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📑 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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📑 Health Plan of San Joaquin - now hiring a Behavioral Health Treatment Manager! Remote position - must reside in California.Contact: [email protected] 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: [email protected] 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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📑 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 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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