- Providence (OR)
- **Description** **Quality Program Manager - Health Plan Medicare Advantage Stars** **_Remote_** **The Quality Program Manager - Health Plan ... result in improved Star ratings.** **The Health Plan Medicare Advantage Stars Quality Program Manager ...career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace… more
- Trinity Health (Fresno, CA)
- …and growth as strategic participants in the network. The Manager Provider Relations & Development will maintain mutually-developed " Health Plan ... of Provider engagement and commitment to the IPA and Central Valley Health Plan (CVHP). **REQUIREMENTS** 1. Bachelor's degree or an equivalent combination of… more
- Molina Healthcare (Lincoln, NE)
- …+ Facilitate quarterly calls with Molina Health Plans, and engage with Health Plan Network teams on Credentialing questions, issues, and/or concerns + ... management. **Job Duties** + Attend 6 monthly meetings, and provide guidance and assistance to team members and committee...Provide credentialing/recredentialing details for monthly/quarterly/semi-annual turnaround time reports to… more
- Molina Healthcare (MI)
- …work plans as well as project work plans to meet reporting needs of the Health Plan . Resource to HCS staff for mentoring, coaching, and analysis questions. ... team. + Allocate new report/project requests (workload distribution). + Coordinates with Health Plan departments to meet data analysis and database development… more
- Molina Healthcare (New York, NY)
- **Job Description** **Job Summary** The Provider Engagement Manager implements Health Plan provider engagement strategy to achieve positive quality ... and risk adjustment outcomes through effective provider engagement activities. Ensures Health Plan 's largest, most impactful providers with the most complex… more
- WellSense (Manchester, NH)
- Clinical Care Manager WellSense Health Plan ...Founded 25 years ago as Boston Medical Center HealthNet Plan , we provide plans and services that ... now (https://jobs.silkroad.com/BMCHP/Careers/Apply/MultiForm/294575) It's an exciting time to join the WellSense Health Plan , a growing regional health … more
- Sharp HealthCare (San Diego, CA)
- …professionalism and teamwork in promoting the Mission, Goals and Objectives of Sharp Health Plan .Recruit, hire, motivates staff to perform at a level that ... staff and other affected areas including updates to Knowledge articles used by Sharp Health Plan Customer Care staff. + Data ValidationOversees the technical and… more
- UPMC (Pittsburgh, PA)
- …with the local housing vendor with whom we partner. The Mobile Professional Care Manager assists UPMC Health Plan members who require care coordination ... Health is seeking a full-time Mobile Professional Care Manager to support the Community Services Department in Blair... of care in collaboration with the member, family, provider , and UPMC Health Plan … more
- UPMC (Pittsburgh, PA)
- …and Westmoreland counties. Occasional travel may be required throughout surrounding counties. The Care Manager will support UPMC Health Plan members local to ... substance use disorders are preferred. The Mobile Professional Care Manager assists UPMC Health Plan ... of care in collaboration with the member, family, provider , and UPMC Health Plan … more
- UPMC (Dubois, PA)
- … conditions, drug or alcohol addiction, and developmental disabilities. The Mobile Licensed Care Manager supports UPMC Health Plan members who require care ... Health is seeking a full-time Mobile Licensed Care Manager to support the Community Services team within the... of care in collaboration with the member, family, provider , and UPMC Health Plan … more