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HEALTH-PLANS JOBS - Page 1

1 Manager, Clinical Programs Sacramento, CA, USA Research and facilitate implementation of new clinical programs for Centene Health Plans and/or specialty companies to meet State contract, RFP, HEDIS, or other organizational needs. * Coordinate ...... Apply Now>>

2 EDI Coordinator Chatsworth, CA, USA It is responsible in communicating and coordinating with IT, clearinghouses and contracted health plans on encounter related efforts. Encounter Data Specialist will also coordinate and manage the ...... Apply Now>>

3 Health Care Claim Analyst Chatsworth, CA, USA Excellent communication skills Company Description Electronic Health Plans works collaboratively with Preferred IPA of California, providing the best possible care management, care coordination, and ...... Apply Now>>

4 Care Coordinator - RN or LPN Walnut Creek, CA, USA ... or health plans (Health Partners) in order to facilitate quality outcomes for the applicable patients. Coordinates preauthorized admission for the appropriate levels of care. Works with the ...... Apply Now>>

5 Associate Medical Director - Cardiology (100% Remote) Eugene, OR, USA Maintains files of all reviews as required by law and Health Plans to retrieve reportable data. * Maintains necessary credentials and immediately informs eviCore of any adverse actions relating to ...... Apply Now>>

6 Intensive Care Nurse - ICU Nurse 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 Modesto, you get the feel of your hometown, with the ...... Apply Now>>

7 Registered Nurse Granada Hills, United States About Us Providence Health & Services is a not-for-profit Catholic network of hospitals, care centers, health plans, physicians, clinics, home health care and services guided by a Mission of caring ...... Apply Now>>

8 Physician / Geriatrics / Washington / Permanent / Geriatrician Job Yakima, WA, USA ... health plans and to be covered by CHCW malpractice liability carrier required.If working in a teaching environment, caring for the underserved, and living in the Pacific Northwest appeals to you ...... Apply Now>>

9 Data Analyst 2 / Healthcare Data Analyst Emeryville, United States Recipients include client Health executive leadership, and all levels within client Health partners (IPAs and health plans). * Analyze data, reports, and measurements for key managed care indicators ...... Apply Now>>

10 Registered Nurse Wenatchee, United States Health Plans* Title: Clinical Services Auditor (RN) Location: WA-Bothell-BOTHELL Requisition ID: 1901449 Other Locations: US-WA-Wenatchee-WENAT, US-WA-Spokane-SPOKANE, US-WA-Vancouver-WAVAN... Apply Now>>

11 Case Resource Specialist I/II Red Bluff, United States ... plans with other private or public mental health and medical service providers and support programs as appropriate. | Provides information and support regarding medication compliance, money ...... Apply Now>>

12 Primary Care Physician (Molina Healthcare) Everett, USA Providers join the Molina network because they know Molina's health plans will care for their patients today and into the future. Molina care partners strive to treat all patients the same way they ...... Apply Now>>

13 Health Insurance Agents - New Open Enrollment Period Has Been Extended Las Vegas, NV, USA Motivated Health Insurance Agents Wanted If you are looking for an under 65 health plan to sell from home by phone, our under 65 health plans enrollment period has been extended through 2020. This ...... Apply Now>>

14 Claims Investigator-Examinor West Hollywood, CA, USA The Claims Department is a dynamic department that provides claims examination and adjudication for the organization's multiple health plans and AHF grants and contracts. The -----Claims Investigator ...... Apply Now>>

15 Accounting Manager Huntington Beach, CA, USA Our solutions impact operating costs so health plans can do more with the same size team, quickly get through CMS audits successfully (ODAG/CDAG reports) and improve Star Ratings. Health plan CFOs ...... Apply Now>>

16 Registered Nurse Tigard, United States About Us Providence Health & Services is a not-for-profit Catholic network of hospitals, care centers, health plans, physicians, clinics, home health care and services guided by a Mission of caring ...... Apply Now>>

17 Sales License Broker Health Agent San Antonio, TX, USA ... health plan members in every state. Summary of role Licensed Agent will gather pertinent ... The agent will explain various insurance policies and help clients choose plans that suit them... Apply Now>>

18 Behavioral Health Clinician I/II Red Bluff, United States ... treatment plans, and lead multi-disciplinary treatment teams in providing therapeutic and ... Behavioral Health Clinician I Bilingual: Range 74 - $4,519/mo. - $ 5,503/mo. Behavioral Health ...... Apply Now>>

19 Account Manager Washington D.C., United States ... health plans. COB Smart ® quickly and accurately directs coordination of benefits processes. EnrollHub ® reduces costly paper checks with enrollment for electronic payments and electronic ...... Apply Now>>

20 KAISER PERMANENTE - Home Health or Hospice Registered Nurse RN Santa Rosa, CA, USA Company Description Founded in 1945, Kaiser Permanente is recognized as one of Americas leading health care providers and not-for-profit health plans. We currently serve 11.8 million members in eight ...... Apply Now>>

