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1 Director of Provider Services South San Francisco, CA, USA Join an innovative mission-driven health care plan * Strengthen the safety net for vulnerable populations * Telecommuting option for candidates in California The Provider Services Director leads the ...... Apply Now>>

2 Director of Health Plan and Payer Sales- REMOTE- US Seattle, WA, USA The objective of the Director of Health Plan and Payer Sales is to win contracts with health plans by signing them up to the Foodsmart platform. You will find and connect with key decision makers and ...... Apply Now>>

3 Behavioral Health Care Manager Jay, FL, USA Monitors and evaluates effectiveness of care plan and modifies plan as needed. Supports member ... healthcare. * Ensures members are engaging with their PCP to complete their care management ...... Apply Now>>

4 Social Worker ll -Growing Elder Service PACE Program - Lowell Lowell, MA, USA In addition to offering innovative health insurance solutions and a variety of Medicaid and ... Develops and implements a social service plan of care for each participant and updates it based on ...... Apply Now>>

5 Supervisor Member Services Irving, TX, USA Requirements include a thorough understanding of the US Family Health Plan, Medicaid, Health Insurance Exchange and Medicare benefit structure, program Manuals, and Policies and Procedures of the ...... Apply Now>>

6 LCSW, LMHC - Pediatric Case Manager Vero Beach South, FL, USA Assess the member's current health status, resource utilization, past and present treatment plan and services, prognosis, short and long term goals, treatment and provider options * Coordinate ...... Apply Now>>

7 Provider Networks & Contracting Manager Monterey, CA, USA Director, Health Plan Operations Purpose of Position The Provider Networks & Contracting Manager is responsible for the management and maintenance of Aspire Health Plan's internal and delegated ...... Apply Now>>

8 RN, Registered Nurse - Pt Nav - Relocation Required El Paso, TX, USA These services will be provided by monitoring cases and claims, analyzing biometric and health risk assessment data, organizing disease management programs and proactively interacting with plan ...... Apply Now>>

9 Health Plan Coordinator & Surgery Scheduler (Orthopedics and Physical Medicine Clinic) Hillsboro, OR, USA POSITION SUMMARY The Health Plan Coordinator is responsible for maintaining patient referral and authorization requirement needs through guidelines established by the patients individual insurance ...... Apply Now>>

10 Health Plan Compliance Auditor Tucson, AZ, USA This position works both independently and collaboratively with all health plan functional areas to develop, implement, maintain and evaluate contractually compliant operational practices. Report ...... Apply Now>>

11 Health Plan Services Electronic Remittance Specialist (80-2F) Salem, OR, USA Health Plan Services Business Office Job Summary/Position Objective: Processes and posts electronic remittance. Investigates remittance related issues. Reviews undistributed payments to determine ...... Apply Now>>

12 COO, Health Plan Strategy & Operations - KP Washington Renton, WA, USA The Chief Operating Officer, Health Plan Strategy and Operations (COO) for the Kaiser Permanente Washington region is accountable for ensuring there is a clearly defined and integrated strategy and ...... Apply Now>>

13 Director of Medicare New York, NY, USA ... Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan, etc. As a wholly-owned subsidiary of NYC Health + Hospitals, the largest public health system in the United States ...... Apply Now>>

14 Pharmacy Technician $1,000 SIGN-ON BONUS!!! San Diego, CA, USA In-depth knowledge of specialty injectable prescription drugs, disease states, health plan formulary management techniques, medical terminology and current diagnostic and reimbursement coding (J/Q ...... Apply Now>>

15 RN Case Manager - Uniformed Services Family Health Plan *$2K Sign-On Bonus* Seattle, WA, USA Find what you're looking for in your career at PacMed as an RN Case Manager (1.0 FTE, Days) to work in Uniformed Services Family Health Plan at Pacific Medical Centers in Seattle, WA. * $2K Sign-On ...... Apply Now>>

16 Health Plan Associate Counsel Portland, OR, USA Health Plan Associate Counsel Job Title Health Plan Associate Counsel Duration Open Until Filled Location Portland, OR 97204 Other Location Description Let's do great things, together Founded in ...... Apply Now>>

17 Physician - Neurology - Child - Neuroimaging - Pediatric Neurologist to Join Stable Company in Ne... Albuquerque, NM, USA Our health plan serves more than 580,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care), and Commercial health plans. What the Area Offers: New Mexico continues to grow ...... Apply Now>>

18 Physician - Family Medicine - Family Medicine practice in beautiful midwestern lake community Rice Lake, WI, USA Participation in many health insurance networks, including the Prevea360 Health Plan * Prevea-owned after hours nurse triage to assist with patient calls * Epic, electronic medical record system, in ...... Apply Now>>

19 Physician - Otolaryngology - Seeking a Head and Neck Surgeon for a Great Opportunity in Sioux Fal... Sioux Falls, SD, USA Our model of integrated health provides care through physicians, hospitals, health plan, research and education. Our reputation of excellence is founded on our talented team of over 1,400 primary and ...... Apply Now>>

20 Physician - Hospitalist - Per-Diem Hospitalists Melbourne, FL, USA Health First delivers healthcare services throughout Brevard County with a network comprised of 4 hospitals with 868 beds, a health plan, a multi-specialty medical group, and numerous outpatient ...... Apply Now>>

