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1 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>>

2 Health First Health Plans - Director Case Management (0150) The Director Case Management at the Health Plans shall possess comprehensive knowledge of the healthcare industry, familiarity with regulatory and accreditation agencies, strategic planning skills ...... Apply Now>>

3 Business Consultant--Health Plans Oakland, CA, USA Healthcare Location: Oakland, CA Duration: 8 months Pay Rate Range: Depends on Experience (W2, no ... The work includes assessments, identifying impacts, developing work plans, and identifying outcomes ...... Apply Now>>

4 Facilities Coordinator Springfield, OR, USA PacificSource Health Plans is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to status as a protected veteran or a qualified ...... Apply Now>>

5 215 or 240 LICENSED INSURANCE AGENTS WANTED Boca Raton, 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>>

6 Director of Enrollment Austin, TX, USA Under general direction of the AVP, Finance, oversees the enrollment operations for FirstCare Health Plans. Ensures that information is input accurately and appropriately. Establishes and implements ...... Apply Now>>

7 Project Manager Analytics Springfield, OR, USA Assess/analyze resource constraints/capacity and plans accordingly. * Ensure/oversee complete ... Minimum 3 years’ experience in Health related field, with a strong preference towards Insurance... Apply Now>>

8 Behavioral Health Care Coordination Specialist Austin, TX, USA Strong computer skills • Bi-lingual capabilities preferred • Strong verbal and written communication skills, ability to document clearly and concisely in clinical record FirstCare Health Plans is ...... Apply Now>>

9 Staff Accountant Hollywood, FL, USA Summary/Objective The accountant position is responsible for helping with daily and month end tasks related to accounting. The accountant is also responsible for handling various disbursements... Apply Now>>

10 Health First Health Plans - Medical Director (0424) Description: T o b e f u l l y e n g a g ed i n pro v i d i ng Q u a l i t y /No Har m , Custo m er Exp e r i e n c e, a n d S te ward s h i p. T he M e di c a l D i r e c tor of He a l th Fir s t H ...... Apply Now>>

11 Population Health Nurse Fort Lauderdale, FL, USA Review medical records for patients identified by health plans, providers or HCPP as needing review. * Utilize provided guidelines to determine if guideline criteria have/have not been met relative ...... Apply Now>>

12 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>>

13 Group Health Plans - Account Manager Syosset, NY, USA Candidates Requirements: * ·NYS Life & Health License * Bachelor’s Degree * 5 years working in a client facing role for a major insurance carrier or brokerage firm managing group health plans... Apply Now>>

14 Agents and Sales Leaders Needed Now Mooresville, NC, USA We are seeking experienced, licensed health insurance agents with a proven track record for an exclusive new opportunity to sell the most unique Health Benefit Plans in the NC Market. If you are not ...... Apply Now>>

15 Healthcare Analytics Developer III Fountain Valley, CA, USA Primary contact for Health Plans to download/upload pharmacy data. Responsible for receiving, loading, processing and reporting of all lab results and pharmacy files. * Independently leads ...... Apply Now>>

16 Medical Billing Advocate (BILINGUAL) Houston, TX, USA Resolve account balances by taking payments, setting up payment plans or screening for financial hardship * Identify billing, coding and health plan coverage issues and escalate appropriately for ...... Apply Now>>

17 Claims Analyst II Corvallis, OR, USA Two (2) years experience in claims processing and/or health plans required. * Experience and/or training in ICD-10/CPT coding preferred. * PHYSICAL DEMANDS * In an 8 hour workday this job requires... Apply Now>>

18 Medicare Health Plans Independent Agent/Broker USA * BROKERS: Attend This FREE 2-Day Medicare Insurance Academy. * Direct paid and vested commissions — * You own your business. * 10,000 people turn 65 every day — * Plenty of opportunity. * Residual ...... Apply Now>>

19 IT Project Manager Holly Hill, 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>>

20 Supervisor of Medicare & Commercial Enrollment Holly Hill, FL, USA Must hold an active State of Florida Health Agency Health Insurance License in good standing or have the ability to acquire within six months of hire Company Description At Florida Health Care Plans ...... Apply Now>>

21 Director, Medicaid and LTSS Policy USA Specific Responsibilities · Participates in America’s Health Insurance Plans government relations efforts relating to the Medicaid and LTSS programs. · Working closely with the Senior Vice ...... Apply Now>>

