- 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
- 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
- Molina Healthcare (Dallas, TX)
- **Job Description** **Job Summary** The Health Plan Operations , Payment Integrity Program Manager is an individual contributor role designed for a highly ... capable individual who serves as a key strategic partner in driving health plan financial performance. This role focuses on identifying, leading, and executing… 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
- 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
- Emory Healthcare/Emory University (Atlanta, GA)
- …academic institutions or integrated health systems. + Deep knowledge of health plan operations , claims analysis, actuarial principles and healthcare ... will serve as the financial leader of the Emory Health Plan , a self-funded health ...networks and care management programs. + Collaborates with Population Health and Clinical Operations to quantify ROI… more
- Avera (Sioux Falls, SD)
- … insurance underwriting, with a focus on risk assessment. + Comprehensive knowledge of health plan operations , products, and regulations. + Strong analytical ... authority limits. + Conduct risk assessments for group and Medicare Supplement health plan accounts. + Provide insights on risk profiles and recommend strategies… more
- Two95 International Inc. (Atlanta, GA)
- … Care Management, Computer Science, or related field * 10+ years of experience in health plan operations including but not limited to enrollment, finance, ... Job Title: Director, Health Plan Analytics Job type : Remote Work Type : 6+ Months Contract with extension Rate : $Market /Hour Requirements Position Summary: As… more
- Centene Corporation (Tallahassee, FL)
- …preferred. + 10+ years management experience 10+ years of experience in communications, health plan operations and strategy, change management, project ... Centene is transforming the health of our communities one person at a...focused on the execution of key performance indicators (KPIs). Plan , track, and monitor the progress of key priorities… more