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HEALTH-PLANS JOBS - Page 1

1 Corporate Administrator Employee Health Plans Rancho Cucamonga, CA, USA Corporate Administrator, Employee Health Plans LOCATION: Rancho Cucamongo, CA Are you considering a career change? Are you open to living in Southern California in a town with over 100K population ...... Apply Now>>

2 Claims Analyst II Bend, United States Experience in a health related field preferred. Education, Certificates, Licenses: High school diploma or equivalent required. Knowledge: Ability to develop a thorough understanding of PacificSource ...... Apply Now>>

3 Software Developer- Web and Mobile Bend, United States Prepare systems specifications, project plans, and other internal documents. Ensure users and ... Health industry experience is useful, as is Enterprise IT experience working on a Microsoft stack.... Apply Now>>

4 Case Management Nurse Chatsworth, CA, USA Reviewing patient history and medical records, including health risk assessments and previous care plans. * Contacting member to discuss their health care needs and assist with care plan development.... Apply Now>>

5 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>>

6 Developer II - Data Warehousing us Developer II - Data Warehousing (Corvallis, OR) Samaritan Health Plans (SHP) is currently seeking a Developer II that will be responsible for performing advanced data extraction and analysis from ...... Apply Now>>

7 Business Analyst II us Business Analyst II (Corvallis, OR) Samaritan Health Plans is currently seeking a Business Analyst II (BA II) that will be responsible for performing advanced data analysis for Samaritan Health Plans ...... Apply Now>>

8 Ambulatory Patient Services Representative (Services As Needed) San Leandro, United States Process and submit required authorization and prior authorization forms with Health Plans or Medical/Provider groups as directed by the referring provider. Generate required correspondence/review ...... Apply Now>>

9 Sr Analyst, ETL Developer Long Beach, United States Description: Job DescriptionJob SummaryMolina's Quality Improvement function oversees, plans, and implements new and existing healthcare quality improvement initiatives and education programs ...... Apply Now>>

10 Financial Controller- Healthcare San Jose, CA, USA Reconcile capitation revenue from Health Plans with capitation payments to Physicians. * Establish and maintain timely accounts payable function. * Mitigate financial risk through maintenance of a ...... Apply Now>>

11 Nurse Practitioner, Field (Whatcom County/Bellingham, WA) Long Beach, United States Job SummaryMolina Healthcare has always been a special place to work. Founded by Dr. C. David Molina 35 years ago, the company has grown over the past few decades from a single clinic to health plans ...... Apply Now>>

12 Account Manager us ... health plans. We believe that good healthcare should improve health, so we support companies in taking better care of their people by taking better care of them. Now is an excellent time to join HMA ...... Apply Now>>

13 Quality Manager (1.0 FTE, Days) Palo Alto, USA Improves responsiveness and relations with all customers, including patients and their families, faculty and community physicians, other participating providers, affiliated health plans, staff ...... Apply Now>>

14 Registered Nurse Silverton, United States 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 the ...... Apply Now>>

15 RN Home Health Access Services Supervisor (1.0 FTE, Days) Anchorage, AK, USA 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>>

16 Health Insurance Agent Troy, MI, USA For over 20 years, National Health Plans has been a leader in Health and Life Insurance markets. We are aggressively expanding and want you to join our team of passionate, results-driven agents. We ...... Apply Now>>

17 Technical Business Analyst (EDI) Healthcare Oakland, United States Liaise with Health plans and clearing houses to supportimprove claim related issues. Interact with business users to understand new business requirements, operational issues and enhancement requests ...... Apply Now>>

18 SLH Patient Admitting Rep San Leandro, United States ... health plans, Victims of Crimes, Workers' Compensation and lawsuit settlements. Reviews difficult or unusual cases with Supervisor or Lead Worker for clarification and to ensure accuracy in ssessing ...... Apply Now>>

19 Care Coordinator Frisco, TX, USA The Care Coordinator monitors patients' treatment plans, educates them about resources available to support compliance with the plan of care, connects them with health care providers, and evaluates ...... Apply Now>>

20 Application Systems Analyst II Scotts Valley, CA, USA Dignity Health MSO is dedicated to providing quality managed care administrative and clinical services to medical groups, hospitals, health plans and employers with a business objective to excel in ...... Apply Now>>

