Healthcare and Health Plan Implementations| Unable to Sponsor. We are looking for an Implementation-heavy Project Manager (Remote eligible) able to work on EST time zone and spearhead implementations for our Healthcare clients. The right candidate will have PM experience in Healthcare environments (...
Manager, Population Health Analytics. Utilize structured analytical thinking to synthesize valuable insights and present findings to physician executives, market presidents, the market’s AVP of Population Health and the population health team, and operations consultants. Georgia Population Health te...
ENVIRONMENTAL, HEALTH, AND SAFETY MANAGER JOB DESCRIPTION. The Environmental, Health, and Safety Manager inspects and evaluates the environment, equipment, and processes in working areas to ensure compliance with all government safety regulations (local, state, and federal) and to industry standards...
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...
Clover is reinventing health insurance by working to keep people healthier. Your health matters to us, and we invest in ensuring you have access to quality healthcare. We are reinventing health insurance by combining the power of data with human empathy to keep our members healthier. As a Sales Mana...
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...
Clover is reinventing health insurance by working to keep people healthier. Your health matters to us, and we invest in ensuring you have access to quality healthcare. We are reinventing health insurance by combining the power of data with human empathy to keep our members healthier. As a Sales Mana...
Tri-anim Health Services, a division of Sarnova, provides innovative respiratory, anesthesia and critical care products and therapies to hospitals, health systems and other patient care facilities nationwide. Tri-anim Health Services, a division of Sarnova, provides innovative respiratory, anesthesi...
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 ...
The Health and Safety Manager will provide leadership and direction to Health, & Safety programs at two plants, within the Architectural Specialties and Gypsum Finishing business segments as part of the CertainTeed Interior Products Group: in alignment with the Company’s Vision, Mission Statement an...
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...
Manager of Whitfield Commons, Inc. Whitfield Commons for preparation of and compliance with all budgets and financial responsibilities associated with entity and HUD, maintaining all regulations of both Hamilton Health Care System, Inc. ...
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...
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 ...
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...
Under the direction of the Director, the Clinical Manager functions as a nursing leader for the patient care team for an assigned shift and is accountable for prescribing, delegating, and coordinating the delivery of safe, appropriate, cost effective quality patient care. ...
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 ...
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...
By providing these services, HHCS will solidify direct to employer strategies by helping employers promote a healthy workforce, lower absenteeism, reduce injuries, lower long-term risk and employee health costs. Responsible for the coordination, scheduling, and follow-up of Corporate Health accounts...
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 ...
The Coding Compliance and Denials Manager performs advanced level work related to clinical and DRG denial management. The Coding Compliance and Denials Manager conducts comprehensive reviews of the medical necessity denial, and DRG Denial, reviews the medical record to make determinations if a revis...
There is a place for you at Highland Rivers Behavioral Health!Highland Rivers Behavioral Health provides treatment and recovery services to individuals impacted by mental illness, substance use disorders and intellectual developmental disabilities. Job Summary: Highland Rivers Behavioral Health prov...
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...
Manager, Population Health Analytics. Utilize structured analytical thinking to synthesize valuable insights and present findings to physician executives, market presidents, the market’s AVP of Population Health and the population health team, and operations consultants. Georgia Population Health te...