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HEALTH-PLANS JOBS - Page 1

1 Travel Labor & Delivery Nurse - Travel (LD RN) - Portland Portland, OR, USA Vincent Medical Center is part of Providence Health & Services in Oregon, a not-for-profit network of hospitals, health plans, physicians, clinics and affiliated health services. The facility is a ...... Apply Now>>

2 WANTED: 2-15 or 2-40 LICENSED INSURANCE AGENTS Hollywood, FL, USA Explain the benefits and features of the various healthcare plans available. * Qualify, educate and enroll individuals into healthcare plans that meets their healthcare needs. * Enroll consumers ...... Apply Now>>

3 Manager Health Plans Sales Irving, TX, USA POSITION SUMMARYUnder the supervision of the Director for CHRISTUS Health Plans, the Manager of USFHP Sales is responsible to direct, strategize, negotiate and handle activities of the marketing and ...... Apply Now>>

4 Group Health Plans - Account Manager Syosset, NY, USA Candidates Requirements: * ·Bachelor's Degree * 10 years working in a client facing role for a major insurance carrier or brokerage firm managing group health plans * NYS Life & Health License... Apply Now>>

5 Auditor Los Angeles, CA, USA Directors Guild of America - Producer Pension and Health Plans (323) 866-2326 - Fax hr@dgaplans.org EOE... Apply Now>>

6 Health Insurance Customer Service Agents Hollywood, FL, USA Simple Health has a solid presence as the nation's most competitive marketplace for selling quality health insurance plans to families and individuals. We are currently searching for Health insurance ...... Apply Now>>

7 Participant Services Representative Los Angeles, CA, USA We are an Entertainment Industry Health and Pension Plans seeking candidates to be trained to provide benefits information to our participants and their families. Must have strong communication and ...... Apply Now>>

8 Registered Nurses and Physical Therapist Grand Junction, CO, USA Home Health openings for the following positions: * Registered Nurses Home Health * Physical Therapist Work at an organization that offers opportunities for growth, advancement and mentoring! Deliver ...... Apply Now>>

9 Manager, Business Development Washington, DC, USA COMPANY PROFILE The Alliance of Community Health Plans (ACHP) is a leadership organization that brings together innovative non-profit health plans and provider organizations that are among America ...... Apply Now>>

10 Nurse Boise, ID, USA Responsibilities + Follow established Health Management program procedures and processes to provide condition-specific coaching, interventions and education for selected members. + Telephonically ...... Apply Now>>

11 Health Care Administrative Assistant - Bilingual Required Clovis, CA, USA Provide information about health plans and coverage * Troubleshoot and resolve product issues and concerns * Document and update customer records based on interactions * Develop and maintain a ...... Apply Now>>

12 Nurse Bend, OR, USA All photocopied medical records will be handled according the health plan confidentiality and safe guarding PHI policy and procedure. * Protect PHI by never leaving laptop in car. * Always lock ...... Apply Now>>

13 Network Operations Specialist Federal Way, WA, USA Bachelor's Degree preferred or 1+ years of health plans operations experience. * Health plan experience; knowledge of managed care contracting and Medicare reimbursement methodology preferred. Ideal ...... Apply Now>>

14 Quality Improvement Specialist (LPN) Timonium, MD, USA Manage the UMMS Health Plans' Outreach Plan to assist enrollees in overcoming barriers in accessing health care services. * Identify the populations in need of education and outreach and make ...... Apply Now>>

15 Account Executive - Health Plans Twinsburg, OH, USA Account Executive Health Plans The Account Executive is responsible for servicing the needs of all clients in our book of business to meet or exceed client satisfaction. ESSENTIAL DUTIES AND ...... Apply Now>>

16 Vice President Field Network Management (m/f) St. Louis, MO, USA The company operates within the Health Care industry. * Develops and implements network contracting/expansion strategies specific to local markets in the assigned areas of coverage. This includes ...... Apply Now>>

17 National Sales Director - Health & Insurance Plans Baltimore, MD, USA The National Sales Director, Health & Insurance Plans drives the company's efforts to acquire and expand relationships, and build sales through health and insurance plans market including Medicare ...... Apply Now>>

18 Appeals and Grievances Quality Analyst Timonium, MD, USA This position works very closely with the Appeals & Grievance (A&G) management team to conduct audits and analyze results to further improve the quality of research, case build and process execution ...... Apply Now>>

