• Investment Officer III, Total Fund…

    CalSTRS (Sacramento, CA)
    …and asset-liability management ), risk management , and balance sheet management to provide optimal long-term risk-adjusted returns for the total fund. ... Job Posting: Investment Officer III, Total Fund Management State Teachers' Retirement System JC-495512 - Investment...interpret statistical measures + Ability to analyze information and data and present viable recommendations + Ability to organize… more
    CalSTRS (10/13/25)
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  • Quality Improvement Senior Clinical Professional…

    Humana (Stuart, FL)
    …the in- network providers to establish working relationships + Quality/clinical management and population health + HEDIS and Stars performance + Operational ... improvements + Financial performance and incentive programs + Data sharing and connectivity + Documentation and coding +... or member facing nursing responsibilities + Experience in provider engagement and relationship management + Strong… more
    Humana (10/28/25)
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  • VP Medicaid Markets CEO

    Highmark Health (Pittsburgh, PA)
    …the market. Partner with and provide both strategic and tactical direction to the provider network contracting team to build and enhance the provider ... and maintaining strategic relationships within the assigned state, the care provider partners, key vendors, and the community at-large. The incumbent develops… more
    Highmark Health (11/05/25)
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  • Manager, Medical Economics (New York Health Plan)

    Molina Healthcare (Watertown, NY)
    …to evaluate the impact of provider reimbursement changes + Provide data driven analytics to Finance, Claims, Medical Management , Network , and other ... related to medical care costs. + Work with clinical, provider network and other personnel to bring...data sources. + Knowledge of healthcare operations (utilization management , disease management , HEDIS quality measures, claims… more
    Molina Healthcare (10/22/25)
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  • Product Management Intern

    TE Connectivity (PA)
    PRODUCT MANAGEMENT INTERN **At TE, you will unleash your potential working with people from diverse backgrounds and industries to create a safer, sustainable and ... and sensor solutions enable the distribution of power, signal and data to advance next-generation transportation, renewable energy, automated factories, data… more
    TE Connectivity (09/16/25)
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  • Senior Software Developer

    Leidos (Sierra Vista, AZ)
    …and Firewalls. + Demonstrate experience in one or more of the following enterprise network management tools such as Palo Alto Panorama, Cisco Prime, Cisco DNA, ... management to support the Army's global wide area network and security infrastructure. You will be supporting a...provide tier III support for the Army global network . + Collect, investigate, and identify network … more
    Leidos (10/14/25)
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  • Senior Director, Medical Drug Management

    Health Care Service Corporation (Chicago, IL)
    …plan reimbursement and of the overall pharmacy value chain. It is skilled at data analysis, and at utilizing data to inform decision-making. It attracts, ... Set strategic direction for Enterprise Pharmacy Medical Drug efforts. Analyze data to identify and prioritize most impactful initiatives across reimbursement,… more
    Health Care Service Corporation (10/08/25)
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  • Market Director, Hawaii

    Modivcare (HI)
    …across the Hawaii market. This candidate must reside in Hawaii. This role Provider Network Leadership & Execution + Oversee transportation provider ... and growth opportunities with Medicaid and Medicare Advantage plans. + Provide Hawaii-specific content, data , and strategic positioning for bids,… more
    Modivcare (09/19/25)
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  • Registered Nurse Care Coordinator (RNCC)…

    University of Virginia (Charlottesville, VA)
    …and coordinates resources and patient care activities to support transition management , through collaboration across the continuum, supporting patient and families' ... Standards of Practice for Registered Nurses in Care Coordination and Transition Management , with the UVA Nursing Professional Practice Model. Care coordination and… more
    University of Virginia (10/30/25)
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  • Regional VP, Health Services Pacific Southwest…

    Humana (Sacramento, CA)
    …cost efficiency, and population health outcomes through strategic provider partnerships, data -informed decision-making, and cross-functional collaboration. ... strategies to align clinical programs with payer-specific needs (MA, D-SNP). + Provide clinical input into network development, contract negotiations, and… more
    Humana (08/08/25)
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