📑 Position SummaryUnder the direction of the WellSense Health Plan Chief Legal Officer, provides legal counsel and services to protect the interests of WellSense and BMC Health System and ensure that their affairs are managed in accordance with the law and policy.Position: Assistant General CounselDepartment: Legal Affairs-WellSenseLocation: RemoteSc ...
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📑 WellSense Health Plan is a nonprofit health insurance company serving members across Massachusetts and New Hampshire through Medicare, Individual and Family, and Medicaid plans. Founded 25 years ago as Boston Medical Center HealthNet Plan, we provide plans and services that work for our members, no matter their circumstances. It’s an exciting time ...
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📑 It’s an exciting time to join the WellSense Health Plan, a growing regional health insurance company with a 25-year history of providing health insurance that works for our members, no matter their circumstances.Job Summary:Responsible for the daily supervision and operations of the Prior Authorization Specialists. Develops training, trains ...
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📑 It’s an exciting time to join the WellSense Health Plan, a growing regional health insurance company with a 25-year history of providing health insurance that works for our members, no matter their circumstances.WellSense Health Plan is recruiting for motivated, compassionate, mission-driven nurses to join our Senior Care Optio ...
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📑 Program Manager, Population Health Pharmacy page is loaded Program Manager, Population Health Pharmacy Apply locations Boston time type Full time posted on Posted 2 Days Ago job requisition id 34604 POSITION SUMMARY WellSense has eight Accountable Care Organizations (ACOs) that provide coverage to over 500K Massa ...
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📑 Job DescriptionJob Summary:The Staff Accountant is a key member of the Accounting team and works closely with all members of the team in meeting close deadlines, working with various general ledger modules, preparing account reconciliations, and supporting internal and external audits. Positive and team oriented work ethic is critical to this role. ...
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📑 Welcome to a team of caring and passionate people who work each day to meet the needs of our members and clients. At Luminare Health (a subsidiary of Health Care Service Corporation), you will be part of an organization committed to offering custom services to self-funded health benefits plans that manage costs – without compromising benefits – ...
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📑 Job DescriptionWe are seeking a Health Plan Recruiter for an assignment in Remote California.The focus of our health plan clients is to improve the quality, accessibility, and affordability of care that they can provide to their members. They do this by hiring the best and brightest personnel to help the health plan fulfill their mission of improvi ...
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📑 Responsible for providing the company strategic pharmacy services leadership and direction. Leads the diverse pharmacy service's teams who are responsible for managing the pharmacy benefit for The Health Plan and its clients. This position will lead and develop the pharmacy team to deliver an integrated pharmacy management model.QUALIFICATIONS REQU ...
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📑 DescriptionProvidence Health Plan caregivers are not simply valued – they’re invaluable. Join our team and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.Administrative Servic ...
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📑 RN Care Manager - SCO (Brockton Area - Bilingual preferred - Portuguese/Cape Verdean speaking) page is loaded RN Care Manager - SCO (Brockton Area - Bilingual preferred - Portuguese/Cape Verdean speaking) Apply remote type Field Work locations Remote Worker Home Office (MA) time type Full time posted on Posted 2 Day ...
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📑 DescriptionProvidence Health Plan caregivers are not simply valued – they’re invaluable. Join our team and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.Administrative Servic ...
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📑 As the Health Plan and MSO Account Manager for Woundtech's Central Region, you will play a dual role as both a leader and an active contributor. Reporting directly to a Senior Vice President, this player-coach position involves leveraging your expertise in payer sales and account management while driving revenue growth within key Managed Services O ...
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📑 Under direction, the Valley Health Plan (VHP) Medical Director is responsible for providing medical leadership and direction to the case management, clinical quality management, and strategic development functions. This classification reports to the VHP Chief Medical Officer (CMO) and assists the VHP CMO and collaborates with other plan functions t ...
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📑 *Please note, this role does require managed care experience*As the Director of Pharmacy you will report to the Chief Medical Officer (CMO) and be accountable for organizational leadership, performance, and operations for Pharmacy. This role offers the unique opportunity to be an integral part of this new organization's growth and expansion initiat ...
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📑 *Please note, this role does require managed care experience*As the Director of Pharmacy you will report to the Chief Medical Officer (CMO) and be accountable for organizational leadership, performance, and operations for Pharmacy. This role offers the unique opportunity to be an integral part of this new organization's growth and expansion initiat ...
