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HEALTH-PLANS JOBS - Page 1

1 Claims Analyst Alamosa, CO, USA Who We Are Friday Health Plans isn't your average health insurance company. We're not about unnecessary extras and confusing terminology. We cover the basic health services you'll likely use the most ...... Apply Now>>

2 RN-Case Manager, Health Plans Madison, WI, USA The health plans RN case manager is responsible for managing members across multiple states who have been identified as appropriate for care management programs. The case manager serves in an ...... Apply Now>>

3 Member Services Lead Hialeah, FL, USA Knowledge on plans benefits, CMS and Plans policies and procedure. * Applies high level of subject matter knowledge to solve a variety of common business issues. * Complies with company policies and ...... Apply Now>>

4 Licensed Practical Nurse - LPN Norfolk, VA, 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>>

5 RN Prior Authorization Nurse Sacramento, CA, 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>>

6 Product Analyst, Health Plans San Francisco, CA, USA Serving health plans is a top priority for Alto Pharmacy - it provides the ability for Alto to reach more patients and improve the combined patient, provider and payor experience. This individual ...... Apply Now>>

7 Provider Quality Liaison Springfield, OR, USA High school diploma or equivalent. 2+ years of experience in a health care setting that includes coordination of member care through physicians, clinical nurses and office managers. In depth ...... Apply Now>>

8 Implementation Manager, Health Plans Seattle, WA, USA Comprised of five key areas of focus - Health Systems, Health Plans, Employers, Strategic Accounts, and a Project Management Office - this poised, articulate and fast-paced team is the driving force ...... Apply Now>>

9 Licensed Practical Nurse - Home Care San Tan Valley, AZ, USA Medical, Dental, & Vision Health Plans * Flexible scheduling * 1:1 patient care ratio * Competitive pay * Patient Care Coordination Services * and much more! U.S. Equal Employment Opportunity ...... Apply Now>>

10 Technical Program Manager Oakland, CA, USA The nonprofit Integrated Healthcare Association (IHA) convenes diverse stakeholders, including physician organizations, hospitals and health systems, health plans, purchasers and consumers committed ...... Apply Now>>

11 Manager, Employee Health Oakland, CA, USA Rich and varied retirement plans and the ability to participate in multiple plans. * Generous paid time off plans Alameda Health System is hiring! This position is supporting system-wide employee ...... Apply Now>>

12 RN Rehab -St. Elias .9 FTE, Night Providence Health & Services - Anchorage, AK Anchorage, AK, USA Assesses, diagnoses, plans, implements and evaluates patients' care. Develops, updates and ... Fosters a learning environment for patient/families, nursing, and other members of the healthcare ...... Apply Now>>

13 RN - Nursing Resource Pool Providence Health & Services - Anchorage, AK Anchorage, AK, USA Assesses, diagnoses, plans, implements and evaluates patients' care. Develops, updates and ... Fosters a learning environment for patient/families, nursing, and other members of the healthcare ...... Apply Now>>

14 RN - Progressive Care Unit Curtis, WA, USA About Us Providence is a comprehensive not-for-profit network of hospitals, care centers, health plans, physicians, clinics, home health care and services continuing a more than 100-year tradition of ...... Apply Now>>

15 RN - Skilled Nursing Unit Dayton, OR, USA About Us Providence is a comprehensive not-for-profit network of hospitals, care centers, health plans, physicians, clinics, home health care and services continuing a more than 100-year tradition of ...... Apply Now>>

16 Quality Management Nurse LVN - Clinical Effectiveness*$1,000 Sign-On Bonus* Anaheim, CA, USA Demonstration of knowledge of requirements of health plans and regulatory agencies and acts as resource person with their application as necessary. * Assists in maintaining and updating provider ...... Apply Now>>

17 Filing Support Specialist Alamosa, CO, USA Who We Are Friday Health Plans isn't your average health insurance company. We're not about unnecessary extras and confusing terminology. We cover the basic health services you'll likely use the most ...... Apply Now>>

18 Symphony Product Marketing Manager (Oakland, CA or Remote in CA) Oakland, CA, USA The nonprofit Integrated Healthcare Association (IHA) convenes diverse stakeholders, including physician organizations, hospitals and health systems, health plans, purchasers and consumers committed ...... Apply Now>>

19 Marketing & Sales Administrator Hillsboro, OR, USA Our team of industry experts work with health plans to make the most of their healthcare dollars, which allows them to pass along the savings back to their members. 6 Degrees Health is in the middle ...... Apply Now>>

20 Clinical Manager - Home Health (RN Preferred) Everett, WA, USA Provides oversight and timely review of the Home Health caregivers OASIS/Plans of Care/documentation for delivery of home health services with goal of optimal patient outcomes and appropriate ...... Apply Now>>

