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HEALTH-PLANS JOBS - Page 1

1 Business Developer Director, Health Plans Austin, TX, USA The Role Digital Pharmacist is currently seeking a Business Development Director, Health Plans. The ideal candidate is an incredibly dynamic, self-starter who wants to help redefine the healthcare ...... Apply Now>>

2 Account Manager Billings, MT, USA ... plans. Create and help execute a roadmap to accomplish clients’ goals. * Present and review ... Participate in client group enrollment/employee benefit meetings, wellness/health fairs. * Prepare ...... Apply Now>>

3 AvMed Sr. Contract Analyst Miami, FL, USA Medical Plans, Health Savings Account, Dental, Vision, and more… * Paid Time Off, Company Paid Holidays, Paid Time Off Cash-In * 401(k)plan with matching contributions, Tuition Assistance ...... Apply Now>>

4 Delegation Oversight Coordinator Eugene, OR, USA Maintain collaborative relationships and act as a liaison for PacificSource with IPAs and other health plans. Provide interpretation of NCQA, CMS and Medicaid credentialing standards to Delegates to ...... Apply Now>>

5 Compliance Director Austin, TX, USA ... Health Plans is an Equal Opportunity Employer and does not discriminate on the basis of race, color, religion, sex, national origin, age, disability, genetics or any other basis prohibited by law... Apply Now>>

6 AvMed Director, Compliance Gainesville, FL, USA Are you passionate about health, happiness and helping others? So are we. We’re committed to ... The Compliance function plans and directs organizational actions to ensure compliance with state ...... Apply Now>>

7 Claims Trainer Austin, TX, USA FirstCare Health Plans is an Equal Opportunity Employer and does not discriminate on the basis of race, color, religion, sex, national origin, age, disability, genetics or any other basis prohibited ...... Apply Now>>

8 Senior Financial Analyst San Antonio, TX, USA ... health plans - Provide business analysis for new opportunities - Analyze enrollment trends and project those trends forward. - Develop and maintain profitability reporting by line of business and by ...... Apply Now>>

9 Director of Contract Discrepancies for Commercial Health Plans New York, NY, USA This person will oversee the collection and follow up of all non-government and commercial plans, inclusive of Aetna, Blue Cross/Blue Shield, and United Healthcare, as well as Medicaid and Medicare ...... Apply Now>>

10 215/240 Health Insurance Sales Agent Hollywood, FL, USA Attend to inbound calls from consumers to enroll in insurance plans * Explain the benefits and features of the various health care plans available * Qualify, educate and enroll individuals into ...... Apply Now>>

11 Jr. Financial Analyst- Group Health Plans Syosset, NY, USA Jr. Financial Analyst-Group Health Plans Benefits after 90 days: Medical/Dental/Vision/Life/LTD/401K Company Description Paul Global Benefits (PGB) is a premier, international employee benefits ...... Apply Now>>

12 Director of New Markets - Health Plans Irvine, CA, USA Rapidly growing integrated health care provider seeks a Director of New Markets - Health Plans to lead new product and new market expansion of Medicare - Medicaid and Dual Eligible products for a ...... Apply Now>>

13 RN Case Manager | University Health Plans Tucson, AZ, USA Banner University Health Plans is currently seeking an RN Case Manager. The RN Case Manager can be based in either Tucson or Phoenix. The position provides multifaceted healthcare navigation ...... Apply Now>>

14 *System/Network Administrator- (Hollywood, FL) Hollywood, FL, USA In this role you will be responsible for: · Do whatever is takes to help keep SIMPLE HEALTH PLANS AND SIL servers, PC’s, network, telecom hardware and applications functioning efficiently. Systems ...... Apply Now>>

15 Manager, Financial Accounting San Antonio, TX, USA POSITION SUMMARY/RESPONSIBILITIES Performs duties within the department which require a sound knowledge of accounting principles and theory. Promotes and establishes sound accounting procedures and ...... Apply Now>>

16 Manager - S&O - Health Plans Value Based Care/ Operations Transformation Chicago, IL, USA Deloitte's Health Plans practice understands the past and present of the health care industry—and we collaborate with clients to address complex challenges and help them create and shape their ...... Apply Now>>

17 Director, State Pharmacy Richmond, VA, USA Provides clinical pharmacy direction for the state health plans including, but not limited to Medical Economics, Disease Management, Pharmacy, Utilization and Quality Management. Provides drug ...... Apply Now>>

18 Field Health Services - Vice President Chicago, IL, USA Develops strategic plans with the ultimate goal to improve the health status of our members, measure outcomes, improve outcomes and subsequently reduce cost, consistent with the corporate and market ...... Apply Now>>

19 Claims Coordinator Miami, FL, USA HealthSun Health Plans www.healthsun.com is seeking energetic, talented and qualified professionals to join us in our mission of changing the healthcare experience of our members - making it easier ...... Apply Now>>

20 Regional Sales Director - Self-Funded Health Plans Austin, TX, USA A leader in self-funded health plans is experiencing explosive growth and seeking high energy self-starters to join their winning team. This is an excellent opportunity to join a team that strives to ...... Apply Now>>

