• Project Manager II-Mount Sinai…

    Mount Sinai Health System (New York, NY)
    **Job Description** **Project Manager II MSH HSO Quality FT Days** The Project Manager is a highly-motivated individual with excellent problem-solving and ... and service lines to manage projects aligned with the Health System's quality , patient safety and overall...timely manner in order to achieve goals. The Project Manager will plan , manage and execute performance… more
    Mount Sinai Health System (06/26/25)
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  • Behavioral Health Provider Quality

    Elevance Health (Los Angeles, CA)
    Behavioral Health Provider Quality Manager **Candidates must posses a licensure for the state of California.** **Location:** This role requires associates to ... passionate about transforming American healthcare delivery. The **Provider Quality Manager ** is responsible for leading Behavioral Health (BH) provider… more
    Elevance Health (07/25/25)
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  • Community Health Program Manager II…

    LA Care Health Plan (Los Angeles, CA)
    …$88,854.00 (Min.) - $115,509.00 (Mid.) - $142,166.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created by the state of ... County residents. We are the nation's largest publicly operated health plan . Serving more than 2 million...Mission: LA Care's mission is to provide access to quality health care for Los Angeles County's… more
    LA Care Health Plan (07/16/25)
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  • Health Care Quality Senior…

    CVS Health (Atlanta, GA)
    …of research and data analysis . Forms and leads cross functional teams to assist health plan departments in integrating quality into their strategic and ... operational plans . Evaluates and prioritizes recommendations for quality improvement to senior health plan management . Develops and implements the… more
    CVS Health (08/08/25)
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  • Manager , Clinical Pharmacy Services,…

    Sanford Health (Sioux Falls, SD)
    …materials to ensure accuracy. Oversees the Badgercare Pharmacy Lock In Program to manager Health Plan Badgercare members on state directed narcotics ... Schedule:** Full time **Weekly Hours:** 40.00 **Job Summary** The Manager works closely with Health Plan...and staff to coordinate Pharmacy Benefit services and promote quality and cost effective outcomes. Interacts with members and… more
    Sanford Health (07/16/25)
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  • Care Manager , Health Plan

    Magellan Health Services (San Diego, CA)
    …operations. Strong written and verbal communication skills. General Job Information Title Care Manager , Health Plan , Part Time, Licensed/Remote in CA Grade ... and monitors strategies for members and families to improve health and quality of life outcomes. +...team approach, including all participants of the Interdisciplinary Care Plan team, Health Plan Medical… more
    Magellan Health Services (07/23/25)
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  • RN Case Manager , Health Plan

    Sanford Health (Fargo, ND)
    …the work of health and healing across our broad footprint.** **Facility:** Fargo Health Plan **Location:** Fargo, ND **Address:** 1749 38th St S, Fargo, ND ... provides case management and care coordination for designated Health Plan members. Develops a care ...manager . Supports a successful self-management of their long-term health status. Uses internal and external resources to provide… more
    Sanford Health (06/07/25)
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  • Clinical Manager - Provider Appeals (Hybrid…

    Henry Ford Health System (Troy, MI)
    …emotional, social, financial and spiritual. Our Total Rewards program includes competitive health plan options, with three consumer-driven health plans ... The Clinical Manager , Medical Appeals supports appeals team members to plan , direct, evaluate, coordinate, and manage the activities associated with the Medical… more
    Henry Ford Health System (08/07/25)
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  • RN Care Manager Health Plan

    Corewell Health (Grand Rapids, MI)
    …Hire required + Case Manager , Certified (CCM) - CCMC Commission for Case Manager Certification Upon Hire preferred How Corewell Health cares for you + ... of patients, focusing on strategies that will promote optimal health within populations. Demonstrates expertise, current knowledge in care...agencies to evaluate the effectiveness of services provided and plan for future needs. Works as part of an… more
    Corewell Health (07/21/25)
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  • Government Business Quality Management…

    Elevance Health (Metairie, LA)
    Job Description **Government Business Quality Management Health Plan Director** **Location:** Louisiana. This role requires associates to be in-office 3 days ... resident in the state of Louisana. The **Government Business Quality Management Health Plan Director**...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
    Elevance Health (08/08/25)
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