- WelbeHealth (Los Angeles, CA)
- …professional experience and knowledge of managed care, including Medicaid, that includes health plan operations, medical management , clinical review ... most vulnerable senior population. The Senior Vice President (SVP), Health Plan Operations is the strategic and...an hour of a current or future WelbeHealth location ** Benefits of Working at WelbeHealth:** Apply your expertise in… more
- Sutter Health (Emeryville, CA)
- …HEDIS. The CMO provides clinical oversight and direction for critical health plan functions-including utilization management , credentialing, authorizations, ... strategies across the organization. Physician leaders contributing to the management of population health and plan...total rewards program offered by Sutter Health . Eligible roles also qualify for a comprehensive benefits package._… more
- Elevance Health (Costa Mesa, CA)
- …and Experiences:** + BS preferred. + MS Office Suite experience preferred. + Health plan experience preferred. + Management experience preferred. + ... $180,144. Locations: California In addition to your salary, Elevance Health offers benefits such as, a comprehensive...agreement), medical, dental, vision, short and long term disability benefits , 401(k) +match, stock purchase plan , life… more
- CVS Health (Sacramento, CA)
- …of experience in managed care which may include PBM, Pharma, market access, account management , specialty pharmacy, or health plan experience** + **MBA or ... be the healthiest they can be. In addition to our competitive wages, our great benefits include: + **Affordable medical plan options,** a **401(k) plan **… more
- Sharp HealthCare (San Diego, CA)
- …in overall medical management effectiveness. Reports all issues of clinical quality management to the health plan Chief Medical Officer. To ensure ... **Facility:** Health Plan **City** San Diego **Department**...other plan functions that interface with medical management such as provider relations, member services, benefits… more
- Sharp HealthCare (San Diego, CA)
- …in promoting the Mission, Goals and Objectives of Sharp Health Plan . Demonstrates content expertise regarding benefits administration and business operations ... activities. **Required Qualifications** + 3 Years in HMO or Health Insurance Management . + Experience working collaboratively...departments to better understand plan designs and benefit intent as directed.Assist with plans and benefits… more
- Sharp HealthCare (San Diego, CA)
- …background information for other departments to better understand plan designs and benefit intent. Manage all plans and benefits hand-offs to internal and ... individual will serve as a subject matter expert on benefits , with responsibility for translating plan designs...in promoting the Mission, Goals and Objectives of Sharp Health Plan .Recruit, hire, motivates staff to perform… more
- Matrix Providers (Fairfield, CA)
- …Manager and Utilization Manager as needed. - Assists in development of facility-s Medical Management /Population Health plan in support of the annual Business ... (PTO) + Paid Holidays (Outlined in Handbook) + 401(k) Plan The Registered Nurse - Disease Management ...health schedules, procedures, processes and education methods; disease management and population health principles to include… more
- Dignity Health (Bakersfield, CA)
- … setup based on plan design changes of existing customers. Configures all aspects of benefit plan per health plan utilizing the Financial Risk Matrix ... prior to customer implementation and go-live date - Ensure health plan configuration within system templates, related...with a state-of-the-art flexible Health & Welfare benefits package. Our cafeteria-style benefit program gives… more
- AON (Irvine, CA)
- …Benefits Department and Technology personnel to establish all employee benefit plan specifics. Steps in to lead Account Management tasks when they are ... experience that will lead to success + 1+ year Benefits plan administration background + 1+ year...Technology personnel to establish all employee benefit plan specifics. Steps in to lead Account Management… more