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HEALTH-PLANS JOBS - Page 1

1 CPAI Specialist - OB/GYN - University Health Plans Tucson, AZ, USA Banner University of Arizona Health Plans is currently seeking CPAI ( Clinical Performance Assessment and Improvement) Specialist to join the Quality team in Tucson, AZ. Join a team that strives to ...... Apply Now>>

2 RN - Quality of Care Management - University Health Plans Tucson, AZ, USA Banner University of Arizona Health Plans is currently seeking Registered Nurses Quality of Care Management Chart Review to join the Quality team in Tucson, AZ. Join a team that strives to provide ...... Apply Now>>

3 Python Developer Hollywood, FL, USA You will play a critical role in the architecture and development of our CRM platform and will be a key member of the Simple Health product and operations team. If you are a strong Python developer ...... Apply Now>>

4 AvMed Sr. Contract Negotiator Miami, FL, USA This achievement requires that AvMed's provider networks across all markets are competitive with the larger regional and national health plans in discounts, size and composition. AvMed's mission is ...... Apply Now>>

5 Career Salesperson Fraser, MI, USA We are among the top producers under the National Health Plans umbrella. We've had another record breaking year and we are looking to expand our sales team. Looking for motivated sales people to ...... Apply Now>>

6 AvMed Physician Service Liaison 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>>

7 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>>

8 Senior Manager, Quality Programs 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 ...... Apply Now>>

9 215/240 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>>

10 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>>

11 Sales & Service Specialist-Government Programs Bend, OR, USA Thorough understanding of health insurance products, the Medicare program, Medicare Advantage regulations Medicare supplement plans, Medicare Advantage plans and the Medicare Part D drug program... Apply Now>>

12 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>>

13 Vice President, Idaho Regional Director Boise, ID, USA ... plans as the changes may require ... Ensure that all health plan activities are performed in compliance with local, state, and federal ...... Apply Now>>

14 Contracts Implementation Specialist (Physicians/Health Plans) San Ramon, CA, USA Responsible for the administration and management of all functions related to the contracting and the contract process management with a focus on individual network providers. Looking for a highly ...... Apply Now>>

15 Account Executive- Group Health Plans Sales Syosset, NY, USA NY Life & Health license must be completed within the first 30 days of employment Paul Global ... We manage 401(k) and retirement plans for organizations as well as broker and manage all business ...... Apply Now>>

16 EDI Manager 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>>

17 PSC Rep - Call Center TEMPORARY Studio City, CA, USA ... health plans and explaining complex policies and benefits and relaying them in easy to understand terms. The Department The Participant Services Center is a high volume inbound and outbound Call ...... Apply Now>>

18 PSC Rep - Call Center Studio City, CA, USA ... health plans and explaining complex policies and benefits and relaying them in easy to understand terms. The Department The Participant Services Center is a high volume inbound and outbound Call ...... Apply Now>>

19 Sr Director Strategic Initiatives (m/f) Tampa, FL, USA ... Plans, to families, children, seniors and individuals with complex medical needs. * Directs the ... Required Other Strong financial and analytical background * 5 years previous healthcare, consulting ...... Apply Now>>

20 Java Architect Health Plans Cerritos, CA, USA Java Architect – Health Plans Job Location: Cerritos, CA Seasoned Information Technology professional (Technical/Solution Architecture background) – 15+ years of overall experienceHas a deep ...... Apply Now>>

21 Senior Director, Manager, Legal Dept. Operations Tampa, FL, USA Headquartered in Tampa, Fla., WellCare Health Plans, Inc. (NYSE: WCG) focuses exclusively on providing government-sponsored managed care services, primarily through Medicaid, Medicare Advantage and ...... Apply Now>>

22 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>>

23 Director of Contract Finance - Finance, Analytics & Planning Somerville, MA, USA ... Health Plans and with government payers. She/he oversees a hospital analytics group, a physician analytics group and a risk/alternative payment analytics group totaling about 16 staff including 3-4 ...... Apply Now>>

24 Business Intelligence Developer 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>>

25 Account Specialist - Account Management Phoenix, AZ, USA Comfortable interacting with senior executives of health plans and employers. * Flexible and comfortable with ambiguity. * Creates and promotes a positive and supportive work environment... Apply Now>>

26 Entry Level Phone Sales Charter Township of Clinton, MI, USA We are among the top producers under the National Health Plans umbrella. We've had another record breaking year and we are looking to expand our sales team. Looking for motivated sales people to ...... Apply Now>>

27 Chief Medical Officer Timonium, MD, USA Position Summary: Directs the staff and programs of the organization's medical and nursing programs. Works closely with medical staff, department directors, and physicians to ensure that the highest ...... Apply Now>>

28 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>>

29 Claims Operations Manager - Growing Health Plan! - CPC Worcester, 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>>

30 DIR, UTILIZATION MGMT (RN) - Scripps Health Plans - 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 Director, Finance (Health Plans or Specialty Companies) Tempe, AZ, USA Manage the monthly, quarterly and annual budgeting process for the entire Health Plans or Specialty Companies, including the review/analysis of detailed business unit budgets and the comparison to ...... Apply Now>>

32 Marketing Manager (Healthcare) Scottsdale, AZ, USA Develops comprehensive marketing and action plans; ensures their completion and crisp execution to ... Previous health-care or health plan experience * Exceptional relationship building, customer ...... Apply Now>>

33 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>>

34 Registered Nurse | RN | BSN | School Health Nurse Burien, WA, USA Write and support all student health plans * Maintain Student Health Records * Conduct assessments, screenings, administer medication, first aid or emergency care * Correspond with parents/guardians ...... Apply Now>>

35 Inside Sales - Inbound Leads Schaumburg, IL, USA You will enroll individuals, the self-employed, and small businesses into our health plans, an alternative to plans offered on the exchange. Most of the enrollments are on the phone and on a virtual ...... Apply Now>>

36 Health Insurance Agents and Leaders Needed Denver, CO, 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 Colorado Market. If you ...... Apply Now>>

37 Manager - Revenue Cycle Care Coordination Westwood, CA, USA ... hospitals, health plans and other third-party payors. The Manager assists the Director with systems, processes, and outcomes of clinical care teams and programs designed to address clinical ...... Apply Now>>

38 Systems Administration Specialist (Storage) Studio City, CA, USA Develop and implement project plans, risk assessments and contingency plans.Project support services to include vendor coordination, information gathering, and documentationProvide occasional after ...... Apply Now>>

39 Case Worker Westwood, CA, USA Demonstrated ability to provide direct counseling and other techniques to implement comprehensive health plans to promote health and adherence in PLWHA. Demonstrated ability to understand and conduct ...... Apply Now>>

40 Clinical Care Manager I 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>>



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