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HEALTH-PLANS JOBS - Page 1

1 Client Services Director Hollywood, FL, USA Simple Health is a call-center based insurance enrollment center utilizing web-based cloud ... Present plans to management based on the analysis to prepare MIS for future projects and the ...... Apply Now>>

2 Training and Development Director Hollywood, FL, USA Simple Health is a call-center based insurance enrollment center utilizing web-based cloud ... Plans, organizes, facilitates and orders supplies for employee development and training events... Apply Now>>

3 Network Manager III Lubbock, 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>>

4 Claims Analyst Austin, TX, USA Monday-Friday 8am-5pm • Extended work hours as needed FirstCare Health Plans is an Equal Opportunity Employer and does not discriminate on the basis of race, color, religion, sex, national origin ...... Apply Now>>

5 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>>

6 Medical Billing Advocate 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>>

7 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>>

8 Revenue Cycle Supervisor Monroeville, PA, USA ... health plans. The Accounts Receivable Supervisor will be responsible to ensure the team is adequately and efficiently refuting denied claims through accurate review, correction, and possible re ...... Apply Now>>

9 Primary Care Physician for Tampa Bay Area Clinics Saint Petersburg, FL, USA Monitor therapeutic procedures, assess and manage/modify follow-up plans. * Prescribe and regulate medications in accordance with Florida Statutes. * Record and document health appraisal data ...... Apply Now>>

10 Compliance Auditor, Audit and Collections Studio City, CA, USA Job Description: Compliance Auditor | Audit & Collections The Position The Compliance Auditor is responsible for conducting payroll audits to ensure employers are in compliance with various ...... Apply Now>>

11 Credentialing Director Pembroke Pines, FL, USA Ensures practice addresses are current with health plans, agencies and other entities. * Processes applications for appointment and re-appointment of privileges to Cano Health * Audits health plan ...... Apply Now>>

12 IT Business Analyst Studio City, CA, USA About UsMotion Picture Industry Pension and Health Plans is a non-profit, multi-employer trust fund established over 60 years ago as part of an agreement between many employers in the motion picture ...... Apply Now>>

13 Senior Manager of Information Security Studio City, CA, USA About UsLocated in Studio City, CA, Motion Picture Industry Pension and Health Plans (MPI) is a non-profit, multi-employer trust fund established over 60 years ago as part of an agreement between ...... Apply Now>>

14 Manager, Care Management (Registered Nurse) New York, NY, USA We offer competitive health and welfare benefits, retirement benefits, and incentive pay plans. Join us for a rewarding experience. Responsibilities. * Summary of Position. * Responsible for the day ...... Apply Now>>

15 Associate Medical Director - Radiation Oncology - 100% Remote Remote, OR, USA Maintains files of all reviews as required by law and Health Plans to retrieve reportable data. * Maintains necessary credentials and immediately informs eviCore of any adverse actions relating to ...... Apply Now>>

16 Intervention Developer, Occupational Therapist, Practice Facilitator, Prior clinical or public health experience required. Quality Improvement or RN desired and 5 years related experience. Occupational Therapist Provide quality and safe delivery of therapy to clients ...... Apply Now>>

17 RN Home Health (Per Diem)- Jacksonville, FL (Baker, Clay, Nassau Count Macclenny, FL, USA ... large health plans and managed care programs.Assignment CapsuleAs a Care Manager you will provide direct care to clients and their families according to the established plan of care. As a Care ...... Apply Now>>

18 Associate Medical Director-Pace Program-Summit ElderCare-Growing Elder 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>>

19 Innovation HIE Project Manager - Contract Position Denver, CO, USA ... improve healthcare in Colorado!OverviewThe Innovations HIE Project Manager is responsible for ... and plans, integration testing, interface testing, data migration testing and user acceptance ...... Apply Now>>

20 Insurance Sales Representative Gilbert, AZ, USA We are positioned to offer ALL types of health plans, ALL 12 months of the year. That’s why we need FEW top qualified, ambitious, hard working individuals with a self employed mindset who can ...... Apply Now>>

21 Medical Claims Examiner- TEMPORARY Studio City, CA, USA About Us The Motion Picture Industry Pension and Health Plans are trust funds established by collective bargaining agreements between many of the unions and employers in the motion picture production ...... Apply Now>>

22 Director Audiology Operations Woonsocket, RI, USA CVS Health Primary Location: RI ‒ Woonsocket Job Type: Full Time Job Category: Management ... implementing professional development plans aimed and helping the locations achieve ...... Apply Now>>

23 Nurse Practitioner Opportunity Managing Individualized Treatment Plans York, PA, USA Bridges to Health. WellSpan Health, the most comprehensive health system in south central ... The Bridges to Health team works with patients to create individualized treatment plans based on ...... Apply Now>>