19 Market Vice President Omaha, NE, USA Own and manage special projects assigned by the health plan that may interface across multiple functional areas of WellCare, and liase with external stakeholders or consultants as needed... Apply Now>>

20 Principal Architect - Epic Ambulatory Fountain Valley, CA, USA Overall knowledge of the healthcare business environment, specifically related Medical Groups, IPAs, and Health Plans for Managed Care business workflows. * High level experience with project ...... Apply Now>>

21 Registered Nurse 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>>

22 Certified Medical Assistant - Growing ElderCare Program! - Springfield, MA Springfield, MA, USA 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>>

23 Benefit Advocate Lake Forest, IL, USA Assist with plan selection decisions (e.g., consumer-driven health plans, FSAs), provider selection, qualifying life events and the open enrollment process. * Connect members with healthcare and ...... Apply Now>>

24 Maternal Child Health Coordinator (Public Health Nurse IV) Fairfax, VA, USA Develops health plans and implements new initiatives as directed by agency management and/or Virginia Department of Health (VDH). Develops community and agency partnerships and networks to support ...... Apply Now>>

25 Provider Network Analyst Support 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>>

26 Chief Financial Officer, CHRISTUS Health Plans The incumbent will lead and manage the finances of the organization in collaboration with other population health senior regional operatives and CHRISTUS Health Plans executives. The position reports ...... Apply Now>>

27 Travel Telemetry Nurse - (Tele RN) - Rancho Mirage Rancho Mirage, CA, USA ... health care services to the specific patient population. The staff nurse assesses patients needs, plans care, implements and evaluates patient care in accordance with the patient's needs based on the ...... Apply Now>>

28 Medical Surgical - Tele RN for Seasonal Position Largo, FL, USA Call Laura or Ryanne at 786.453.1006 for more information Ask us about our full medical/dental/vision health plans and 401k retirement program. Are you looking for something else? Call us today and ...... Apply Now>>

29 Manager, Care Coordination - Health System Peds Westwood, CA, USA This includes patients and families, nurses, physicians, ancillary medical personnel, service line leadership, administration, hospitals, health plans, and other third-party payors. The Manager ...... Apply Now>>

30 Healthcare Regulatory and Compliance Senior Manager Sacramento, CA, USA Clients include health plans, risk-bearing organizations, academic medical centers, integrated health systems, community hospitals and large physician practices. This position offers an exciting ...... Apply Now>>

31 Dental Medical Director, Geisinger Health Plan Danville, PA, USA Functions as a member of the Health Plans operations team and administrative staff. Responsible for implementation of Geisinger Health Plan policy and procedures in a supervisory capacity... Apply Now>>

32 Supervisor, Clinical Nurse Federal Way, WA, USA The Clinical Nurse Supervisor, as part of the leadership team, facilitates relationships in the community with providers, health plans, vendors, facilities and community organizations... Apply Now>>

33 Director of Health Plan Compliance (Registered Nurse) Los Angeles, CA, USA Maintaining relationships with all contracted health plans' delegation oversight points of contact * Work is complex and requires a high degree of independent judgment, emotional intelligence, and ...... Apply Now>>

34 Manager of Case Management (Social Work) Tacoma, WA, USA Are you an experienced Licensed Behavioral Health Professional with experience in managed care, health plans, or CHIP and SCHIP? Are you looking for a new opportunity with a prestigious healthcare ...... Apply Now>>

35 Group Wellness Coordinator Titusville, FL, USA Company Description At Florida Health Care Plans, our vision is clear. We aim to set the standard for managed health care in our community. We strive to be acknowledged as a health care leader ...... Apply Now>>

36 Manager-Quality-Health Outcomes Corvallis, OR, USA Samaritan Health Plans is passionate about creating and delivering products and services that help build healthier communities. Recognized in 2013 and 2014 as Oregon's Healthiest Employer, Samaritan ...... Apply Now>>

37 Bilingual RN Care Manager McAllen, TX, 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>>

38 KAISER Permanente Home Health or Hospice RN, Registered Nurse Walnut Creek, 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>>

39 Phlebotomist Palm Coast, FL, USA Company Description At Florida Health Care Plans, our vision is clear. We aim to set the standard for managed health care in our community. We strive to be acknowledged as a health care leader ...... Apply Now>>

40 Registered Nurse Lawrence, MA, USA 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>>



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