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HEALTH-PLANS JOBS - Page 1

1 Senior Application Developer Studio City, CA, USA About MPI Located in Studio City, CA , the Motion Picture Industry Pension and Health Plans (MPI) are multi-employer trust funds established by collective bargaining agreements between various ...... Apply Now>>

2 Case Management Care Coordinator Chatsworth, CA, USA Company Description Electronic Health Plans works collaboratively with Preferred IPA of California, providing the best possible care management, care coordination, and claims processing services to ...... Apply Now>>

3 RN Transitional Care Coordinator- Population Health Timonium, MD, USA ... plans, coordinate with the hospital care teams during the patients stay, assist patient families ... Collaborates with patients and healthcare team to provide a discharge process that enhances patient ...... Apply Now>>

4 Prior Authorization Nurse Chatsworth, CA, USA Company Description Electronic Health Plans works collaboratively with Preferred IPA of California, providing the best possible care management, care coordination, and claims processing services to ...... Apply Now>>

5 Member Advocate I Irving, TX, USA Be proactive in educating members, providers and others about CHRISTUS Health plans benefit summary. * Maintain accurate and timely responses to inquiries and generate appropriate letters to members ...... Apply Now>>

6 Developer Ops- Health Plan Irving, TX, USA Description The Health Plans Developer -- Operations Support reports to the Technology Services Manager, in the Information Management (IM) department, is primarily responsible for activities related ...... Apply Now>>

7 Inpatient Nurse Manger- Healthcare San Jose, CA, USA With the Chief Medical Officer, work with Health Plans, IPAs and clients to meet delegation ... oversight as well as contracted UM standards. Participate in all Joint Operations Meetings and ...... Apply Now>>

8 Medical Management Claims Auditor- Health Care San Jose, CA, USA Responsible for daily auditing of managed care claim payments and monitoring claims compliance with Medicare, Medi-Cal and Commercial health plans by utilizing auditing reports. Responsible for ...... Apply Now>>

9 Nurse Practitioner Glendale, CA, USA We partner with health plans, health systems, and physician organizations to care for patients with advanced illness. At Kara Health, we believe technology should augment patient care delivery and ...... Apply Now>>

10 Associate Clinical Director - BCBA Eugene, OR, USA Responsible for building a referral pipeline of new clients and developing a strong clinical census through marketing and professional network development with health plans, diagnosing and referring ...... Apply Now>>

11 Health Plans QA Manager Homewood, IL, USA Founded in 1983 and located in the Midwest, we currently seek a Health Plans QA Manager to join our team! Responsible for: In this role, the incumbent will work under the supervision of the ...... Apply Now>>

12 Travel Cath Lab Greenbrae, CA, USA ... plans and practices. This facility acts as the only full-service acute care hospital in the county, and provides patients with reliable healthcare services every day. Some of the hospital's services ...... Apply Now>>

13 School Based Registered Nurse Position in California Salinas, California, USA Develop health plans * Participate in IEP plans and meetings * Maintain cumulative health data for each student on a individualized basis. * Implement school health protocols for children with ...... Apply Now>>

14 Case Manager Behavioral Health Boston, MA, USA Gain familiarity with reimbursement and coverage requirements for health plans within their assigned geographic territories to assist with troubleshooting and resolution of ongoing issues * Identify ...... Apply Now>>

15 School Nurse Job in San Mateo, CA San Mateo, California, USA Review and develop student health plans, seizure protocols as needed. * Follow up with parents on Hearing and Vision screening referrals, medical concerns, sending receiving medical records as needed... Apply Now>>

16 Psychiatry, Psychiatrist for Outpatient Practice in Bay Area Oakland, CA, USA We offer PPO and HMO health plans, dental, vision, earned Paid Time Off days, paid holidays, 401K participation and the opportunity to learn and grow with our company... Apply Now>>

17 Psychiatry, Outpatient Psychiatrist for Cutting Edge Practice Los Angeles, CA, USA We offer PPO and HMO health plans, dental, vision, earned Paid Time Off days, paid holidays, 401K participation and the opportunity to learn and grow with our company... Apply Now>>

18 Kaiser Permanente Women's Health - Greater Sacramento Area Roseville, USA Three retirement plans, including pension * Additional time worked may be paid or accrued and taken ... Our California Health Plans have been rated highest for quality seven years in a row, and our ...... Apply Now>>

19 Director, Data Analytics (File Management & Enrollment) Long Beach, United States ... the health plans and enterprise organization structure to create, standardize and implement enterprise wide effective and efficient enrollment operational strategies and solutions to serve the ...... Apply Now>>