22 Directory Support Specialist Fountain Valley, CA, USA The Provider Relations Specialist is the primary liaison between the network and its contracted health plans and works with the health plans to resolve issues. It is the responsibility of the ...... Apply Now>>

23 Independent Driver / Transportation Provider With our Mobile Health Network of professional and private transportation providers, we service a large community of members of select health plans using your own vehicle. We pay $135.00 a day! Job ...... Apply Now>>

24 Manager, Information Technology Rancho Cordova, 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>>

25 Revenue Cycle Manager Pontiac, MI, USA Ensures all providers are associated with each health plan contract and system is set up to accurately bill those health plans. Monitors payments received to validate they are paid according to ...... Apply Now>>

26 Insurance Sales from Home or Office Belleville, IL, USA If you’ve got what it takes to develop meaningful client relations, and are passionate about helping others find the right health plans for them, take a look at our open positions. You just may ...... Apply Now>>

27 Referral Specialist / Primary Care / Full Time Days / St. John Medical Obtains authorization on for admissions as required by health plans. * Enters patient insurance authorizations and any pertinent information from insurance company into the patient account history... Apply Now>>

28 Clinical Documentation Specialist Cockeysville, MD, 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>>

29 Work Evenings: Join Lyft - Up to $35/hr & $500 Sign-up Bonus! PALO ALTO, CA, USA Some of our independent driver applicants have had some prior experience in insurance and have been working for companies like AXA, Allstate Insurance Group, or WellCare Health Plans. Sign up to be a ...... Apply Now>>

30 Inpatient Care Manager (RN) Fountain Valley, CA, USA 1. At MemorialCare Health System, we believe in providing extraordinary healthcare to our ... Planners and health plans. Provide Hospital staff with contracted providers per health plan ...... Apply Now>>

31 Referral Specialist/ Neuro Surgery/ St. John Clinic/ FT Days / 80 Hour Obtains authorization on for admissions as required by health plans. * Enters patient insurance authorizations and any pertinent information from insurance company into the patient account history... Apply Now>>

32 Health Service Systems Analyst II - Tapestry - Contract to hire Martinez, CA, USA Experience with Medicaid (Medi-Cal) & Medicare health plans * Must be self-motivated and have the ability to work with a team * Able to drive a decision when most stakeholders are unsure of their ...... Apply Now>>

33 Registered Nurse - LPN - School * Memphis, TN, USA You’ll provide individualized care for students with special health conditions, partnering with physicians, school personal, and parents to build tailored health plans, administering treatment and ...... Apply Now>>

34 Sr. Provider Relations Representative San Antonio, TX, USA Intermediary between Health Plans and Providers concerning provider participation, claim issues, additions, terminations * Daily visits to physician offices * Provide Orientations and ongoing ...... Apply Now>>

35 Senior Infrastructure Security Architect-Engineer, Healthcare SaaS Southborough, MA, USA Client offers business process outsourcing and software solutions for local and national health plans. Built on a market-leading technology platform, the scalable solution delivers cost-effective ...... Apply Now>>

36 Clinical Pharmacy Specialist, Pain Management Nashville, TN, USA Our partners are health plans and ACOs. Axial Healthcare has a proprietary product suite founded on evidence based pain management principles. The clinical pharmacy pain specialist is fundamental in ...... Apply Now>>

37 Apply Today! Become a Lyft Driver and Make up to $35/hr | Oakland Area WALNUT CREEK, CA, USA Our drivers have past experiences working for companies such as MetLife, Health Net Inc. , WellCare Health Plans, State Farm Group, or New York Life and industries like insurance. Joining Lyft as an ...... Apply Now>>

38 Case Manager Boynton Beach, FL, USA Are you looking for an opportunity to get your foot in the door with one of the nation’s most desired health plans? If so, Healthcare Scouts Inc. has partnered with a Managed Care Organization ...... Apply Now>>

39 Health Communication Project Manager Kennesaw, GA, USA The result of these efforts will be to operationalize these plans and increase provider and member reach and engagement rates, drive health behavior change, close patient gaps-in-care, and provide a ...... Apply Now>>

40 Case Manager 3 Doral, FL, USA HealthCare Scouts, Inc. is currently interviewing for a Licensed Clinical Social Worker (LCSW), Case Manager in the Doral, FL area for one of the most desired health plans to work for! Daily ...... Apply Now>>

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