24 Payroll & Benefits Adminstrator San Francisco, CA, USA Administers health insurance plans including processing of enrollments and terminations received by the HR department * Processes required documents through payroll and insurance providers to ensure ...... Apply Now>>

25 Class A CDL Relay Solo Driver | Walgreens | Woodbridge VA Woodbridge, VA, USA ... and family health plans (Eligible at 45 Days)Voluntary benefits“6" paid holidays, “2" personal holidays, and “1" week of vacation after “1" year of service401(k) with company ...... Apply Now>>

26 Physician - Private Practice Physiatry Associate Jackson, TN, USA Medicare, Medicaid, TennCare, and participating providers in more than 500 commercial health plans. The practic... Apply Now>>

27 Account Receivable Specialist Bullhead City, AZ, USA Calling Health Plans and following up on claims * Noting results of calls into billing systems * Covering front desk office admin responsibilities as needed; check in/check out, phones, scheduling ...... Apply Now>>

28 Join Lyft Today! Up to $35/hr (No Experience Required) USA Our drivers have past experiences working for companies such as Prudential of America, Progressive Insurance Group , Northwestern Mutual, WellCare Health Plans, CIGNA Corp., Health Net, Inc. , or ...... Apply Now>>

29 CLINICAL INTEGRATION DIRECTOR for Greater Macomb Physician Network- PO Clinton Township, MI, USA Acting as a liaison between the health plans and the physicians, this director will promote and educate physicians and staff on quality, cost, and utilization methods by which performance incentives ...... Apply Now>>

30 Director, Data Analysis Saint Louis, MO, USA You will lead the data analysis for various health plans within the organization * You will oversee large-scale analytic projects that meet budget and quality requirements * You will collaborate with ...... Apply Now>>

31 Lyft Driver: Set your own hours - Up to $35/hr & $500 Sign-up Bonus - USA Some of their prior and current employers are companies like Health Net, Inc. , Northwestern Mutual, Liberty Mutual, United Healthcare, AXA, or WellCare Health Plans. If you are interested in an ...... Apply Now>>

32 Class A CDL Local Delivery Driver | Full Time | Perrysburg OH | BATO Perrysburg, OH, USA Overtime pay after 8 hoursSingle and family health plans after 30 days! Voluntary benefitsPaid holidays and vacations401(k) with company contributionDriver referral bonusesCPC Logistics, Inc. is an ...... Apply Now>>

33 Director Of Quality Improvement Seattle, WA, USA Measures include Healthcare Effectiveness Data and Information Set (HEDIS), HEDIS-related Surveys (Consumer Assessment of Health Plans and Systems (CAHPS) and Health Outcome Survey (HOS)); as well as ...... Apply Now>>

34 RN Case Manager Kalamazoo, MI, USA HealthCare Scouts, Inc. is actively seeking Registered Nurse / RN Case Managers for an immediate opening for one of the nations most desired health plans to work for! In this field based RN ...... Apply Now>>

35 RN Case Manager Newark, NJ, USA Are you looking for an opportunity to get your foot in the door with one of the nations most desired health plans? If so, Healthcare Scouts Inc. is in collaboration with a Fortune 500 Managed Care ...... Apply Now>>

36 Chief Medical Officer - * Flexible In Office Schedule * Washington, DC, USA Company is a leadership organization that brings together innovative non-profit health plans and provider organizations that are among America's best at delivering affordable, high-quality coverage ...... Apply Now>>

37 EXECUTIVE DIRECTOR/ CEO - Greater Macomb Physician Network (PO) Clinton Township, MI, USA GMPN exists to ensure beneficial partnerships between its members and health plans by providing physicians with proper support tools and training. The new executive director will be tasked with ...... Apply Now>>

38 Healthcare Claims Business Consultant Pleasanton, CA, USA Healthcare Location: Pleasanton, CA Duration: 6+ months contract Pay Rate Range: Depends on ... The work includes assessments, identifying impacts, developing work plans, and identifying outcomes ...... Apply Now>>

39 Collaborating Physician Alabama - Sumter & Marengo Counties Livingston-Alabama, AL, USA We provide a no cost in home assessment to qualified members of our health plans called the HouseCalls Visit. During a HouseCalls visit, among other things our practitioners do a medical history ...... Apply Now>>

40 Senior Health Analyst-Member Perception Jacksonville, FL, USA Strong understanding of Medicare Advantage Health Plans. Background with Survey Analytics Experience with analytics and inferential statistics. Intermediate level experience writing SQL /SAS or ...... Apply Now>>



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