• Senior Network Product Management

    CVS Health (Sacramento, CA)
    …be the healthiest they can be. In addition to our competitive wages, our great benefits include: + **Affordable medical plan options,** a **401(k) plan ** ... At CVS Health , we're building a world of health...management programs, confidential counseling and financial coaching. + ** Benefit solutions that address the different needs and preferences… more
    CVS Health (08/28/25)
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  • Senior Benefit Specialist

    Banc of California (Santa Ana, CA)
    …and long-term disability plan applications, and responding to general benefit questions. Provides assistance in Benefits administration as needed including, ... information or status regarding benefits , Short-term Disability and Long-term Disability benefits . + Processes benefit payments in regards to LOAs. Responds… more
    Banc of California (08/01/25)
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  • Senior Manager, Provider Partnerships

    WelbeHealth (Elk Grove, CA)
    …+ Minimum of five (5) years of progressive experience in provider relations, network management , or health plan operations/account management in a ... of an encouraging and loving environment where every person feels uniquely cared for. + BENEFITS : Health Coverage on Day 1, Paid Parental Leave, 401K Match. +… more
    WelbeHealth (08/14/25)
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  • Specialty Health Plans Auditor III, $5,000…

    LA Care Health Plan (Los Angeles, CA)
    …$88,854.00 (Min.) - $115,509.00 (Mid.) - $142,166.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created by the state of ... County residents. We are the nation's largest publicly operated health plan . Serving more than 2 million...quarterly and annual basis Performs financial analyses or vendor's management for LA Care vendors on the quarterly and… more
    LA Care Health Plan (07/06/25)
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  • Community Health Program Manager II (ALD)

    LA Care Health Plan (Los Angeles, CA)
    …$88,854.00 (Min.) - $115,509.00 (Mid.) - $142,166.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created by the state of ... County residents. We are the nation's largest publicly operated health plan . Serving more than 2 million...Maintain strong positive working relationships with internal LA Care management staff and external business partners, in order to… more
    LA Care Health Plan (07/16/25)
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  • Senior Medical Director - Sharp Health

    Sharp HealthCare (San Diego, CA)
    …Medical Director position provides critical management and oversight for Sharp Health Plan 's (SHP) physicians (Medical Directors (both medical and behavioral ... + Works collaboratively with other plan functions that interface with medical management such as provider relations, member services, benefits and claims … more
    Sharp HealthCare (07/19/25)
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  • Health Educator II Registered Dietitian (6…

    LA Care Health Plan (Los Angeles, CA)
    …$77,265.00 (Min.) - $100,445.00 (Mid.) - $123,625.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created by the state of ... to low-income Los Angeles County residents. We are the nation's largest publicly operated health plan . Serving more than 2 million members, we make sure our… more
    LA Care Health Plan (08/02/25)
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  • Vice President of Health Plan

    Prime Healthcare (Ontario, CA)
    … Plans to maximize benefit coverage while containing cost. The VP of Health Plan Operations and Claims will partner with local C-Suites and Hospital ... Connect With Us! (https://careers-primehealthcare.icims.com/jobs/196005/vice-president-of- health - plan -operations-and-claims/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306)… more
    Prime Healthcare (08/11/25)
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  • Vice President, Strategic Accounts

    Evolent (Sacramento, CA)
    …transformative growth opportunities at customer accounts + Strong knowledge of health plan operations, care/utilization management , claims processing, ... part of our total compensation package, Evolent is proud to offer comprehensive benefits (including health insurance benefits ) to qualifying employees. All… more
    Evolent (08/27/25)
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  • Health Actuary Consulting Senior Consultant

    Deloitte (Fresno, CA)
    health care reform modeling for health plans + Prepare SQL models to price health plan benefit changes + Review MA and Part D bid submissions for ... share with clients + Create models to calculate ROI for medical management and other health plan initiatives + Prepare IBNR modeling spreadsheets for audit… more
    Deloitte (08/27/25)
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