- CVS Health (Chicago, IL)
- … insurance experience preferred). + Experience in business consulting, customer experience or health plan operations . + Ability to synthesize information ... At CVS Health , we're building a world of health...synthesis of customer feedback across multiple sources, such as plan sponsors, members, sales and service teams, brokers and… more
- Highmark Health (Pittsburgh, PA)
- … Network and other affiliated Health Systems, Product & Healthcare Services, Health Plan Operations , Actuarial Services, and Government and Commercial ... educate and engage broker community; support continued development and refinement of health plan 's distribution strategy, utilizing an internal matrixed network… more
- UCLA Health (Los Angeles, CA)
- …degree, preferred + Eight or more years in managed care, Medicare Advantage, or health plan operations , including vendor and supplemental benefit management ... the vendor lifecycle + Partner cross-functionally with internal teams (eg, Operations , Compliance, Finance, Product, and Clinical) to ensure accurate benefit… more
- Health Care Service Corporation (Richardson, TX)
- …and ensure ROI. **PREFERRED JOB REQUIREMENTS** **:** + Knowledge of Medicaid and/or Medicare health plan and PBM operations . + Additional degrees or ... This position is responsible for directing the Medicaid pharmacy operations team and responsible for analyzing and optimizing the...employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan ,… more
- AmeriHealth Caritas (Manchester, NH)
- …+ Demonstrated knowledge and experience in a leadership role in corporate or health plan operations including enrollment, member services, provider ... essential. The Market President will lead the effective and efficient operations of this Health Plan directly and/or indirectly overseeing Medical Affairs,… more
- Henry Ford Health System (Troy, MI)
- …user support experience preferred. Additional Information + Organization: HAP ( Health Alliance Plan ) + Department: IT Support & Operations + Shift: Day Job + ... social, financial and spiritual. Our Total Rewards program includes competitive health plan options, with three consumer-driven health plans (CDHPs), a… more
- Commonwealth Care Alliance (Boston, MA)
- … operations and satisfaction. * Strong understanding of Medicare and Medicaid health plan operations , including regulatory and compliance requirements. * ... or healthcare operations within a managed care organization, health plan , or integrated delivery system. * Demonstrated success building and managing… more
- Fallon Health (Worcester, MA)
- …on best practices in the interest of the members and the health plan . The Eligibility and Revenue Operations Representative will assist the Management team ... of purpose:** Under the direction of the Manager's, the Eligibility and Revenue Operations Representative supports Fallon Health 's mission, vision and values by… more
- Avera (Sioux Falls, SD)
- …claims adjudication platforms or ecosystems, specifically Epic Tapestry. + Background and knowledge of Health Plan operations and understanding of health ... and accurate claims payment. + Stakeholder Collaboration: Partner with internal teams, including health plan business and functional operations teams, Avera… more
- Sharp HealthCare (San Diego, CA)
- …acknowledgements. **Knowledge, Skills, and Abilities** + Demonstration of professional level of knowledge of health plan operations , health plan ... standards and system configuration. + Working knowledge of hospital, physician and health plan operations . + Strong analytical and problem solving skills;… more