- 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
- Pacific Medical Centers (Renton, WA)
- …care settings. + Prefer a clinical leader but not required. High preference on Health plan operations . + **Managed Care Expertise:** Proven expertise in ... **Description** **Calling All Visionary Operations Leaders!** Are you ready to drive strategic...a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits… 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
- Geisinger (Danville, PA)
- Job Summary Responsible for directing the Accounting Operations of Geisinger Health Plan . Accounting Operations includes balance sheet and expense ... support monthly close processes and other projects as needed. + Maintains retirement plan financial records and serves as primary contact for defined benefit and… more
- CareOregon (Portland, OR)
- …to Administrative Rules (OARs) relating to Network Adequacy, Provider Directory requirements, other health plan operations relating to Health Systems ... systems, health plans, and members + Understanding of delivery system and health plan operations + Understanding of Health Share, including its… more
- Henry Ford Health System (Troy, MI)
- … insurance sales experience in the Commercial & Medicare market. + Familiarity with health plan operations and federal, and state regulations. + Familiarity ... to provide expertise, knowledge and recommendations for seamless daily operations . Bring concerns and pending issues to the Director...with a broad range of health plan options (HMO, PPO, CDHP). +… more
- UCLA Health (Los Angeles, CA)
- …or health plan setting preferred), required. + Experience with health plan operations , project management, policy implementation, and data reporting. ... and external partners, ensuring timely execution of deliverables, compliance with health plan requirements, and the implementation of cross-functional solutions… 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
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