• Claims Coordinator

    Dignity Health (Oxnard, CA)
    …types and geographies and will lead the effort in developing Dignity Health 's Medicaid population health care management pathways. Dignity Health ... or related field preferred **Overview** The purpose of Dignity Health Management Services Organization (Dignity Health...that supports containing costs while continually improving quality of care and levels of service. Dignity Health more
    Dignity Health (07/31/25)
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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 (07/20/25)
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  • Market Director Payer Strategy - California

    CommonSpirit Health (Phoenix, AZ)
    …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 (06/21/25)
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  • Utilization Management Coordinator

    Actalent (Santa Barbara, CA)
    …and management of Utilization Management , Case Management , Disease Management , Population Health , Care Coordination, and Care ... Skills Data entry, Concurrent review, Prior authorization, Health care , Medicare, Managed care , Medical management , Case management , Utilization … more
    Actalent (08/01/25)
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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 (07/30/25)
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  • RN Population Health Primary…

    Corewell Health (Grand Rapids, MI)
    …at the right time. Demonstrates expertise, current knowledge in nursing care and management of a sub population of patients of varying complexity and seeks ... About the team Corewell Health Population Health RN's...years of relevant experience clinical nursing and or case management /managed care or related field required +… more
    Corewell Health (08/01/25)
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  • Registered Nurse (RN) Ambulatory Care

    Bon Secours Mercy Health (SC)
    …clinical care management services to identified eligible patients; coordinating care to obtain desired health outcomes, improve self- care abilities, ... Minimum Years and Type of Experience 2-3 years acute care , home health or case management...Skills and Abilities Preferred Demonstrated success in improving the health of a distinct population of patients… more
    Bon Secours Mercy Health (07/25/25)
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  • Transitional Care RN - Population

    Trinity Health (Nampa, ID)
    …the highest quality of care Saint Alphonsus Medical Group (SAMG) is seeking a ** Population Health RN** to join their growing team! As an Outpatient RN, ... Population Health Nurse, you will play a...Population Health Nurse, you will play a crucial role in...of experience in healthcare setting required, preferably ambulatory. Case management and care management experience… more
    Trinity Health (06/06/25)
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  • Team Lead-Disease Burden Capture…

    Penn State Health (Hershey, PA)
    …genetic information._ **Union:** Non Bargained **Position** Team Lead-Disease Burden Capture - Population Health Value Based Care Operations **Location** ... review expectations and needs of the team. Work with management to ensure all clinical aspects necessary to meet...nonclinical roles, we are advancing excellence and innovation in health care together as one team. As… more
    Penn State Health (07/31/25)
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  • Senior Manager, Quality & Population

    CVS Health (Springfield, IL)
    …consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions ... interdisciplinary analytic processes to identify analyze and report on population health , health equity, and...cost of care and effectiveness of the health care ecosystem + Synthesizes and visually… more
    CVS Health (07/31/25)
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