- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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