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HEALTH-PLANS JOBS - Page 1

1 IT Business Analyst (Temp) Studio City, United States About MPI Located in Studio City, CA, the Motion Picture Pension and Health Plans (MPI) are multi-employer trust funds established by collective bargaining agreements between various employers and ...... Apply Now>>

2 Business Intelligence Analyst Studio City, United States About MPI Located in Studio City, CA, the Motion Picture Pension and Health Plans (MPI) are multi-employers trust funds established by collective bargaining agreements between various employers and ...... Apply Now>>

3 Customer Service Representative Chatsworth, CA, USA Calls are received from external customers including: providers, hospitals, facilities, health plans, patients, billing services, and internal customers including: UM staff, Claim staff, and ...... Apply Now>>

4 Claims Adjuster Timonium, MD, USA Interface with other departments and/or health plans to resolve outstanding issues affecting claims adjudication. Essential Duties and Responsibilities: * Process adjustments/refunds/reversals on ...... Apply Now>>

5 EDI Coordinator Chatsworth, CA, USA It is responsible in communicating and coordinating with IT, clearinghouses and contracted health plans on encounter related efforts. Encounter Data Specialist will also coordinate and manage the ...... Apply Now>>

6 Care Coordinator - RN or LPN Walnut Creek, CA, USA ... or health plans (Health Partners) in order to facilitate quality outcomes for the applicable patients. Coordinates preauthorized admission for the appropriate levels of care. Works with the ...... Apply Now>>

7 Manager, Clinical Programs Sacramento, CA, USA Research and facilitate implementation of new clinical programs for Centene Health Plans and/or specialty companies to meet State contract, RFP, HEDIS, or other organizational needs. * Coordinate ...... Apply Now>>

8 Project Manager I Irving, United States Description This position supports the core business activities of the CHRISTUS Health Plans by providing high level analytic and strategic insight. The Project Manager determines user demands ...... Apply Now>>

9 Appeals and Grievances Investigator Hunt Valley, MD, USA BA/BS degree or comparable experience in Health Care Management or related field * Comprehensive understanding of Medicaid/Medicare and rules and regulations * Minimum 2 years of experience in ...... Apply Now>>

10 Registered Nurse Rochester, 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>>

11 Intensive Care Nurse - ICU Nurse Modesto, CA, USA Power and Associates as "Highest in Member Satisfaction among Commercial Health Plans in California," for five years in a row. Located in Modesto, you get the feel of your hometown, with the ...... Apply Now>>

12 Associate Medical Director - Cardiology (100% Remote) Eugene, 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>>

13 Registered Nurse Granada Hills, 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>>

14 Physician / Geriatrics / Washington / Permanent / Geriatrician Job Yakima, WA, 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>>

15 Data Analyst 2 / Healthcare Data Analyst Emeryville, United States Recipients include client Health executive leadership, and all levels within client Health partners (IPAs and health plans). * Analyze data, reports, and measurements for key managed care indicators ...... Apply Now>>

16 Registered Nurse Wenatchee, United States Health Plans* Title: Clinical Services Auditor (RN) Location: WA-Bothell-BOTHELL Requisition ID: 1901449 Other Locations: US-WA-Wenatchee-WENAT, US-WA-Spokane-SPOKANE, US-WA-Vancouver-WAVAN... Apply Now>>

17 Senior Program Coordinator of Care Transformation Sacramento, CA, USA Provide technical assistance to health centers to resolve delivery system challenges and issues along the continuum of care and be a liaison between CHCs and health plans for issues such as billing ...... Apply Now>>

18 Primary Care Physician (Molina Healthcare) Everett, USA Providers join the Molina network because they know Molina's health plans will care for their patients today and into the future. Molina care partners strive to treat all patients the same way they ...... Apply Now>>

19 Biligual Sr. Care Manager (Req. LICSW, LGSW, LSWA, RN, LPN or LPC) Washington, DC, USA ... health plans contract requirements 4. Assists Director in establishing, implementing, and ensuring care management policies, practices, and procedures are in place 5. In conjunction with VP and ...... Apply Now>>

20 Director Financial Reporting Irving, United States Accountable for the profitability of the health plans in conjunction with the CEO and executive team. Develops and maintain effective relationships with key contacts at applicable regulatory agencies ...... Apply Now>>