21 Service Desk Technician IV Salinas, CA, USA As a regional non-profit health plan, we serve over 377,000 members in Santa Cruz, Monterey and Merced counties. To learn more about us, click here. At this time the Alliance does not provide any ...... Apply Now>>

22 Bi-Lingual Work From Home Customer Service - Healthcare Dallas, TX, USA A comprehensive health plan after 90 days of employment * A Real opportunity to grow your career - Working At Home! 90% of our Leaders started their career as a Customer Service Agent What we are ...... Apply Now>>

23 Physician - Family Medicine - Full-Time Family Medicine Physician for Large Public Health and Hos... San Jose, CA, USA ... Valley Health Plan. SCVMC itself hosts five residency training programs and partners with Stanford University Medical Center for the training of residents and fellows in many Stanford-based ...... Apply Now>>

24 Physician - Rheumatology - Rheumatologist needed in Beautiful NM (Sunshine and Outdoors Activitie... Albuquerque, NM, USA We are a locally owned, not-for-profit healthcare system of nine hospitals, a statewide health plan, and a growing multi-specialty medical group. Founded in New Mexico in 1908, we are the state ...... Apply Now>>

25 Community Health Nurse LPN RN Seattle, WA, USA Company Sponsored Health Plan (Eligible for full time employees) * 401k with Generous Employer Match (Eligible for full time employees) * Vacation & Sick Leave (Eligible for full time employees... Apply Now>>

26 Prior Authorizations Nurse (LVN), Part-time Scotts Valley, CA, USA As a regional non-profit health plan, we serve over 377,000 members in Santa Cruz, Monterey and Merced counties. To learn more about us, click here. At this time the Alliance does not provide any ...... Apply Now>>

27 Health Plan Operations Manager Monterey, CA, USA In support of the Operations Director, the Manager of Health Plan Operations will be responsible for management and oversight of Enrollment, Mailroom, Claims and Pharmacy operations for all lines of ...... Apply Now>>

28 Marketing & Business Development Manager Emeryville, CA, USA Plan and coordinate formal Canopy Health events. * Content creation/content writing, including weekly blogs, social media posts, marketing collateral, presentation designs, and videos. * Attend ...... Apply Now>>

29 Physician - Gynecology - Oncology - Physician - Gynecology / Oncology - NW Ohio Toledo, OH, USA ... a health plan, and 330+ assisted living facilities, skilled nursing and rehabilitation centers, memory care communities, and hospice and home health care agencies. Driven by its Mission to improve ...... Apply Now>>

30 Health Plan Advisor Remote, OR, USA Health Plan Advisor Expected Duration: 4+Months contract Location: Remote Valid Health/Life licenses in either: CA, CO, NV, GA, IN, KY, OH, MO, WI, VA, NH, CT, ME, NY Description: Responsible for re ...... Apply Now>>

31 Director, Public Health Glenwood Springs, CO, USA ... plan. 6. Ensures the maintenance of the records, public notice of meetings, and properties of the County public health board. 7. Performs all essential functions of Public Health professionals and ...... Apply Now>>

32 Chief Financial Officer San Mateo, CA, USA You will assist in health plan contracting to ensure successful risk contracting strategies * Ensure that all negotiated global capitation rates are sufficient to cover comprehensive services for ...... Apply Now>>

33 Community Health Administrative Assistant Seattle, WA, USA Company Sponsored Health Plan * 401k with Generous Employer Match * Vacation & Sick Leave * Employee Discount Programs * Employee Assistance Program * Leadership & Longevity Bonuses * The advantages ...... Apply Now>>

34 Remote Licensed Clinical Social Worker San Jose, CA, USA We are flipping the script on what it means to be a health plan and actually providing a true health benefit to members. We are intensely focused on optimizing the physical + mental + financial ...... Apply Now>>

35 Physician - Neurology - Neurologist Opportunity in Austin, Texas Round Rock, TX, USA ... Health Plan, Baylor Scott & White Research Institute and Baylor Scott & White Quality Alliance--a network of clinical providers and facilities focused on improving quality, managing the health of ...... Apply Now>>

36 Physician - Orthopaedic Surgery - Physician / Surgeon - General / Total Joint - Orthopaedic Surge... Defiance, OH, USA ... a health plan, and 330+ assisted living facilities, skilled nursing and rehabilitation centers, memory care communities, and hospice and home health care agencies. Driven by its Mission to improve ...... Apply Now>>

37 Physician - Palliative Care - Hospice & Palliative Care Physician Position on Florida's Space Coast Melbourne, FL, USA Our IDN is comprised of several services, including four hospitals, a health plan, outpatient and wellness services, and the medical group with more than 400 providers practicing in more than 25 ...... Apply Now>>

38 Senior Software Engineer Oakland, CA, USA Experience in the Health Care industry. * Experience working with sets of standard performance measures that provide information about the quality of a health plan * Experience with clinical software ...... Apply Now>>

39 Healthcare Benefit Provider Jacksonville, FL, USA As a Health Insurance Agent, you will interact and present plan options to customers through a consultative approached based on customer needs. Through our tailored training programs, backed by our ...... Apply Now>>

40 Network Development Manager Pittsburg, CA, USA Has an in-depth knowledge of health plan operations. * Advanced understanding of contract language and can explain in a clear and concise way. * Comprehensive understanding of more complex ...... Apply Now>>

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