• Health Plan Health Coach

    Trinity Health (Fresno, CA)
    …Operations, CVHP Operations, this position is responsible for working closely with health plan member clients, physicians, pharmacists, and physician office ... health related goals, develop a client specific wellness plan , set goals for health improvement, and monitor goal attainment. The incumbent will coordinate… more
    Trinity Health (10/15/25)
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  • Specialty Health Plans Auditor III Claims

    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 ... 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 members… more
    LA Care Health Plan (10/03/25)
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  • Specialty Health Plans Auditor III Finance…

    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 ... 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 members… more
    LA Care Health Plan (10/13/25)
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  • Quality and Population Health Coordinator…

    LA Care Health Plan (Los Angeles, CA)
    …Range: $46,800.00 (Min.) - $52,597.00 (Mid.) - $62,270.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created by the state of ... 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 members… more
    LA Care Health Plan (09/19/25)
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  • Grievance Specialist- Health Plan

    BayCare Health System (Clearwater, FL)
    …+ Requires deep understanding of gap closure specifications. + Knowledge of health plan operations, benefit coverage, and claims processing. Familiarity with ... working remotely?** Hybrid Equal Opportunity Employer Veterans/Disabled **Position** Grievance Specialist- Health Plan **Location** Clearwater:Park Place | Business… more
    BayCare Health System (09/30/25)
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  • RN Health Plan Case Manager

    Trinity Health (Fresno, CA)
    …governing hospital and home care, as well as understanding of the financial structure of health plan and delivery system is preferred. Pay Range $50.84 - $73.72 ... local law. Our Commitment to Diversity and Inclusion Trinity Health is a family of 115,000 colleagues and nearly...recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and… more
    Trinity Health (10/15/25)
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  • HEDIS Specialist- Health Plan

    BayCare Health System (Clearwater, FL)
    …working remotely?** Hybrid Equal Opportunity Employer Veterans/Disabled **Position** HEDIS Specialist- Health Plan **Location** Clearwater:Park Place | Business ... consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians. With the support of… more
    BayCare Health System (09/30/25)
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  • Senior Pharmacy Benefits Specialist - St. Luke's…

    St. Luke's Health System (Boise, ID)
    …medications, the applicable pharmaceutical regulations, and requirements to align member and Health Plan cost containment strategies. + Navigate federal laws ... insurance topics to patients and providers. + Apply working knowledge of insurance plan design and terminology (deductible, max out of pocket, co-insurance, etc.) +… more
    St. Luke's Health System (09/27/25)
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  • Social Worker Case Manager/LMSW (Hybrid - Troy,…

    Henry Ford Health System (Troy, MI)
    …emotional, social, financial and spiritual. Our Total Rewards program includes competitive health plan options, with three consumer-driven health plans ... General Summary: Responsible for case management activities for Health Alliance Plan (HAP) Special Needs Plan (SNP) members using a multi-disciplinary,… more
    Henry Ford Health System (10/07/25)
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  • Manager- Revenue Cycle & Receivable Management…

    Henry Ford Health System (Troy, MI)
    …emotional, social, financial and spiritual. Our Total Rewards program includes competitive health plan options, with three consumer-driven health plans ... SUMMARY: The Manager of Revenue Cycle & Receivables Management - HAP ( Health Alliance Plan ) is a results-driven leader, responsible for overseeing all aspects of… more
    Henry Ford Health System (09/19/25)
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