Master's degree in Public Health, Health Science, or RN/NP/BSN licensure HMO, Medi-Cal/Medicaid, Medicare and insurance experience or relevant government client or public service experience preferred. Job Title: Manager of Quality Improvement Target Compensation Range: $95,000-$115,000/year, dependi...
The Clinical Case Manager is responsible for planning, organizing, and coordinating swing bed admissions and reviewing emergency department admissions and discharges. The Clinical Case Manager works under general supervision of the Director of Nursing. ...
The Account Manager works within our Sales Activation team and is responsible for working with the Global Client Service Partner (GCSP), Sales Leader, Sales Activation Leader and the Sales Executive (SE), where applicable, to drive account strategy and innovation, drive client relationship growth, a...
Acts as Case Manager when assigned by Clinical Manager and assumes responsibility to. Uses health assessment data to determine nursing diagnosis. Provides health care instructions to the patient as appropriate per assessment and plan of. Communicates with community health related persons to coordina...
About Us: At VNA Health, our mission is to revolutionize healthcare through compassion and innovation, ensuring every individual's well-being is prioritized. We're dedicated to empowering our employees to make a real difference in the lives of our patients and communities, driving positive change in...
If you share our passion for changing healthcare so all people can live healthy, brighter lives – apply to join our team. The role of the Case Manager is to promote quality, cost-effective outcomes for a population by facilitating collaboration and coordination across settings, assessing member need...
California Correctional Health Care Services (CCHCS) seeks to fill Permanent/Full Time Staff Services Manager (SSM) I Specialist position(s) in the Performance Management Unit (PMU). Under the general direction of the SSM II, PMU, the SSM I (Specialist) is responsible for providing guidance and expe...
This position will require the skillset of an experienced project manager who has successfully delivered large scale, multi-phased system implementations with multiple work streams, numerous different types of stakeholders and the ability to comfortably deliver updates and relay information to vendo...
As a Manager, Global Clinical Quality, you will be joining the world’s largest & most comprehensive clinical research organisation, powered by healthcare intelligence. ...
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...
We are recruiting a Healthcare Analytics Manager to oversee our population health analytics team and efforts. At apree health, our mission is to solve the affordability crisis and empower people to make the best choices for their health and care. We offer a health benefits platform that engages empl...
Under the general direction of the Deputy Director for Communications and Planning (Deputy Director), the Staff Services Manager I (Specialist) is responsible for managing several sensitive and high-profile communications projects. Under the Department of Managed Health Care’s (DMHC) current hybrid ...
This position supports the California Department of Public Health’s (CDPH) mission and strategic plan by advancing the health and well-being of California’s diverse people and communities. The incumbent works under the general direction of the Chief, Program Integrity and Audits Section, Staff Servi...
As a Study Manager you will be joining the world’s largest & most comprehensive clinical research organisation, powered by healthcare intelligence. A range of health insurance offerings to suit you and your family’s needs. Global Employee Assistance Programme, TELUS Health, offering 24-hour access t...
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...
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 ...
Acts as Case Manager when assigned by Clinical Manager and assumes responsibility to. Uses health assessment data to determine nursing diagnosis. Provides health care instructions to the patient as appropriate per assessment and plan of. Communicates with community health related persons to coordina...
COPE Health Solutions is a national tech-enabled services firm, with a population health management analytics software solution Analytics for Risk Contracting (ARC), collaboratively implementing proven products with payer and provider clients to power success in risk arrangements and development of ...
The Health Facilities Evaluator Manager II (HFEM II) supports the California Department of Public Health’s (CDPH) mission and strategic plan by overseeing the review, evaluation, inspection, and certification of health facilities and agencies and their compliance with state and federal laws and regu...
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 Account Manager and Senior Account Manager professional assists the Account Executive Team in managing an assigned book of business and builds, expands, and solidifies relationships with existing clients and Brokers. Account Managers are integral in identifying benefit plan issues and work as th...
Understanding of healthcare costs and the broader healthcare service delivery system. This job has primary ownership and oversight over a specified panel of oncology members that range in health status/severity and clinical needs. The incumbent assesses health management needs of the assigned member...
The RSM supports public health informatics needs within the Center for Infectious Diseases (CID); provides technical leadership and acts as the informatics subject matter expert (SME) to the IB and CID information systems; advises CID leadership on strategic questions related to informatics and syst...
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...
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...