• Senior Management Analyst - Strategic…

    CGI Technologies and Solutions, Inc. (Falls Church, VA)
    …Experience designing health plan communications strategies to include benefit changes, risk management /crisis management and establishing the ... CGI Federal is seeking a passionate and driven Senior Management / Health Plan Communications Analyst to...in the US is $69,700.00 - $169,700.00. CGI Federal's benefits are offered to eligible professionals on their first… more
    CGI Technologies and Solutions, Inc. (04/12/25)
    - Related Jobs
  • Manager, Utilization Management

    Commonwealth Care Alliance (Boston, MA)
    health care services, procedures, and facilities under the provisions of CCA's benefits plan . The Manager, Utilization Management is responsible for ... utilization management experience * 3+ years' experience working in a health plan , specifically with utilization management . * Will be required to pass… more
    Commonwealth Care Alliance (05/21/25)
    - Related Jobs
  • Care Management Associate- OhioRISE Must…

    CVS Health (Columbus, OH)
    …can change with little notice to meet the demands of the health plan requiring flexibility. The Care Management Associate (CMA) role is a full-time remote ... Summary** Must Reside in Ohio OhioRISE manages the behavioral health benefit for eligible children and young...be. In addition to our competitive wages, our great benefits include: + **Affordable medical plan options,**… more
    CVS Health (06/04/25)
    - Related Jobs
  • Behavioral Health UR Clinician - LMSW/RN

    Independent Health (Buffalo, NY)
    Health Utilization Review Clinician will primarily be responsible for managing behavioral health benefits through utilization management functions as well ... clinical, managed care, and/or care coordination setting required. + Experience in a health plan /managed care setting, utilization management , case … more
    Independent Health (05/15/25)
    - Related Jobs
  • President, Medical Group, Mount Carmel…

    Trinity Health (Columbus, OH)
    …properly organized and consistent with the Health Ministry's growth plan . Oversees financial management activities, growth initiatives, and the linkage ... with a charitable mission, Mount Carmel provides considerable uncompensated benefit to the community each year, and the system...health , wellness and preventive care, access to behavioral health , chronic care management , palliative care and… more
    Trinity Health (04/11/25)
    - Related Jobs
  • Director, Actuarial Services (Reserve)-Remote,…

    UPMC (Pittsburgh, PA)
    …for the various product lines consistent with corporate strategic goals. Also, to advise UPMC Health Plan senior management on the financial impact of any ... to do, UPMC has a place for you. UPMC Health Plan 's growing Actuary department is seeking...Benefits and Product Development: To provide appropriate UPMC management personnel with actuarial valuations of the Impact of… more
    UPMC (05/14/25)
    - Related Jobs
  • Provider Relations Specialist - Health

    Sanford Health (SD)
    …understanding of the substantive and procedural aspects of the Health Plan . Knowledge of Managed Care-utilization management and provider reimbursement. Must ... Summary** The Provider Relations Specialist acts as the primary liaison between the Health Plan and its network providers, including physicians, hospital, and… more
    Sanford Health (06/10/25)
    - Related Jobs
  • Hemotology/Oncology Physician

    Catholic Health Initiatives (Pendleton, OR)
    …female/male reproductive and sexual health , and common non-gynecologic primary care health conditions. ** MANAGEMENT ** + Develop plan of care based ... you're busy impacting the healthcare industry, we'll take care of you with benefits that may include health /dental/vision, FSA, matching retirement plans, paid… more
    Catholic Health Initiatives (04/24/25)
    - Related Jobs
  • Care Manager

    Centene Corporation (Wichita, KS)
    …opportunity in Kansas!** **Centene is hiring two Care Managers for the Sunflower Health Plan 's Care Management department. The ideal candidates will ... within the area.** **Position Purpose:** Develops, assesses, and facilitates complex care management activities for primarily mental and behavioral health needs… more
    Centene Corporation (05/30/25)
    - Related Jobs
  • Market Manager - Corporate Responsibility

    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
    CommonSpirit Health (05/20/25)
    - Related Jobs