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HEALTH-PLANS JOBS - Page 1

1 Senior Assistant General Counsel â€" Samaritan Health Plans Corvallis, OR, USA JOB SUMMARY/PURPOSE Provides executive management and SHS/Samaritan Health Plans with sound legal advice/counsel to maintain tax exemption, protect against claims, facilitate compliance with federal ...... Apply Now>>

2 Appeals and Grievance Specialist II Irving, TX, USA Be proactive in educating members, providers and others about CHRISTUS Health plans appeal/grievance process, plan terminations, contract terminations and benefit summary * Certify that providers and ...... Apply Now>>

3 Pharmacy Technician - Claims Sacramento, CA, USA Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United ...... Apply Now>>

4 Pharmacist - Pharmacy Benefit Management Youngsville, NC, USA The PBM Pharmacist will provide daily support for all PBM operational tasks as it relates to covered health plans. Specifically, the PBM Pharmacist will develop formulary and drug utilization ...... Apply Now>>

5 Temp - RN - Home Health (Days) Sacramento, CA Yuba City, CA, USA Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United ...... Apply Now>>

6 Inside Sales - Health Insurance Beaverton, OR, USA Consult & Educate Seniors who are 65 years of age and older on the Best Medicare Life & Health Plans that would best suit their needs. All consultation is completed over the phone. Responsibilities... Apply Now>>

7 Customer Service Training Lead Alamosa, CO, USA Who We Are Friday Health Plans isn't your average health insurance company. We're not about unnecessary extras and confusing terminology. We cover the basic health services you'll likely use the most ...... Apply Now>>

8 Clinical Advisor - Ambulatory Social Work Los Angeles, CA, USA ... Health System and health plans to implement, coordinate, and monitor options and services to meet at-risk patients' healthcare needs through communication and coordination with providers ...... Apply Now>>

9 North Transition Team - Private Duty Nurse Irwin, PA, USA Health Plans/Single Case Agreements (Only in the event lack of facility based referral volume) * Expectation is that the team is fully replaced/removed from the home after 90 days of service... Apply Now>>

10 Marketing and Engagement Specialist Alamosa, CO, USA Who We Are Friday Health Plans' products are designed with simplicity and affordability in mind for people who buy their own health insurance. Plans are offered in bronze, silver, gold and ...... Apply Now>>

11 Registered Nurse San Marcos, TX, USA Make an Impact - Health happens at home, not only the hospital. * Create Rewarding Patient ... plans. We currently provide care in Arizona, Colorado, and Texas, with a plan to grow into new ...... Apply Now>>

12 Medical Director PRN Portland, OR, USA Previous medical director experience with physician group and/or health plans preferred. * Current Drug Enforcement Administration (DEA) certification required. * Current X Waiver - Drug Addiction ...... Apply Now>>

13 Physician - Administration - Administration - Management - *Behavior Health Medical Director of B... Phoenix, AZ, USA The Behavioral Health Medical Director of Health Plans will provide leadership related to ... behavioral health and integrated care. In addition, the medical director will work as part of a ...... Apply Now>>

14 Healthcare Data Analyst Louisville, KY, USA Certilytics has extensive experience working with a diverse set of customers including large self-insured employers, health plans, pharmacy benefit managers, government programs, care management ...... Apply Now>>

15 Bilingual/Spanish Speaking Healthcare Advocate Phoenix, AZ, USA Being a part of history while helping Medicare members with their health plans EXPERIENCE and MUST HAVES: • Min 2+ years of Call center experience • Medicare Insurance experience is a plus! • ...... Apply Now>>

16 Project Manager - Health Plan Operations - Remote/Irving, TX - 6 Months + Long Beach, CA, USA Interacts closely with internal staff, external corporate departments, and Health Plans to define the project parameters and develop detailed project documentation to include business requirements ...... Apply Now>>

17 Physician - Gastroenterology - Advanced Gastroenterology Physician Albuquerque, NM, USA Presbyterian Healthcare Services, a locally owned, not-for-profit healthcare system in New Mexico ... Exceptional retirement plans - 403b retirement savings program with both matching program and ...... Apply Now>>

18 DME Coordinator Corvallis, OR, USA InterCommunity Health Plans, Inc. (IHN) is designated as a regional Coordinated Care Organization (CCO) for Medicaid beneficiaries; Samaritan Health Plans, Inc. offers Medicare Advantage, Commercial ...... Apply Now>>

19 Physician - Pediatrics - Pediatrician-Group Practice, Partnership, Coastal Living North Dartmouth, MA, USA Hawthorn Medical's affiliation with Steward Health Care allows us to expand our services, gain access to a greater scope of health plans, and join with a strong partner invested in our community. We ...... Apply Now>>

20 Physician - Neurology - Neurologist - multi-specialty group practice - Dartmouth, MA North Dartmouth, MA, USA Steward Health Care is seeking a BC/BE Neurologist to join our network at Hawthorn Medical ... scope of health plans, and join with a strong partner invested in our community. We have ...... Apply Now>>