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📑 Service Line Director - Health Plan Operations page is loaded Service Line Director - Health Plan Operations Apply locations Virtual Office time type Full time posted on Posted 3 Days Ago job requisition id 27159R When you’re the best, we’re the best. We instill an environment where employees feel engaged, satis ...
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📑 This Solutions Manager will lead a team with clinical and technical experience that drives the success of customer implementation and production support to ensure expectations are met and ensures continued customer satisfaction. The Business Consulting Manager also serves as the Solutions group’s interface to customer operations which includes impl ...
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📑 Position Summary:We are seeking Clinical Social Workers (Bilingual English/Spanish) to join the team at Urban Health Plan. Our Clinical associates work in the capacity of psychotherapists, providing our patients with individual therapy. Opportunities are in the Bronx, Manhattan, and Queens to work in one of our specified divisions including:The Beh ...
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📑 Position Summary:As a member of our Social Services Department, the Social Worker II/III (LMSW), provides patients with supportive counseling, crisis intervention, psycho-education, advocacy, and connections to support services. We are seeking Bilingual (English/Spanish) professionals for full time opportunities within our Bronx-Based Health Center ...
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📑 What you can expect!Find joy in serving others with IEHP! We welcome you to join us in “healing and inspiring the human spirit” and to pivot from a “job” opportunity to an authentic experience!The Supervisor, Claims Processing – Medi-Cal provides daily oversight of claims staff, business processes and inventory management. Ensures the claims team f ...
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📑 Press Tab to Move to Skip to Content Link Job Category: Administrative, HR, Business Professionals Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID: 9003 Salary Range: $88,854.00 (Min.) - $115,509.00 (Mid.) - $142,166.00 (Max.)Established in 1997, L.A. Care Health Plan is an independent public ag ...
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📑 Position Summary:We are seeking Clinical Social Workers (Bilingual English/Spanish) to join the team at Urban Health Plan. Our Clinical associates work in the capacity of psychotherapists, providing our patients with individual therapy. Opportunities are in the Bronx, Manhattan, and Queens to work in one of our specified divisions including:The Beh ...
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📑 Press Tab to Move to Skip to Content Link Job Category: Accounting/Finance Department: Medical Payment System & Services Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID: 10053 Salary Range: $77,265.00 (Min.) - $100,445.00 (Mid.) - $123,625.00 (Max.)Established in 1997, L.A. Care Health Pla ...
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📑 Press Tab to Move to Skip to Content Link Job Category: Clinical Department: Care Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID: 9860 Salary Range: $117,509.00 (Min.) - $152,762.00 (Mid.) - $188,015.00 (Max.)Established in 1997, L.A. Care Health Plan is an independent public a ...
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📑 Dynamic work environment and team focussed culture Career opportunities and support for professional development Picturesque NE Victoria location close to regional attractions Who are we? Albury Wodonga Health (AWH) is the largest regional health service between Sydney and Melbourne, located in the ...
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📑 TRB and Associates is seeking an experienced and motivated plan review engineer with current registration as a civil, structural, mechanical, or architect (State of California preferred) and a minimum of two years of experience in plan review and/or design on commercial, industrial, and residential projects. This position offers exceptional growth ...
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📑 Healthcare and Health Plan Implementations | Unable to SponsorWe are looking for a Project Manager (Remote eligible) able to work on EST time zone and spearhead implementations for our Health Plan/Health Insurance clients. This is a permanent employee role for someone who is experienced with project planning for end-to-end delivery, including kicko ...
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📑 Healthcare and Health Plan operations | Unable to Sponsor We are looking for a Project Manager (Remote eligible) able to work on EST time zone and spearhead implementations for our Healthcare clients. This is a permanent employee role for someone who is experienced with project planning for end-to-end delivery, including kickoffs, milestones, manag ...
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📑 Health Plan of San Joaquin - now hiring a Behavioral Health Treatment Manager! Remote position - must reside in California.Contact: lfuentes@hpsj.comWhat You Will Be Doing:The Behavioral Health Treatment Manager works closely with the Behavioral Health and Social Services, Contracting, Provider Services, Compliance, Audits and Oversight, and Qualit ...
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📑 Health Plan of San Joaquin - now hiring a Policy Compliance Manager! Remote position - must reside in California.Contact: lfuentes@hpsj.comWe are hiring a Policy Compliance Program Manager to join our team! Remote position - Must reside in California! What You Will Be Doing:Under general supervision, maintains assigned oversight program(s) and ove ...
