This job implements effective utilization management strategies including: review of appropriateness of health care services, application of criteria to ensure appropriate resource utilization, identification of opportunities for referral to a Health Coach/case management, and identification and res...
Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. Certification as a Case Manager and a BS in a health or human services related field preferred. Please be advised that Elevance Health only accepts resumes for compensation from agencies...
CommonSpirit Health Mountain Region is committed to building healthier communities, advocating for those who are poor and vulnerable, and innovating how and where healing can happen-both inside our hospitals and out in the community. Welcome to CommonSpirit Health Mountain Region:. Our 20 hospitals,...
The Business Development Manager role is to ensure the future growth of Ingenovis Health by producing new client hospitals. Success will be dependent on the Business Development Manager's ability to quickly educate the client on our model while justifying why Ingenovis Health is a good fit for their...
Senior Manager-Health & Safety/Loss Prevention, Training, Programs and Analytics. A day in the life of a Senior Manager, Health & Safety, Programs & Analytics at VF looks a little like this. This position will develop, implement, lead, maintain, and govern company EHS (Environmental, Health and Safe...
Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientati...
Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health ...
Interim Employee Health Manager. This is a Interim Employee Health Manager role leading a team of 6+ staff to maintain the departments quality process while meeting the hospital mission. ...
Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health ...
Requires a proficiency level typically achieved in three to five years in office management and/or employee supervision or leadership in healthcare insurance and billing. ...
Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. Behavioral Health Case Manager II. Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsol...
The Senior Manager, Pharma Services Growth is a critical member of the Trade Strategy team, which is tasked with leveraging CVS Health’s size and scale to create differentiated, one-of-a-kind solutions for pharmaceutical manufacturers that reduce the costs of goods and make pharmaceuticals more acce...
The Field Operations Manager directs, develops, and oversees clinical services supporting the goals and objectives for the Cardiovascular Service line including, quality management, information technology, financial performance, staffing and regulatory compliance. The Field Operations Manager also s...
Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health ...
Healthcare or Health Insurance Experience. Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, relig...
Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health ...
This role is a unique opportunity to be at the forefront of integrating generative AI into healthcare marketing, shaping the future of healthcare experiences. As Artificial Intelligence Marketing Technology Manager, you will be the technological cornerstone of our marketing & experience team, drivin...
Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health ...
Engage, motivate, and lead team in a positive manner that fosters teamwork and excellence, including planning and organizing work in a managerial role. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the...
Bachelor's degree in Social Work or in health, human, or education services and 3 years of experience in long-term care, home health, hospice, public health, or assisted living. Master’s degree in Social Work or in health, human, or education services and 1 year of experience in long-term care, home...
Experience in Indirect Category Sourcing and/or Health Care Sourcing with demonstrated expertise in influencing the business strategy and shaping Procurement strategic direction. Certified Purchasing Manager (CPM). Highmark Health and its affiliates prohibit discrimination against qualified individu...
The incumbent will play a key role with IT product managers and product owners planning in facilitating budget and resource requests and follow through. Salesforce Data Cloud, Marketing Cloud, Marketing Cloud Intelligence, Adobe Experience Manager, and Workfront). Highmark Health and its affiliates ...
Lead Project Managers and/or Program team in the development and maintenance of comprehensive plans for a defined program. Healthcare Insurance industry business and operational knowledge. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Ac...
As a Digital Product Manager for My Highmark, a site for members to view claims, explore coverage, and find care, you'll play a pivotal role in representing the customer's voice throughout the product development lifecycle. Coordinate with other Product Managers to ensure cross-product alignment. Co...
Highmark Health's Enterprise Data Office (EDO) is seeking a passionate and experienced Testing and Quality Manager to champion a culture of quality and continuous improvement. Bachelor's Degree in Computer Systems Analysis, Data Processing, Healthcare Informatics or Management Information Systems. M...