21 Director of Provider Operations Miami, FL, USA HealthSun Health Plans www.healthsun.com is seeking energetic,talented and qualified professionals to join us in our mission of changing the healthcare experience of our members - making it easier ...... Apply Now>>

22 Registered Nurse Home Health Rocky Mountain Health Plans offers a comprehensive benefits package that includes an innovative Wellness Program, generous paid time off, an amazing work-life balance, and gives back to the community... Apply Now>>

23 Sr. Marketing Coordinator for Member Materials - University Health Plans Tucson, AZ, USA Banner University of Arizona Health Plans is currently seeking dynamic and experience marketing professionals for Senior Marketing Coordinator positions now open in the Health Plan Marketing ...... Apply Now>>

24 Sr Account Executive - Health Plans Chicago, IL, USA Knowledge of Health Plans industry technology, terminology, concepts and challenges * Excellent written and verbal communication skills * Ability to initiate, lead and/or delegate projects * Ability ...... Apply Now>>

25 Service Vice President - CarePlus Health Plans Doral, FL, USA Service Vice President - CarePlus Health Plans Assignment: Humana Location: Doral or Tampa FL At CarePlus we are more than just a brand, we are a team of associates that strive to give our members ...... Apply Now>>

26 Health Plans Configuration Auditor III Irving, TX, USA ... Health plans. Establishing structure and standardization, creating and updating of departmental policies, process, implementation, maintenance and oversight of auditing configuration. Additional ...... Apply Now>>

27 Health First Health Plans - Director of Healthcare Economics Rockledge, FL, USA Measures and reports the financial impacts realized as a result of the implementation of medical margin action plans. * Leads the Healthcare Economics team to provide timely and actionable ...... Apply Now>>

28 Manager (RN), Cardiovascular Health Program (Mon.-Fri., Days) Palo Alto, CA, USA In collaboration with the Administrative Director of Cardiovascular Health, plans strategic, tactical, and counter measures to ensure projects stay in scope and in alignment to meet organization ...... Apply Now>>

29 Entry Level Phone Sales Charter Township of Clinton, MI, USA We sell health and life insurance nationally and our agents are licensed in approximately 20 states around the country. We are among the top producers under the National Health Plans umbrella. We've ...... Apply Now>>

30 DIR, UTILIZATION MGMT - Scripps Health Plans (Rancho Bernardo) - Full Time - Day San Diego, CA, USA Responsible for the development, implementation and maintenance of clinical and operation performance of medical and utilization management programs and work plans across all the Managed Care Health ...... Apply Now>>

31 Healthcare Provider Analyst Assistant Fort Lauderdale, FL, USA Update and compile reports for Health Plans, Providers and internal departments. Support the Department in completing and tracking of Client audits. Learn various internal software tools to assist in ...... Apply Now>>

32 Administrative Assistant - Customer Service, Health First Health Plans, Full-Time, #00019302 Rockledge, FL, USA Healthcare experience is preferred and may be required in some areas. Less experience may be accepted if associate has demonstrated a proven track record at Health First. * Typing skills of a minimum ...... Apply Now>>

33 Sr Account Manager, Health Plans Division Saint Louis, MO, USA Account Manager is managing Health Plan clients. The ideal candidate will reside in either the Central or Eastern Time zone. ESSENTIAL FUNCTIONS * Day to day contact with complex clients for issue ...... Apply Now>>

34 RN Grand Junction, CO, USA Provide quality and safe delivery of home health care services to clients in their home utilizing a RN level of medical knowledge. Work in collaboration with home health patients, clinical management ...... Apply Now>>

35 Senior Analyst / Developer Studio City, CA, USA ... and Health Plans (MPI) are multi-employer trust funds established by collective bargaining agreements between various employers and over 40 Unions and Guilds representing employees in the motion ...... Apply Now>>

36 Manager, Health Services San Diego, CA, USA Directs the care management team who are responsible for core clinical processes, such as effective care planning, transitions of care management, quality, and care collaboration with health plans ...... Apply Now>>

37 Medical Director, CHOICE Health Plans Manhattan, NY, USA VNSNY provides a comprehensive array of home- and community-based programs, including health plans, tailored to the needs of high-risk, vulnerable New Yorkers, improving their quality of life. Each ...... Apply Now>>

38 Director Legislative and Regulatory Affairs/Medicare Compliance Officer San Diego, CA, USA Implements project/action plans to ensure Sharp Health Plan's continued compliance with all applicable legislative, regulatory, contractual and accreditation requirements in a manner that is ...... Apply Now>>

39 RN Utilization Management Contract Manager - $10000 Sign On Bonus Norfolk, VA, USA Works in close collaboration with the multidisciplinary team, in all settings to include ambulatory, post - acute providers, and health plans. Serves as mentor by role modeling a professional ...... Apply Now>>

40 Intensive Care Nurse - ICU Nurse - Travel (ICU RN) Manteca, CA, USA Power and Associates as "Highest in Member Satisfaction among Commercial Health Plans in California," for five years in a row. Located in Manteca, you get the feel of your home town, with the ...... Apply Now>>



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