21 Social Worker II -Growing Elder Service PACE Program - Webster Webster, United States Fallon has consistently ranked among the nation's top health plans, and is accredited by the National Committee for Quality Assurance for its HMO, Medicare Advantage and Medicaid products. For more ...... Apply Now>>

22 Chief Financial Officer Emeryville, CA, USA BayHealth's strategic objective is to achieve accretive patient growth, compelling enterprise financial returns, and targeted alignment in strategic plans for JMH, UCSF, Canopy Health and its partner ...... Apply Now>>

23 Lead Business Development Manager San Francisco, United States With offices in London and San Francisco, Big Health's products are used by large multinational employers and major health plans to help improve sleep and mental health. * To date, more than 12 ...... Apply Now>>

24 Customer Success Manager II Dallas, TX, USA Travel to customer health plans kick off meetings as needed. * Ability to work overtime. Additional Job Responsibilities: * Participate in staff meetings, conference calls, and other meetings, as ...... Apply Now>>

25 Vice President Technology & Innovation Santa Ana, CA, USA Company Description Dynamic Healthcare Systems provides enterprise-wide solutions to health plans participating in Medicare Advantage, Managed Medicaid, and Marketplace programs. Dynamic's solutions ...... Apply Now>>

26 Finance Director - Healthcare Santa Rosa, CA, USA Financial effects and reporting requirements of Medi-cal, Medicare and health plans, as well as OSHPD disclosure reports, cost reports. * Merger/acquisition experience * Healthcare experience... Apply Now>>

27 Executive Assistant San Francisco, CA, USA ... health plans in the US.... Apply Now>>

28 Community Health Advocate Chico, CA, USA ... health plans and providers by participating in local community engagement activities with local agencies e.g. faith based organizations, community centers, government agencies, parks, recreation ...... Apply Now>>

29 MRI Technologist (Full Time) San Rafael, United States Health, dental, and vision insurance * Company paid dental (with applicable health plans) * 401k matching * Company sponsored life insurance * Voluntary supplemental life insurance * Voluntary short ...... Apply Now>>

30 Ophthalmology, Seeking Replacement for Retiring Ophthalmologist for Lucrative Practice in San Die... San Diego, CA, USA Provider for most health plans. 100% financing is available. This is an independent, solo practice but office is shared with another physician who works part-time as a Retina specialist. No need to ...... Apply Now>>

31 RN, Registered Nurse -Telemetry/IMCU San Antonio, TX, USA Description Registered professional nurse who assesses, implements or delegates, plans, and evaluates total nursing care and functions in accordance with established philosophy, providing and ...... Apply Now>>

32 Emergency Room Travel Nurse RN - $66/hour Greenbrae, CA, USA Rewarding travel nurse assignment with Nomad Health. Includes full benefits and 24/7 support. Earn ... Major medical and dental plans available from your first day of work.Payroll: Weekly deposits ...... Apply Now>>

33 Administrative Assistant Beverly Hills, CA, USA We partner with health plans, health systems, physician organizations, and other ecosystem providers looking to better control quality, experience, and cost for the sickest and most expensive ...... Apply Now>>

34 Healthcare Compliance Manager Anaheim, CA, USA ... health policies and procedures. Essential Job Functions: * Coordinates with the business areas to ... Executes and manages audit engagement plans and oversee auditing and monitoring to ensure accurate ...... Apply Now>>

35 Enrollment Subject Matter Expert (SME) Medicare Huntington Beach, CA, USA Beacon HCS currently provides its solutions to Blues, national and regional Health Plans and forecast doubling its client base in 2020.... Apply Now>>

36 Clinical Manager - Registered Nurse (RN) Baton Rouge, LA, USA Clinical Manager (RN) Aveanna Healthcare company, the largest pediatric home health care company in ... Review physicians orders and compare to the plans of care and documentation * Ensure adherence to ...... Apply Now>>

37 Product Owner Washington D.C., United States ... health plans. COB Smart ® quickly and accurately directs coordination of benefits processes. EnrollHub ® reduces costly paper checks with enrollment for electronic payments and electronic ...... Apply Now>>

38 Physician / Dermatology / Kentucky / Locum tenens job KY, USA Teladoc meets the needs of health plans, employers, unions, associations and consumers as an innovative complement to primary care.Position Summary The Leader in the Telehealth Industry is currently ...... Apply Now>>

39 Director, Provider Services Santa Barbara, United States ... Health. Plans, organizes, staffs, and leads activities of CenCal Healths provider network management and contracting functions and oversees access analysis, network development and operations ...... Apply Now>>

40 Restaurant Manager Phoenix, AZ, USA Total compensation packages which include: · Healthy work/life balance.... · "Very" Competitive Salary · Excellent Health Plans which includes Dental & Vision · Paid Sick Time · Paid Vacation · ...... Apply Now>>



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