20 Pediatric Urology Physician Assistant (Providence Children's Health) Portland, USA More than 150,000 children are served each year through Providence's clinics, hospitals and health plans. Welcoming one in five Oregon babies each year, Providence performs more deliveries than any ...... Apply Now>>

21 Behavioral Health Utilization Reviewer West Des Moines, IA, 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>>

22 Chief Nursing Officer CNO- Medical San Jose, CA, USA With the Chief Medical Officer, work with Health Plans, IPAs and clients to meet delegation oversight as well as contracted UM standards. Participate in all Joint Operations Meetings and other key ...... Apply Now>>

23 Outreach and Enrollment/Eligibility Coordinator Wichita Falls, TX, USA The candidate will provide clients with free and unbiased assistance and enrollment regarding available health plans with the Health Insurance Marketplace and Medicaid. The candidate will also assist ...... Apply Now>>

24 Travel Respiratory Walla Walla, WA, USA The Respiratory Therapist consults with physicians to develop patient treatment plans * Respiratory ... Access to Chief Nursing Officer 24-7 * Access to Social Worker 24-7 * Group Health insurance ...... Apply Now>>

25 ER Registrar Pendleton, OR, 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>>

26 Travel RN-Homehealth Nurse - Honolulu, HI needs Registered Nurse for Home Health Travel Pos..., Skil Honolulu, HI, USA * 'A home health program in the beautiful state of Hawaii is in need of an experienced registered ... Medical and dental insurance * 401(k) retirement plans with match... Apply Now>>

27 Physician / Geriatrics / Washington / Permanent / Geriatrician Job Yakima, Washington, 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>>

28 Claims Manager - Healthcare Payer Experience San Leandro, CA, USA Work with providers and health plans in the healthcare safety net and embrace innovation and process improvement * Ensure compliance with regulatory and health plan requirements related to provider ...... Apply Now>>

29 Clinic Operations Business Analyst Seattle, WA, USA Masters in Health Administration preferred. Minimum of 3 years of relevant experience (e.g. consulting, strategy, healthcare operations, health plans, business analysis, data analytics, data science ...... Apply Now>>

30 Registered Nurse - Per Diem - Home Health Assessments Weldon, United States Matrix Medical Network serves our Clients and their Health Plans by providing their members a deeper level of understanding of their needs through affordable access to preventive care. Our ...... Apply Now>>

31 IT Project Coordinator Frisco, TX, USA We're the new competitor in health care working with employers of large, small, and hourly workforces to get the most value out of their health plans and the best health outcomes for all members. We ...... Apply Now>>

32 LVN, Clinical Supervisor Panorama City, CA, USA Eisner Health is seeking an experienced Clinical Supervisor to join our professional team! Under the direction of the Director of Clinical Operations, the Clinical Supervisor plans and coordinates ...... Apply Now>>

33 Senior Instructional Designer Torrance, 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>>

34 Project Manager Dallas, TX, USA We're the new competitor in health care working with employers of large, small, and hourly workforces to get the most value out of their health plans and the best health outcomes for all members. We ...... Apply Now>>

35 Nurse Practitioner or Physician Assistant 1099 Contractor Mora, MN, USA ... health plans and outreach to PCP contacts. Type: Per Diem Nurse Practitioner Location: Work from home, traveling a radius around Mora,MN Hours: Days. No-call or evenings Education * Bachelor of ...... Apply Now>>

36 Pop Health Care Manager, RN Rockford, United States Arcadia software and outsourced ACO services are trusted by some of the largest risk bearing health systems and health plans in the country to improve the bottom line. Founded in 2002, Arcadia is ...... Apply Now>>

37 Sales Medicare Agent - Life and Health License Required Los Angeles, CA, USA MEDICARE HEALTH PLAN BROKERS NEEDED Ideal candidates are familiar with Medicare and self-motivated ... Offer plans with a $0 premium and receive LIFETIME RENEWALS! What could be easier? Partnering with ...... Apply Now>>

38 Remote Health Insurance Sales Agent San Jose, CA, USA We sell ACA approved health plans to individuals from all over the country. We sell on and off-exchange products, as well as ancillary products like dental, vision, accident, critical illness ...... Apply Now>>

39 Resgistered Nurse (Outpatient: Utilization Management Supervisor) Salinas, CA, USA Collaborates and communicates regularly with contracted health plans, health centers, providers and vendors assisting the UM team with Inpatient issues resolution. * Knowledgeable of current ICE ...... Apply Now>>

40 Family Medicine, Staff Physician for AIDS Healthcare Foundation in Broward County, Florida Hollywood, CA, USA S. states (including District of Columbia and Puerto Rico), pharmacies, health plans, testing and linkages to care, STI clinics, research and advocacy. In addition, AHF's global program provides HIV ...... Apply Now>>



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