- CommonSpirit Health (Houston, TX)
- …programs and in accordance with the CommonSpirit Health Corporate Responsibility Plan . + Provides management and support for market/entity level CRP ... This position will assist in the administration of CommonSpirit Health 's Corporate Responsibility Program (CRP) for specific assigned markets/entities within… 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
- Molina Healthcare (Akron, OH)
- …with Molina Healthcare's strategic and operating plan ; providing day-to-day leadership and management of the health plan market or product operations ... **JOB DESCRIPTION** **Job Summary** Molina Health Plan Operational Leadership roles provide...organizes, staffs, and leads all activities of the State Plan 's Provider Network Management and Operations Department.… more
- Monroe Plan for Medical Care (Mayville, NY)
- …and families who are recipients of government sponsored health insurance. Monroe Plan is the largest Care Management Agencies serving 28 counties and over ... healthcare for underserved populations. For over 50 years, Monroe Plan for Medical Care, a not-for-profit health ...$46,948 - $57,380. In addition to your salary, Monroe Plan offers a comprehensive benefits package (all… more
- Magellan Health Services (Maryland Heights, MO)
- …to daily communications, team meetings and project/issue resolution. + Responsible for accurate management of plan benefits coding changes, test execution ... specializes in the analysis and application of intermediate level benefit plan design requirements. A successful Analyst...benefits package. Magellan offers a broad range of health , life, voluntary and other benefits and… more
- Humana (Solon, OH)
- …+ Experience working with Medicare, Medicaid and dual-eligible populations. + Field Case Management Experience. + Health Plan experience. + Knowledge of ... **not** **assigned** to a Care Coordination Entity, the OhioRISE Plan , and/or a Care Management Entity, or...Health , Physical Health , Social Determinant of Health and value added benefits . + Coordinates… more
- Prime Therapeutics (Salt Lake City, UT)
- …setting. + In-depth knowledge of specialty injectable prescription drugs, disease states, health plan formulary management techniques, medical terminology ... medications. Communicates decision to physicians, physician`s office staff, medical management staff and/or pharmacists. + Researches, resolves and documents prior… more