• Early Periodic Screening Diagnostic and Treatment…

    CVS Health (Oklahoma City, OK)
    …quality and accuracy. In coordination with the QM Director, regularly interacts with Population Health /Integrated Care Management , Marketing and ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading ...on business needs. Responsible for working with the Quality Management (QM) Director and other departments to plan, develop,… more
    CVS Health (08/20/25)
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  • Utilization Management Nurse - REMOTE

    Actalent (Santa Barbara, CA)
    …case or disease management , care coordination or transition, or population health activities. The role may also involve working in sub-specialized ... management of Utilization Management , Case Management , Disease Management , Population Health , Care Coordination, and Care Transition… more
    Actalent (09/14/25)
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  • Manager, Quality Clinics

    Community Health Systems (Franklin, TN)
    …compliance with reporting requirements, and resolution of performance issues. + Collaborates with population health , care management , and IT teams ... with all policies and standards. **Qualifications** + Bachelor's Degree in Business Management , Healthcare Administration, Public Health , or a related field… more
    Community Health Systems (09/17/25)
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  • Behavioral Health Medical Director…

    Humana (Concord, NH)
    …on collaborative business relationships, value-based care , quality metrics, population health , and disease or care management . The Behavioral ... such as an MBA, MHA, MPH* Exposure to Public Health , Population Health , analytics, and...managers or Care managers on complex case management , including familiarity with social determinants of health more
    Humana (08/09/25)
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  • Nurse Practitioner Primary Care

    Bloom Healthcare (San Antonio, TX)
    …place to work. Job Summary: Bloom Healthcare, a Colorado leader in population health management , home-based primary care , and hospice, is seeking a Nurse ... Job Title: Primary Care Nurse Practitioner Territory: San Antonio, TX Make...and external partners + Engage with and appropriately utilize population health data to drive superior patient… more
    Bloom Healthcare (09/17/25)
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  • Market Director Payer Strategy

    CommonSpirit Health (Lexington, KY)
    …the strategic objectives of CommonSpirit Health 's IDNs, population health , and care management . \#LI-CSH **Qualifications** **Required Experience and ... administrative, health insurance and operational issues related to managed care organizations, physician groups, hospitals and health insurance benefit plan… more
    CommonSpirit Health (09/18/25)
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  • Market Director Payer Strategy - California

    CommonSpirit Health (Rancho Cordova, CA)
    …Supports the strategic objectives of CommonSpirit Health 's IDNs, population health , and care management initiatives through directly engaging local ... administrative, health insurance and operational issues related to managed care organizations, physician groups, hospitals and health insurance benefit plan… more
    CommonSpirit Health (08/20/25)
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  • Health Plan Nurse Coordinator

    Actalent (Salem, OR)
    …case or disease management , care coordination or transition, or population health activities. The role may also involve working in sub-specialized ... management of Utilization Management , Case Management , Disease Management , Population Health , Care Coordination, and Care Transition… more
    Actalent (09/14/25)
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  • Market Chief Medical Officer

    AmeriHealth Caritas (Washington, DC)
    …of segment leaders and strategic direction of clinical, quality, and population health programs across care management , utilization management , ... within the plan. The Market CMO is accountable for population health management strategy, quality,...offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health more
    AmeriHealth Caritas (08/13/25)
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  • Sr. Program Manager, Clinical Quality

    Blue Cross Blue Shield of Massachusetts (Boston, MA)
    …to advance quality improvement goals and accreditation activities relevant to population health and care management . + Use CQI tools to facilitate ... to QI structure and committees, evaluates and integrates quality innovations, promotes population health management , utilizes evidence-based best practices… more
    Blue Cross Blue Shield of Massachusetts (09/22/25)
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