Job Search Results (10)
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Administrative Case Specialist
ComplianceHealth PlansTempWork at HomeReference ID: 36162
Job Description: A health plan is looking for an Administrative Case Specialist to complete appeals received by the quality improvement organization. This opportunity is anticipated to be 6+ months in duration and is work-from-home. Requirements: Stron... Learn More
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Clinical Nurse Reviewer
QM/CM/UR/DM/Wellness/AccreditationHealth PlansTempWork at HomeReference ID: 36071
Job Description: A health plan is looking for a Clinical Nurse Reviewer to perform clinical reviews against InterQual and clinical criteria, write up clinical review summaries for medical directors, write responses to providers and members in plain lan... Learn More
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Behavioral Health Medical Director
Care ManagementHealth PlansTempWork at HomeReference ID: 35969
Job Description: A health plan is looking for a Behavioral Health Medical Director to conduct electronic reviews of escalated cases against medical policy criteria, complete initial determinations of cases, review appeals and grievances, and compose cl... Learn More
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Healthcare Economics Specialist
Accounting/FinanceHealth PlansTempWork at HomeReference ID: 36166
Job Description: A health plan is looking for a Healthcare Economics Specialist to develop financial reporting and analytics to measure return on investment and support cross-functional initiatives as they pertain to networking and contracting. In addi... Learn More
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Group Underwriter
UnderwritingHealth PlansTempWork at HomeReference ID: 36007
Job Description: A health plan is looking for a Group Underwriter to process new business quotes, as well as analyze coverage, plans, terms and conditions, and price. This professional will maintain underwriting discipline by complying with underwritin... Learn More
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President and Chief Operating Officer
CEO/PresidentHealth PlansDirect HireCaliforniaReference ID: 35975
Job Description: Our client, a provider of best in class and affordable dental, vision, life and disability insurance plans to small and large employers, is seeking a President and Chief Operating Officer. This position requires a strategic and innovat... Learn More
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Manager of Change Management
OperationsHealth PlansDirect HireWisconsinReference ID: 36024
Job Description: Our client's mission is to engage and empower their customers, partners and communities to improve oral and overall health by developing and delivering innovative products and services built on a culture of legendary service. The Manag... Learn More
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Medical Director
Care ManagementHealth PlansTempWork at HomeReference ID: 35832
Job Description: A health plan is looking for a Medical Director to assist the chief medical officer in developing and implementing clinical policy designed to meet the California Department of Health Care Services' (DHCS) triple aim. The three DHCS ai... Learn More
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Provider Contracting Director
Network Development and ContractingHealth PlansExecutive SearchWisconsinReference ID: 35987
Job Description: A health insurance company is seeking a Provider Contracting Director. The Provider Contracting Director will be responsible for implementing front-end contracting with providers and health systems, including the execution, negotiation... Learn More
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Regional Vice President of Direct to Employer Sales
SalesHealth PlansDirect HireWork at HomeReference ID: 35888
Job Description: An employee benefits third-party administrator (TPA) is seeking a Regional Vice President of Direct to Employer (DTE) Sales to join their team. The Regional Vice President of DTE Sales will manage a team of 5+ sales executives who will... Learn More
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