• Health Plan Territory Representative II

    LA Care Health Plan (Los Angeles, CA)
    Health Plan Territory Representative II Job Category: Sales & Marketing Department: Product Sales Location: Los Angeles, CA, US, 90017 Position Type: Full Time ... - $82,867.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created by the...residents. We are the nation's largest publicly operated health plan . Serving more than 2 million members, we make… more
    LA Care Health Plan (07/06/25)
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  • Medical Director - Sharp Health Plan

    Sharp HealthCare (San Diego, CA)
    **Facility:** Health Plan **City** San Diego **Department** **Job Status** Regular **Shift** Day **FTE** 1 **Shift Start Time** **Shift End Time** California ... Do** Working with the Chief Medical Officer, oversees medical care for Sharp Health Plan (SHP) products and services and oversees the health care needs of the… more
    Sharp HealthCare (08/17/25)
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  • Manager Benefit Administration - Sharp Health…

    Sharp HealthCare (San Diego, CA)
    …as a subject matter expert on benefits, with responsibility for translating plan designs and policies (ie, Certificates of Coverage) into detailed business ... across multiple functional areas (eg, operations, configuration, clinical, IT, plan design) and fostering teamwork. + Experience with spreadsheets, data… more
    Sharp HealthCare (08/09/25)
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  • Medical Director, Ventura County Health Care…

    Ventura County (Ventura, CA)
    Medical Director, Ventura County Health Care Plan Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4924113) Apply  Medical Director, Ventura ... County Health Care Plan Salary $219,417.77 - $307,184.88 Annually Location Ventura and...Department Health Care Agency Division Ventura County Health Care Plan Opening Date 05/09/2025 + Description + Benefits Description… more
    Ventura County (08/04/25)
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  • Care Manager, Health Plan , Part Time,…

    Magellan Health Services (San Diego, CA)
    …including ongoing monitoring of an appropriate and effective person-centered care plan , member education and care management. Conducts initial and concurrent review ... care, community benefits, and other support opportunities to develop a long term care plan to guide the member through their mental health care. Oversees the work of… more
    Magellan Health Services (07/23/25)
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  • Senior Medical Director - Sharp Health Plan

    Sharp HealthCare (San Diego, CA)
    **Facility:** Health Plan **City** San Diego **Department** **Job Status** Regular **Shift** Day **FTE** 1 **Shift Start Time** **Shift End Time** Doctor of Medicine ... Director position provides critical management and oversight for Sharp Health Plan 's (SHP) physicians (Medical Directors (both medical and behavioral health) and… more
    Sharp HealthCare (07/19/25)
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  • Benefit Administration Analyst - Sharp Health…

    Sharp HealthCare (San Diego, CA)
    …a subject matter expert on benefits and provide support for translating plan designs and policies (ie, Certificates of Coverage) into detailed business requirements, ... across multiple functional areas (eg, operations, configuration, clinical, IT, plan design) and fostering teamwork. **Preferred Qualifications** + 2 Years… more
    Sharp HealthCare (08/09/25)
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  • Senior Operations Manager, Plan Document…

    CVS Health (Sacramento, CA)
    …each and every day. Oversees the day-to-day management and leadership of the plan document drafting team. Develops and coaches the team to effectively manage client ... expectations and business needs related to plan drafting and issue resolution. Designs and implements processes...manages 10-12 colleagues and provides leadership to the entire plan document team, consisting of 50 colleagues. **What you… more
    CVS Health (07/28/25)
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  • Vice President of Health Plan Operations…

    Prime Healthcare (Ontario, CA)
    …This position requires relocating to Ontario, California. TheVice President of Health Plan Operations and Claims is responsible for the development and execution of ... of the Employee Health Plans. The VP of Health Plan Operations and Claims will provide strategic leadership and...benefit coverage while containing cost. The VP of Health Plan Operations and Claims will partner with local C-Suites… more
    Prime Healthcare (08/11/25)
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  • NPI Plan Manager

    J&J Family of Companies (Irvine, CA)
    …Johnson & Johnson MedTech is recruiting for a highly qualified and motivated NPI PLAN Manager to join our exceptional team based in Irvine, CA or Galway, Ireland. ... health for humanity. Learn more at https://www.jnj.com/. The NPI PLAN Manager will be responsible for leading and supporting...teams are on the same page. A successful NPI PLAN Manager will have excellent project management skills and… more
    J&J Family of Companies (08/26/25)
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