- Cepheid (Miami, FL)
- At Cepheid, we are passionate about improving health care through fast, accurate diagnostic testing. Our mission drives us, every moment of every day, as we develop ... scalable, groundbreaking solutions to solve the world's most complex health challenges. Our associates are involved in every stage of molecular diagnostics, from… more
- Cytiva (Miami, FL)
- …at the forefront of providing new solutions to transform human health . Our incredible customers undertake life-saving activities ranging from fundamental biological ... the validation strategy and maintain ownership of the Muskegon site Validation Master Plan .This position reports to the Quality Assurance Manager and is part of the… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- …cutting-edge third-party administration services. Our unique perspective stems from decades of health plan management expertise, our proprietary provider ... large complex project/program with Internal and external teams preferred. About At Brighton Health Plan Solutions, LLC, our people are committed to the… more
- Brighton Health Plan Solutions, LLC (Las Vegas, NV)
- …cutting-edge third-party administration services. Our unique perspective stems from decades of health plan management expertise, our proprietary provider ... and understanding union labor benefits and Taft-Hartley plan administration. + Project management , process improvement,... management and CBA knowledge. About At Brighton Health Plan Solutions, LLC, our people are… more
- Brighton Health Plan Solutions, LLC (New York, NY)
- …cutting-edge third-party administration services. Our unique perspective stems from decades of health plan management expertise, our proprietary provider ... top payers across one or more domains (Enrollment & Benefit Administration, Claims processing & Reimbursements, Member & Provider...Certifications and or PMP a plus. About At Brighton Health Plan Solutions, LLC, our people are… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- …cutting-edge third-party administration services. Our unique perspective stems from decades of health plan management expertise, our proprietary provider ... communication through various channels, including email, chat, and voice. About At Brighton Health Plan Solutions, LLC, our people are committed to the… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- …cutting-edge third-party administration services. Our unique perspective stems from decades of health plan management expertise, our proprietary provider ... as applicable. + Proficient with Word, Excel and PowerPoint, Visio. About At Brighton Health Plan Solutions, LLC, our people are committed to the improvement of… more
- Magellan Health Services (San Diego, CA)
- …team approach, including all participants of the Interdisciplinary Care Plan team, Health Plan Medical Care Management where appropriate, to ensure ... implement solutions that directly influence quality of care. Understanding of plan benefit structures, psychiatric/medical terminology, call center terminology… more
- AON (Lincolnshire, IL)
- …+ Benchmarking + Plan design + Pricing strategy + Bid/selection projects + Health plan management + Wellness + Leading-edge program approaches + ... company, brokerage or in the Health and Benefits discipline. + Complex project management experience... design + Pricing strategy + Bid/selection projects + Health plan management + Wellness… more
- Mount Sinai Health System (New York, NY)
- …6 years experience in the healthcare industry, with focus on Pharmacy Health Plan or Pharmacy Benefit Management . + Proven capabilities in strategic ... Therapeutics Committee. + Ensures the clinical integrity of the Health Plan pharmacy offering. + Partners with...growth. + Participate in meetings and presentations to review benefits management performance. + Act as pharmacy… more
- Elevance Health (Costa Mesa, CA)
- …and Experiences:** + BS preferred. + MS Office Suite experience preferred. + Health plan experience preferred. + Management experience preferred. + ... $180,144. Locations: California In addition to your salary, Elevance Health offers benefits such as, a comprehensive...agreement), medical, dental, vision, short and long term disability benefits , 401(k) +match, stock purchase plan , life… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …+ Ten years' experience [eight (8) years' experience with Pharmacy degree] in a large health plan , medical management or pharmacy management organization ... plan in the Pacific Northwest, we provide comprehensive health benefits and services to more than...100 companies. Our services include innovative programs focused on health management , wellness, prevention, and patient safety.… more
- Molina Healthcare (Scottsdale, AZ)
- …Work, or related field + 2 years of medical record abstraction experience + 1 year health plan quality management + Ability to work across all levels of ... communication skills, both verbally and written + Ability to interact effectively with health plan clinical leaders and peers across the organization +… more
- Highmark Health (Dover, DE)
- …are identified and executed in a timely manner. This will require engagement with Health Plan Management (SVPs, VPs, Directors, etc.) in formal and ... objectives. + Help develop and implement improved infrastructure and processes to provide Health Plan and Enterprise management with regular performance… more
- Elevance Health (Cincinnati, OH)
- …support the broader organizational mission and NCQA standards. + Oversee all health plan medical management programs, including person-centered planning, ... discharge planning, case management , disease management , quality management , and health ...agreement), medical, dental, vision, short and long term disability benefits , 401(k) +match, stock purchase plan , life… more
- Elevance Health (Miami, FL)
- …not limited to: + Directs and oversees program operations in support of corporate and health plan UM management . + Directs and collaborates with functional ... Healthcare Plans, Inc. is a proud member of Elevance Health 's family of brands. We are a licensed ...agreement), medical, dental, vision, short and long term disability benefits , 401(k) +match, stock purchase plan , life… more
- WTW (Boston, MA)
- …dealing with health and welfare plans, ideally gained in a benefit consulting/brokerage firm, Health Plan , Third Party Administrator, Regulatory ... Health analytics experience preferred + Understanding of health plan utilization/case management processes,...also eligible for an annual short-term incentive bonus. **Company Benefits ** WTW provides a competitive benefit package… more
- CVS Health (Springfield, IL)
- …This is a regional role that primarily supports the Aetna Better Health Plan of Illinois. This UM (Utilization Management ) Medical Director will be a "Work ... Independent Review Organization a Plus **Preferred Qualifications:** -Preferred Illinois residency - Health plan /payor Utilization Management / Review… more
- CVS Health (Charleston, WV)
- …or working for an Independent Review Organization a Plus **Preferred Qualifications:** - Health plan /payor Utilization Management / Review experience. ... Emergency Medicine, Internal Medicine-Pediatrics Specialty Preferred. - Prior UM experience working at Health Plan / Insurer or experience as a Physician Advisor… more
- Procter & Gamble (Bear River City, UT)
- …for the plant. You will support site assessment audits, site risk analysis, and occupational health management plan to ensure the delivery of the health ... and overall risk assessments. . Partake in site chemical clearance and change management process. . Provide Health Coaching that optimizes the employee's … more
