- McLaren Health Care (Flint, MI)
- …more members in all phases of effective supervision. + Five (5) years' experience in health plan operations for multiple subsidiaries or business units. + ... We are looking for a Director, MIG Operations , to join us in leading our organization...Care Corporation and is the parent company of McLaren Health Plan in Michigan and MDwise, Inc.… more
- Intermountain Health (Murray, UT)
- …the top integrated healthcare delivery systems in the country. **Overview of the Health Plan Operations Administrative Fellowship** + 12-month program: July ... + Commercial products and sales + Government products + Provider development/contracting + Health plan operations + 30% of time for learning and development… more
- Sutter Health (Emeryville, CA)
- …this opportunity: The Chief Medical Officer (CMO), Population Health Services and Health Plan Operations , is a senior executive responsible for providing ... dually partnered in dyadic pairings with administrative leaders over population health services and plan operations , respectively, and serves as a key… more
- Molina Healthcare (Hartford, CT)
- **Job Description** **Job Summary** Molina Health Plan Operations jobs are responsible for the development and administration of State Health Plan 's ... Under the leadership of the Plan President, this role directs and coordinates Health Plan Operations . * Accountable for ensuring Health Plan … more
- Prime Healthcare (Ontario, CA)
- …team! Responsibilities This position requires relocating to Ontario, California. TheVice President of Health Plan Operations and Claims is responsible for ... across all aspects of the Employee Health Plans. The VP of Health Plan Operations and Claims will provide strategic leadership and development of the… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …Administration, Healthcare Management, or related field; MBA preferred. + Ten years of experience in health plan operations , with at least 5 years in a ... leadership role. + Strong understanding of health plan strategy and operations , product design, and benefit administration. + Excellent communication,… more
- Geisinger (Danville, PA)
- Job Summary Responsible for directing the Accounting Operations of Geisinger Health Plan . Accounting Operations includes balance sheet and expense ... support monthly close processes and other projects as needed. + Maintains retirement plan financial records and serves as primary contact for defined benefit and… more
- CareOregon (Portland, OR)
- …to Administrative Rules (OARs) relating to Network Adequacy, Provider Directory requirements, other health plan operations relating to Health Systems ... systems, health plans, and members + Understanding of delivery system and health plan operations + Understanding of Health Share, including its… more
- Henry Ford Health System (Troy, MI)
- … insurance sales experience in the Commercial & Medicare market. + Familiarity with health plan operations and federal, and state regulations. + Familiarity ... to provide expertise, knowledge and recommendations for seamless daily operations . Bring concerns and pending issues to the Director...with a broad range of health plan options (HMO, PPO, CDHP). +… more
- Henry Ford Health System (Troy, MI)
- …Minimum of three (3) years of leadership and/or management experience. + Familiarity with health plan operations and federal and state regulations. + ... to provide expertise, knowledge and recommendations for seamless daily operations . Bring concerns and pending issues to the Director...Familiarity with a broad range of health plan options (HMO, PPO, CDHP). CERTIFICATIONS/LICENSURES… more
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