21 CNA Float Pool - Full Time - Davis Hospital Layton, UT, USA Our Health Plans Highlights are: * Deductibles will not apply to services provided by a Steward provider (Tier 1). * Office visits copays will be $0 when a member uses a Steward Provider (Tier 1). * ...... Apply Now>>

22 Director of MSO Health Plan Claims and Operations San Jose, CA, USA ... Health Plans to maximize benefit coverage while containing cost. The MSO Claims Director will ... partner with local C-Suites and Hospital Administration to execute goals and plans. Through inter ...... Apply Now>>

23 Supervisor - Care Management/Clinical Appeals Oakland, CA, USA Utilizes McKesson InterQual® clinical guidelines; refers questionable cases to the CM Manager or physician advisor for determination. 10. Collaborates and communicates with contracted Health Plans ...... Apply Now>>

24 Benefits Advisor New York, NY, USA Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in response to our patients' and members' needs. These high ...... Apply Now>>

25 Client Data Analyst I Bellevue, WA, USA For over 30 years, HMA has been helping Pacific Northwest-based employers administer their own health plans. We believe that good healthcare should improve health, so we support companies in taking ...... Apply Now>>

26 RN - ER Charge Nurse - Full Time - JVW West Valley City, UT, USA Our Health Plans Highlights are: * Deductibles will not apply to services provided by a Steward provider (Tier 1). * Office visits copays will be $0 when a member uses a Steward Provider (Tier 1). * ...... Apply Now>>

27 Telehealth MTM Centers - Part Time Pharmacist- PRN Austin, TX, USA MedWiseRx (a division of Tabula Rasa Healthcare) is a growing and innovative health care company whose mission is to provide the highest quality healthcare solutions for health plans, patients, and ...... Apply Now>>

28 EDI Business Analyst Hillsboro, OR, USA Our team of industry experts work with health plans to make the most of their healthcare dollars, which allows them to pass along the savings back to their members. With positive change comes growth ...... Apply Now>>

29 Health Intelligence Programmer - Fully Remote Portland, OR, USA Our benefits include comprehensive health plans, paid time off, retirement savings, corporate wellness, educational assistance, corporate discounts and more. What You'll Do * Work with operations ...... Apply Now>>

30 Administrative Assistant (Healthcare) - Fully Remote Position Portland, OR, USA Our benefits include comprehensive health plans, paid time off, retirement savings, corporate wellness, educational assistance, corporate discounts and more. What You'll Do * Assist with all ...... Apply Now>>

31 Senior Campaign Manager San Francisco, CA, USA Working with health plans, employers, and health systems, the company delivers personalized interventions for individuals dealing with chronic conditions, musculoskeletal issues, anxiety, and ...... Apply Now>>

32 RN-Primary Nurse - Worcester Worcester, MA, USA Fallon has consistently ranked among the nations 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>>

33 RN - Home Health Walla Walla, WA, USA About Us Providence is a comprehensive not-for-profit network of hospitals, care centers, health plans, physicians, clinics, home health care and services continuing a more than 100-year tradition of ...... Apply Now>>

34 Technical Project Manager II Bellevue, WA, USA Healthcare Management Administrators (HMA), a leading administrator of self-funded health plans, is seeking a new Technical Project Manager to provide an essential role on our Project Management ...... Apply Now>>

35 Sales Development Representative Buffalo, NY, USA ... health plans and a knowledge of their footprint in the community What you'll get from us: ● We're a fast-growing startup where everyone has a voice, and every team member is encouraged to help ...... Apply Now>>

36 Medical Director (Part Time) (Healthcare) Philadelphia, PA, USA The Medical Director will be responsible for rendering coverage and payment determinations based on the terms and conditions of the health plans for which Independence serves as claims administrator ...... Apply Now>>

37 Home Health Aide Lacey, WA, USA Home Health caregivers will tell you there are significant advantages to caring for individuals and ... Demonstrates knowledge of care plans as developed by primary clinician and team. * Prioritizes ...... Apply Now>>

38 RN - Home Health Sound *$10,000 Sign-On Bonus* Shelton, WA, USA The registered nurse plans, organizes, and directs home care services and is experienced in nursing with emphasis on community health education/experience. The professional nurse builds from the ...... Apply Now>>

39 Benefits Enroller-Remote Juneau, AK, USA PPO and EPO plans, High-Deductible and Consumer-Driven Health Plans, HSA's, HRA's, FSA's, Short-Term Disability, Long-Term Disability, Whole Life, Term Life, Accident, Critical Illness, Hospital ...... Apply Now>>

40 Sr. Director of Quality, Risk and Regulatory Readiness Rockwall, TX, USA Collaborates with key leaders to design and continuously improve upon effective and efficient programs that ensure compliance with facility plans and all relevant healthcare regulatory and ...... Apply Now>>



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