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📑 Health Care Economics Analyst Burlington Office, 62 Merchants Row, Williston, Vermont, United States of America ● Headquarters Office, 625 State Street, Schenectady, New York, United States of America ● Rochester Office, 20 S. Clinton Ave, Rochester, New York, United States of America ● Tarrytown Office, 303 South Broadwa ...
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📑 Dynamic work environment and team focussed culture Career opportunities and support for professional development Picturesque NE Victoria location close to regional attractions Who are we? Albury Wodonga Health (AWH) is the largest regional health service between Sydney and Melbourne, located in the ...
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📑 Description At Weston Solutions, Inc. you will do meaningful work and make valuable contributions. Employee-ownership at Weston is a path to professional growth and access to diverse opportunities in a highly connected community that works together across key service areas to make a difference in the ...
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📑 Methodist Hospital is looking to hire a Health Unit Coordinator to join our Emergency Center team! Come join us as a Partner for Good and help us make an impact on the care and experience that our patients and their families receive every day. Position Summary: The Health Unit Coordinator serves as a resource for unit nursing ...
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📑 Job Posting: Public Health Medical Officer II Environmental Health Hazard Assessment Office JC-386978 - Public Health Medical Officer II PUBLIC HEALTH MEDICAL OFFICER II $11,154.00 - $16,508.00 per Month Final Filing Date: Until Filled Application Methods: Electronic (Using your CalCareer ...
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📑 You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. ***NOTE: This is a field based position (5 ...
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📑 Broward Health Medical Center FTE: 0.600000 Summary: Plans, coordinates, provides, intervenes, and evaluates the care of assigned patients based on the treatment plan, and individual patient needs. Participates with the interdisciplinary team to establish an individualized plan of care for each patient. Develops a nursing ...
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📑 You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Conduct screening and ri ...
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📑 Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at its center - our purpose sends a personal message that h ...
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📑 Description This role leads analysis and development of efficient reporting on high-cost drug trends and the impacts of management strategies for health plan clients. The ideal candidate brings expert skills in data analysis, experience building automated models and reporting, knowledge of the healthcare industry, and ...
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📑 Job Posting: Health Informatics Program Lead Covered California JC-389660 - Health Informatics Program Lead RESEARCH DATA SPECIALIST III $7,315.00 - $9,155.00 per Month Final Filing Date: Until Filled Job Description and Duties Join the Covered California team!<br ...
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📑 TOGETHER, WE CAN CREATE OUTSTANDING! Director of Nursing / Manager Rushworth/Waranga campus Permanent Full Time About Us GV Health is the main healthcare provider in the Goulburn Valley region, servicing a broad catchment area of approximately 120,000 peop ...
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📑 Job Summary: Assures the appropriate utilization of health care services for those members identified as having the need for inpatient and outpatient pre-services, concurrent and post-service clinical review. Evaluates the appropriateness of post-service code submission on facility and professional claims and com ...
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📑 Structural Engineer - TIC We are seeking an experienced and licensed Structural Engineer with a Florida P.E. license for immediate hire. The successful candidate will demonstrate technical proficiency to independently manage projects from schematic design through the construction phase with minimal guidance. My client is a renowned organisation in ...
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📑 Senior Retirement Plan Consultant | Pittsburgh, Pennsylvania Reference Number: MHH7327 Location: Pittsburgh, Pennsylvania Judson Group has been retained by a nationally recognized wealth management and retirement plan consulting firm located in Pittsburgh in the search for a Senior Retirement Plan Consultant. This candidate will have the unique ro ...
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📑 Pay Range: $74,879.00 - $99,987.00Deliver client service for recordkeeping, administration and servicing of assigned book of business to promote revenue growth, productivity and exceptional levels of client satisfaction.Education and Experience:Associate degree and two (2) years' experience, or equivalent combination of education and experience. AS ...
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📑 Job Description Title: Retirement Plan Adjustment Specialist Location: Remote - California, Connecticut, Massachusetts, Maine, Missouri, New Jersey, New York, Tennessee, Virginia - ONLYGet To Know The Team: The R ...
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📑 About Duncan Financial GroupHeadquartered in Irwin, Pennsylvania – we help clients build and protect a better financial future. Our vision is to become the premier independent insurance and financial services organization that sets the standard for adding value to the lives of our clients, our employees, and our community stakeholders. At Duncan, w ...
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📑 Retirement Plan Adjustment Specialist page is loaded Retirement Plan Adjustment Specialist Apply locations Remote - Massachusetts, US Remote - California, US Remote - Maine, US Remote - New Jersey, US Remote - New York, US time type Full time posted on Posted 3 Days Ago job requisition id R20116 SS&C is a g ...
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