LA CARE HEALTH PLAN jobs in UNITED STATES, United Kingdom #2

Mass General Brigham Health Plan is an exciting place to be within the healthcare industry. As a member of Mass General..., we are providing our members with innovative solutions centered on their health needs to expand access to seamless and affordable care...

General Brigham Health Plan to ensure that medical practices reflect a dedication to high quality patient care. · Develop...Mass General Brigham Health Plan is an exciting place to be within the healthcare industry. As a member of Mass General...

to decisions and proposes improvements where possible. Retain subject-matter-expert knowledge of health plan programs and HEDIS.../QARR/QRS specifications. Ensure health plan is in compliance with government and agency regulations as they relate to NYS...

For more than 30 years, this health plan has been committed to building strong relationships with its members... required A minimum of 5 years’ working experience within claims in the healthcare or insurance industry Extensive knowledge of health care...

For more than 30 years, this health plan has been committed to building strong relationships with its members..., transformation, and innovations. Job Description Develop, plan, and lead the implementation of large-scale transformation...

required. A minimum of 5 years of health care or health plan management experience and experience in an executive role preferred. Benefits... Job Schedule: Full time Weekly Hours: 40. 00 Job Summary The Chief Operating & Experience Officer, Health Plan is a critical...

experience required. Three (3) years directly related experience in a managed care/health plan/health insurance setting..., and Medicare and Medicaid members. SHP operates a portfolio of health plan products under several different legal structures...

member appeals and grievances for Health Alliance Plan’s (HAP’s): Commercial, Medicare Advantage, Medicare-Medicaid Program.... Additional Information Organization: HAP (Health Alliance Plan) Department: Appeals and Grievances Shift: Day Job Union Code...

Description CHRISTUS Health System offers the Risk Adjustment Education Specialist position as a hybrid opportunity... data to identify patterns and development of provider and market-level interventions to coordinate an educational work plan...

, and Medicare and Medicaid members. SHP operates a portfolio of health plan products under several different legal structures...; SHP is also the third-party administrator for Samaritan Health Services' self-funded employee health benefit plan...

and coordination of care. Job Summary The case manager provides case management and care coordination for designated Health Plan... members. Develops a care plan that includes managing and directing members to appropriate resources, services and programs...

-quality health care and cost efficiency. Acts as a liaison between corporate leadership and Health Plan staff. Promote the...: Varies Job Summary Manage and apply resources to general Sanford Health Plan medical services operations, guided...

and coordination of care. Job Summary The case manager provides case management and care coordination for designated Health Plan... members. Develops a care plan that includes managing and directing members to appropriate resources, services and programs...

coordination for designated Health Plan members that includes managing and directing members to appropriate resources, services... various daily tasks. Must be able to collaborate with other health plan departments as needed for medical coverage, case...

policy. X Accept Cookies PACE Health Plan Coordinator Job Details Job Location Valir PACE LLC - Oklahoma City, OK... and organization of data, coordinating all service delivery requests, appeals, and care plans within all applicable regulations...

Overview Oversees and leads the development, implementation and strategic oversight of VNS Health Plan's Quality...), starting at 30 days of paid time off and 9 company holidays Health insurance plan for you and your loved ones, Medical, Dental...

for designated Health Plan members. Develops a care plan that includes managing and directing members to appropriate resources..., services and programs. Job Description Evaluates for comprehensive coordination of care and health services to manage...