21 Director of RN Care Management Roseburg, OR, USA Additionally, this position is responsible for health plan, Special Needs Program, and CMS reporting over multiple health plans. This position is responsible for development and oversight of care ...... Apply Now>>

22 Accountant, Health Plans Deming, WA, USA WI-Dean Health Plan 1273 Deming Worker Type: Regular Job Summary: Provides management with financial information and assists divisions by providing accounting support and responding to requests for ...... Apply Now>>

23 Sr. Director, Health Plan Product Management Seattle, WA, USA Provide leadership for managing Accolade product integration opportunities with our health plans. To that end, this individual will be focused on working as a partner to Accolade's Health Plan ...... Apply Now>>

24 Community Health Registered Nurse Chiloquin, OR, USA ... the development of the community health plans by utilizing the case management approach ... incorporating the nursing model. KNOWLEDGE, SKILLS, ABILITIES Management skills in formulating ...... Apply Now>>

25 Travel Nurse RN - Psychiatric - $1,388 per week Portland, OR, USA ASAP Available Shifts: 12 D/E/N Pay Rate: $1321.26 - 1456.08 Providence Portland Medical Center is part of Providence Health & Services in Oregon, a not-for-profit network of hospitals, health plans ...... Apply Now>>

26 Travel Nurse RN - OR - Operating Room - $3,255 per week Vacaville, CA, USA American Mobile Healthcare is seeking a travel nurse RN OR - Operating Room for a travel nursing ... plans as reported in the Times Herald! Today, Vacaville is a vibrant community in one of the ...... Apply Now>>

27 Director of Behavioral Health Residential Services - Non Profit Palo Alto, CA, USA The total bed count is about 30 and all programs are for adults referred by the County or health plans for services. The average length of stay is 90 days to 6 months. The DRS is a member of the ...... Apply Now>>

28 Manager, Care Management Bellevue, WA, USA Healthcare Management Administrators (HMA), a leading administrator of self-funded health plans, is seeking a new Manager to provide an essential role on our Care Management team. We want someone who ...... Apply Now>>

29 RN Care Manager $10,000 sign on bonus or Student Loan Assistance! New York, NY, USA The challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are ...... Apply Now>>

30 Registered Nurse (Outpatient) - Polacca, AZ Tucson, AZ, USA Numerous health plans to choose; continue in retirement * Transfer opportunities- 1 license/50 states * Outstanding Federal Benefits Plan *Recruitment bonus and or moving of household goods may be ...... Apply Now>>

31 Healthcare Credentialing Specialist Phoenix, AZ, USA Provide timely notifications to IMS or individually held contracted insurance plans, including but ... Knowledge and/or experience of the health plan websites, CAQH, Intelli App software program ...... Apply Now>>

32 Health Center Clinic Manager San Jose, CA, USA ... plans What You Need for this Position - Bachelor's degree or equivalent level education and experience - 5+ years of healthcare management experience - Deep Understanding of HRSA and FQHC - High ...... Apply Now>>

33 RN Immediate Care, Non-Contract - Tanasbourne Providence Health & Services - Hillsboro, OR Hillsboro, OR, USA About Us Providence is a comprehensive not-for-profit network of hospitals, care centers, health plans, physicians, clinics, home health care and services continuing a more than 100-year tradition of ...... Apply Now>>

34 RN Clinic - Heart Clinic Bridgeport Providence Health & Services - Tigard, OR Tigard, OR, USA About Us Providence is a comprehensive not-for-profit network of hospitals, care centers, health plans, physicians, clinics, home health care and services continuing a more than 100-year tradition of ...... Apply Now>>

35 Health Center Clinic Manager- outpatient San Jose, CA, USA Maintain compliance with government agencies such as HRSA, CMS, CDPH, State Programs and health plans What You Need for this Position * Bachelor's degree or equivalent level education and experience ...... Apply Now>>

36 AVP Sales Health Services San Francisco, CA, USA S/he will build and manage the entire business development pipeline, building relationships with potential clinical and senior executive stakeholders across regional and national health plans as well ...... Apply Now>>

37 Vice President Of Marketing And Business Development Emeryville, CA, USA Key Areas of responsibility of the VPM&BD include: · Business Development Work with sales and account management leadership at partner health plans to drive growth. This involves communication and ...... Apply Now>>

38 Sr. Analyst, Strategy and Business Development San Francisco, CA, USA These business plans may involve building new capabilities based on customer and prospect needs, acquiring capabilities through third-parties, or partnering with leading digital health organizations ...... Apply Now>>

39 (USA) Senior Manager II, Software Engineering - Glass Castro Valley, CA, USA Walmart Health (WMH) is on a mission to make Healthcare Affordable, Convenient and Accessible. We ... Developing contingency plans; and demonstrating adaptability and supporting continuous learning... Apply Now>>

40 Public Health Nurse - Bilingual (Spanish) preferred Napa, CA, USA Develop nursing intervention plans; monitor health plans and ensure that follow-up services are provided and documented. Cooperate with other health team members and agency personnel to plan and ...... Apply Now>>



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