executive-level role within the Sanford ... Health Plan (SHP) with operational responsibility and financial accountability for $1B in premium revenue. This role has executive responsibility for core … more
- East Boston Neighborhood Health Center (Revere, MA)
- …a future career in health care administrative. Directly reporting to the Director of Health Plan Operations, the Health Plan Analyst will support in ... research and aid in evaluation of health plan information from different sources to identify trends and business insights that are critical to Neighborhood PACE.… more
- Magellan Health Services (San Diego, CA)
- …+ Facilitates a team approach, including all participants of the Interdisciplinary Care Plan team, Health Plan Medical Care Management where appropriate, ... and verbal communication skills. General Job Information Title Care Manager Health Plan , Remote, CA license Grade 25 Work Experience - Required Behavioral… more
- Baylor Scott & White Health (Temple, TX)
- **JOB SUMMARY** Accountable for managing Health Plan medical costs and assuring appropriate health care delivery for plans and members. Is accountable to ... the utilization/cost management (UM) and clinical quality improvement (QI) of the Health Plan , as measured by benchmarked UM and QI goals. Works collaboratively… more
- East Boston Neighborhood Health Center (Revere, MA)
- …careers.ebnhc.org (http://http//careers.ebnhc.org/) . Time Type: Full time Department: PACE Health Plan Management All Locations: Revere Description: Reporting ... to the Director of Health Plan Operations, Senior Health Plan Analyst supports Senior Care Programs within EBNHC in all aspects of health plan … more
- Corewell Health (Grand Rapids, MI)
- …70k Responsible for the strategy, development, and management of a portfolio of health plan products in the Employer Solutions division. Leads ongoing management ... Manages external vendor and strategic partnerships. Primary portfolio focus will include health plan cost transparency programs and Ancillary Products. Key… more
- Corewell Health (Grand Rapids, MI)
- … Health Legal Specialists team. Someone in this role should have Self Funded Health Plan insurance experience. Creates and revises plan documents and ... Required: + Bachelor's Degree or equivalent in legal, compliance, managed care, health plan administration, process improvement or project management + 5… more
- Sanford Health (Bismarck, ND)
- … health and healing across our broad footprint.** **Facility:** Bismarck Sanford Health Plan **Location:** Bismarck, ND **Address:** 1833 E Bismarck Expy, ... Summary** The case manager provides case management and care coordination for designated Health Plan members. Develops a care plan that includes managing and… more
- CVS Health (Woonsocket, RI)
- …personal, convenient and affordable. Position Summary The Senior Analyst role on the Health Plan Adherence Solutions team under the Retail Pharmacy Growth ... the capabilities launched. Specifically, the Senior Analyst will lead the team's health plan data ETL processes using Python and SQL, becoming a subject matter… more
- Martin's Point Health Care (Portland, ME)
- …Position Summary The Senior Director of Risk Adjustment Operations in our Health Plan is responsible the overall development, refinement, maintenance, monitoring ... provider training, and medical record documentation. Working closely with the Health Plan 's Risk Adjustment Data Analytics and Data Architecture team on data… more
- Martin's Point Health Care (Portland, ME)
- …and 2-4 visits to Maine, per year! Join this dynamic Risk Adjustment Team in our Health Plan which is growing and making an impact! Apply today for immediate ... consideration! The Senior Risk Adjustment Analyst in our Health Plan analyzes data, reviews findings, and develops recommendations for leadership related to… more
- Elevance Health (Indianapolis, IN)
- **Medicaid Quality Management Health Plan Director Sr.** **Location:** This position will work a hybrid model (remote and office) out of the Indianapolis, ... reside within 50 miles of the Indianapolis office. The **Medicaid** **Quality Management Health Plan Director Sr.** will be responsible for driving the… more
- Elevance Health (Woodland Hills, CA)
- **Government Business Quality Management Health Plan Director-California** **Location** : This position will work a hybrid model (remote and office). The ideal ... Hills, CA** Elevance Health PulsePoint location. The **GB Quality Management Health Plan Director** is responsible for driving the development, coordination,… more
- Apex Health Solutions (Houston, TX)
- Summary The Commercial Health Plan Enrollment Specialist is responsible for maintenance of eligibility data, resolving all issues or requests regarding ... (2) years' experience in healthcare planning/operations or business operations focused on health plan eligibility, enrollment record maintenance, or another … more
- LA Care Health Plan (Los Angeles, CA)
- …$77,265.00 (Min.) - $100,445.00 (Mid.) - $123,625.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created by the state of ... low-income Los Angeles County residents. We are the nation's largest publicly operated health plan . Serving more than 2 million members in five health plans,… more
- Magellan Health Services (Boise, ID)
- …previous experience presenting to clients. General Job Information Title Idaho Behavioral Health Plan (IBHP) Marketing Communications Manager Grade 26 Work ... across all divisions of the company to include members, employer groups, health plans, customers, and/or government. + Drafts marketing communication materials in… more
- LA Care Health Plan (Los Angeles, CA)
- …$67,186.00 (Min.) - $87,342.00 (Mid.) - $107,498.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created by the state of ... low-income Los Angeles County residents. We are the nation's largest publicly operated health plan . Serving more than 2 million members in five health plans,… more
- LA Care Health Plan (Los Angeles, CA)
- …$102,183.00 (Min.) - $132,838.00 (Mid.) - $163,492.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created by the state of ... low-income Los Angeles County residents. We are the nation's largest publicly operated health plan . Serving more than 2 million members in five health plans,… more
- BayCare Health System (Clearwater, FL)
- …Estimation, Software Security, Software Metrics, Data Conversion, Data Integration **Preferred:** + ** Health Plan & Insurance Experience strongly preferred** . + ... Hybrid Equal Opportunity Employer Veterans/Disabled **Position** Programmer Analyst Sr - Health Plan Analytics **Location** Clearwater:BayCare Sys Office East |… more
- Trinity Health (Fresno, CA)
- …hospital and home care, as well as understanding of the financial structure of health plan and delivery system is preferred. Pay Range ($48.86 - $70.85) ... **Our Commitment to Diversity and Inclusion** Trinity Health is one of the largest not-for-profit, Catholic healthcare...accessible and equitable care for those we serve. Trinity Health is an Equal Opportunity Employer. All qualified applicants… more
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