• Value Based Care

    Health Care Service Corporation (Mobile, AL)
    …all quality metrics. Responsible for coordinating the delivery of cost-effective, quality - based health care services for health plan customers by development ... Three to Five (3-5) years recent experience in an acute- care environment, case- management , or utilization management...Microsoft Excel + **Client-site Location:** This is a field based position in Mobile, AL and surrounding towns. The… more
    Health Care Service Corporation (10/28/25)
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  • Care Manager, Registered Nurse (Remote)

    Sharecare (Tallahassee, FL)
    …To learn more, visit www.Sharecare.com. The Care Manager supports the implementation of the Value Based Care Management program in an appropriate and ... to achievement of care plan objectives and outcomes. + Abide by Value Based Care Management Program Description and Guidelines. + Meet productivity… more
    Sharecare (10/08/25)
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  • Care Manager LCSW WFH

    HCA Healthcare (Asheville, NC)
    …focus areas **EDUCATION & EXPERIENCE** + Knowledge of value based care and care management experience. + Active Clinical Social Worker License ... outreach to patients to guide them through transitions of care , care management , preventive services,...Serves as a subject matter expert in quality and value - based care programs such as… more
    HCA Healthcare (12/13/25)
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  • Care Manager RN WFH

    HCA Healthcare (Overland Park, KS)
    …of an accredited college of nursing + Knowledge of value based care and care management experience (CM) + Outpatient clinic nursing experience ... outreach to patients to guide them through transitions of care , care management , preventive services,...Serves as a subject matter expert in quality and value - based care programs such as… more
    HCA Healthcare (10/31/25)
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  • Associate Product Services & Management

    Northwell Health (Melville, NY)
    …of the Epic Healthy Planet population management application, which encompasses support for Value - Based Care , Care Management and Regulatory and ... Quality Reporting. Assists in consultation with departments to provide customer support during and post implementation. Job Responsibility + Assists in the analysis, verification, tracking and development of implementation plans for system development and… more
    Northwell Health (12/14/25)
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  • Social Worker Care Manager Pennock

    Corewell Health (Hastings, MI)
    …Assistants, Serious Illness Care Navigators, Value Based Care Navigators, Care Management Coordinators and Physician Advisors, spanning all ... Job Description About the Department: At Corewell Health the Care Management teams are over 1,000 individuals strong! Teams are composed of Nurse Care more
    Corewell Health (10/22/25)
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  • VP Payment Innovations & Value

    Community Health Systems (Franklin, TN)
    …+ Provide oversight and management of the organization's participation in Accountable Care Organizations, Value Based Care Initiatives, Clinically ... **JOB SUMMARY** The VP of Payment Innovations & Value Based Care is...financial data to ensure value - based care initiatives achieve financial performance targets. + Management more
    Community Health Systems (10/14/25)
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  • Complex Care Manager, Social Worker

    Bluestone Physician Services (Eagan, MN)
    …with 4-year degree or commensurate experience + 3-5 years of experience in value - based care , population health, case management , care coordination ... Using an evidence- based approach focused on quality care management and data-driven medical decisions, Bluestone...and post-acute stays and discharges for Bluestone patients in value - based care arrangements. In this… more
    Bluestone Physician Services (12/12/25)
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  • Operations Manager - VBCM (Remote)

    Sharecare (San Juan, PR)
    Care Operations, consistently directing and overseeing the objectives and goals of the Value Based Care Management Program. The responsibilities of ... team and aid in their personal development as a Care Manager. + Provide performance management for...relevant unified communication technologies. + This position will be based from a home office which must satisfy all… more
    Sharecare (11/25/25)
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  • Transformation Office Lead

    Humana (Washington, DC)
    …design, quality programs, risk adjustment, population health, member / patient engagement, value - based care , orcare management + Successfulimplementation ... initiatives + Provider partnership programs including contracting strategyor performance management with health systems, hospitals, physiciansand specialty care more
    Humana (11/20/25)
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  • Sr. Director, Client Analytics

    Evolent (Lincoln, NE)
    …supporting analytics for public plans such as Medicaid is preferred. + Experience with value - based care , utilization management , or regulatory reporting ... people with most complex and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented health care more
    Evolent (11/25/25)
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  • Program Manager II, Clinical Programs, Medicare…

    Amazon (FL)
    …organization - PMP certificate - Experience in population health, value - based care , or care management . Amazon is an equal opportunity employer and ... across clinical, operational, and technical teams. This role requires strong project management skills, the ability to influence without authority, and a passion for… more
    Amazon (11/21/25)
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  • Social Worker - Care Management

    Mount Sinai Health System (New York, NY)
    …of insurances that are part of value - based contracts. The goal of MSHP Care Management is to provide standardized care management services to ... **Job Description** **Job Title: Social Worker - Care Management ** **_Social Work Services at...in and passion for being part of an innovative community- based program to improve the quality of care more
    Mount Sinai Health System (12/06/25)
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  • Medical Director - IP Claims Management

    Humana (Raleigh, NC)
    …an understanding of Humana processes, as well as a focus on collaborative business relationships, value - based care , population health, or disease or care ... work, communication of decisions to internal associates, and possible participation in care management . May occasionally participate in discussions with external… more
    Humana (12/11/25)
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  • Value Based Care Process…

    Health Care Service Corporation (Tulsa, OK)
    …development. **Job Summary** This position is responsible for supporting the New Mexico Value Based Care process leaders/process stewards in planning, ... root cause analysis. supporting development and evolution of business process management methodology. This position is responsible for creating reports, insights and… more
    Health Care Service Corporation (12/02/25)
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  • VP Health Alliance Value Performance…

    UNC Health Care (Morrisville, NC)
    …evaluates and executes business development opportunities that drive growth and profitability under value - based care and alternative payment models. The VP ... contract performance and facilitates UNCHA's success in APMs and care delivery models. The selected candidate will have previous...Health Alliance Value Performance Management will develop and provide strategic direction, … more
    UNC Health Care (11/20/25)
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  • Value - Based Care

    University of Washington (Seattle, WA)
    …Office of the Chief Population Health Officer has an outstanding opportunity for a Value - Based Care Performance Specialist WORK SCHEDULE 100% FTE Hybrid - ... leads UW Medicine's system-wide strategy for population health and value - based care integration. The office...care and risk gaps, enhance quality, and strengthen care and value management . +… more
    University of Washington (11/19/25)
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  • Registered Nurse - Case Manager - PRN

    WellSpan Health (Lebanon, PA)
    …transition patient care and support value - based care initiatives. + Completes case management patient assessment, identifies needs, develops ... team to identify interdisciplinary needs + Collaborates with care management across the system to effectively...As an integrated delivery system focused on leading in value - based care , we encompass more… more
    WellSpan Health (11/15/25)
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  • Lead Analyst, Performance Analytics

    Evolent (Cheyenne, WY)
    …professional billing and various sites of care /service + Familiarity with value - based care and utilization management + Understanding of data systems ... and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented...role plays a critical part in both **Medical Cost Management ** and **Product Management ** , leveraging advanced… more
    Evolent (11/12/25)
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  • Network Development and Contracting ( Value

    CVS Health (Trenton, NJ)
    …internal departments. **Required Qualifications** + Minimum of 3 to 4 years recent Managed Care Network Value Based Contacting experience with 2-3 years ... with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we...team and other key internal teams to develop a value based strategic plan and manage contract… more
    CVS Health (11/20/25)
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