21 Manager Utilization Management - RN Bakersfield, CA, USA Dignity Health MSO is dedicated to providing quality managed care administrative and clinical services to medical groups, hospitals, health plans and employers with a business objective to excel in ...... Apply Now>>

22 Practice Manager - teleBehavioral Health Practice Seattle, WA, USA Serve as first-line resource with our contracted clinics, health plans and other customers * Provide operational support for all financial functions including budgeting, Accounts Receivable/Accounts ...... Apply Now>>

23 Senior Health Care Consultant, Behavior Health Los Angeles, United States We offer comprehensive, affordable insurance plans for our team and their families, and a host of ... COPE Health Solutions is a national mission-driven consulting firm that partners with health system ...... Apply Now>>

24 Clinic Director Los Angeles, CA, USA Responsible (in coordination with Communications) for marketing the Clinic to patients, prospective patients, health plans and others. * Oversee all day to day operations of the Clinic and assist in ...... Apply Now>>

25 Care Manager Registered Nurse 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>>

26 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>>

27 Senior Director, Medical Management Operations Sunrise, United States Evaluate existing medical management practices across Health Plans. Facilitate cross-functional/cross-Health Plan work teams to identify best practices and improvement opportunities. Develop work ...... Apply Now>>

28 RN Medical Case Manager Hollywood, CA, USA ... health plans of California. Key responsibilities include leading their assigned Medical Care Coordination (MCC) team, consisting of a Patient Care Manager ( PCM) Case Worker (CW) and Patient ...... Apply Now>>

29 Registered Nurse, Women's Pelvic Health, Skokie Hospital, Medical Group Skokie, IL, USA Phone triage, test results, medication refills, conveying plans of care, prior authorizations, and ... Prior women's health experiences a plus Please explore our website (www.northshore.org) to better ...... Apply Now>>

30 Health Promotion Pre-Diabetic Educator Phoenix, AZ, USA Health Promotion Pre-Diabetic Educator (Certified Diabetic Educator or BC-ADM required) Job ID ... Blue Cross Blue Shield of Arizona also offers Medicare supplement plans to individuals over age 65.... Apply Now>>

31 Registered Dietitian Stockton, CA, USA Under the administrative direction of the Program Director, provides assessment of nutritional needs of the Adult Day Health Care participants; develops and implements nutritional care plans and ...... Apply Now>>

32 Health Benefits Program Manager Redmond, WA, USA We're looking for an experienced Total Rewards professional to manage key aspects of our health plans. We need someone who will strive to maintain an inclusive environment where employees can do ...... Apply Now>>

33 Health Program Representative I- Denver, CO or St. Louis, MO- PS23838 Denver, CO, USA Gathers information from hospitals, health plans, physicians, patients, vendors and other referral sources. * Contacts physician offices to obtain demographic information or related data as needed.... Apply Now>>

34 Executive Assistant Burbank, CA, USA Possible attendance of Board and/or Committees and Subcommittees meetings for the Pension and Health Plans Knowledge, Skills & Abilities: * IT application and software -JIRA is a plus * Executive ...... Apply Now>>

35 Provider Enrollment Specialist us Obtains effective dates for health plans.5. Data entry of Payor Set Up Forms, Provider ID verifications, and maintenance of provider profiles.6. Researches and collects documentation to support ...... Apply Now>>

36 Manager,Transformation El Segundo, United States Minimum of 3 years of relevant experience (e.g. consulting, strategy, healthcare operations, health plans, business analysis, data analytics, data science, investment banking) ESSENTIAL BEHAVIORS ...... Apply Now>>

37 Executive 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>>

38 Local CDL A Fuel Transport Drivers - $7,500 Sign On Bonus - Earn Over $22.50/hr! Smithville, United States Unparalleled Health Plans for Family - Benefits start immediately * Retirement Plan * Paid Uniforms and Boots * Free Satellite Radio in all Trucks * HazMat endorsement Paid upon completion of ...... Apply Now>>

39 RN,Utilization Management Compliance El Segundo, United States Responsible for educating the individual Care Management regional departments on the regulatory requirements from all regulatory organizations (CMS, NCQA and contracted Health Plans) and for ...... Apply Now>>

40 Coder Certified Bremerton, WA, USA This position is expected to have excellent reasoning skills based on knowledge of clinic operations as it pertains to billing claims to insurance health plans, coding for medical diagnosis and ...... Apply Now>>



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