21 Health Coach, RN Phoenix, AZ, USA Use individualized, goal-directed and patient-centered health plans and motivational interviewing to empower members to take control of their health and therefore improve their overall quality of ...... Apply Now>>

22 KAISER PERMANENTE - Home Health or Hospice Registered Nurse RN Santa Rosa, CA, USA Company Description Founded in 1945, Kaiser Permanente is recognized as one of Americas leading health care providers and not-for-profit health plans. We currently serve 11.8 million members in eight ...... Apply Now>>

23 Product Manager Madison, WI, USA We help health plans, providers and vendors share their data seamlessly and cost-effectively. We are expanding our team to build a world-class organization and grow the technology enabled services ...... Apply Now>>

24 CUSTOMER SERVICE MANAGER (Healthcare Industry Experience WANTED) Long Beach, CA, USA The Customer Service Manager ensures that all inbound and outbound calls are handled professionally and meet the expectations of our clients, contracted providers, health plans and the AMM management ...... Apply Now>>

25 Health Homes Nurse Liaison RN II Los Angeles, United States Serving more than 2 million members in five health plans, we make sure our members get the right care at the right place at the right time. Mission: L.A. Care's mission is to provide access to ...... Apply Now>>

26 Lead Business Development Manager San Francisco, United States With offices in London and San Francisco, Big Health's products are used by large multinational employers and major health plans to help improve sleep and mental health. * To date, more than 12 ...... Apply Now>>

27 Project/Program Manager Long Beach, United States Projects may vary to include the following: system implementations, internal/cross functional department process improvement initiatives, implementation of new state health plans, systems selections ...... Apply Now>>

28 RN, Outpatient Portland, United States Numerous health plans to choose; continue in retirement * Transfer opportunities- 1 license/50 states * Outstanding Federal Benefits Plan *Recruitment bonus and or moving of household goods may be ...... Apply Now>>

29 Nurse Practitioner 2 - Part Time Bakersfield, United States The Nurse Practitioner or NP accurately completes summary and care management referral forms, consistently identifies unmet needs and gaps in care and initiates appropriate referral to health plans ...... Apply Now>>

30 Finance Director - Healthcare Santa Rosa, CA, USA Financial effects and reporting requirements of Medi-cal, Medicare and health plans, as well as OSHPD disclosure reports, cost reports. * Merger/acquisition experience * Healthcare experience... Apply Now>>

31 Insurance Communication Specialist Austin, TX, USA The Specialist will be responsible for engagement and follow-up with health plans in order to hold them to contractually and statutorily defined timelines for decisions and for working closely with ...... Apply Now>>

32 MRI Technologist (Full Time) San Rafael, United States Health, dental, and vision insurance * Company paid dental (with applicable health plans) * 401k matching * Company sponsored life insurance * Voluntary supplemental life insurance * Voluntary short ...... Apply Now>>

33 Aspire Health Field Nurse Practitioner - Weekday Part Time - Oakland, CA - $10,000 sign on Oakland, CA, USA Our NPs collaborate with our Lead Physicians, the patient's other physicians and providers, and their family members to develop complex plans of care in accordance with the patient's health status ...... Apply Now>>

34 Community Health Advocate Chico, CA, USA ... health plans and providers by participating in local community engagement activities with local agencies e.g. faith based organizations, community centers, government agencies, parks, recreation ...... Apply Now>>

35 Cardiac ICU Travel Nurse RN - $51/hour Austin, TX, USA Rewarding travel nurse assignment with Nomad Health. Includes full benefits and 24/7 support. Earn ... Major medical and dental plans available from your first day of work.Payroll: Weekly deposits ...... Apply Now>>

36 Administrative 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>>

37 Sr. Provider Contract Implementation Specialist 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>>

38 Sales License Broker Health Agent Gilbert, AZ, USA ... health plan members in every state. Summary of role Licensed Agent will gather pertinent ... The agent will explain various insurance policies and help clients choose plans that suit them... Apply Now>>

39 Health Insurance Agent Dallas, TX, USA Our commission model and residual plan are more than favorable to add these plans to your portfolio ... Health & Life Insurance License Technology Requirements: * MS Word, Excel, PowerPoint, Outlook... Apply Now>>

40 Psychologist (Eating Disorder Specialist) San Francisco, CA, USA Recognized as one of America's leading health care providers and not-for-profit health plans. Founded in 1945, their mission is to provide high-quality, affordable health care services and to improve ...... Apply Now>>



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