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Health Plan Operations Remote Jobs

10 fresh jobs found

Lead, Client Operations
Remote

Operational program management Commercial membership Cms medicare stars program Client operations Health Plan Operations Risk Adjustment Invoicing Conflict Management Claims management +10

Senior Mid Full Time

USD 54K+

Payment Cycle Analyst III
Mississippi WFH, United States

Claims Payment Systems Claims operations Apc Payment methodologies Health Plan Operations Health Plan Experience Facets DRG Microsoft Visio +35

Senior Mid Full Time

USD 63K+

Provider Account Manager II
Remote-TX, United States

Centene Corporation

Health Plan Operations Provider Contracting Data Systems Long Term Care Commercial Insurance Provider Relations Health Plan Performance Improvement Issue Resolution +27

USD 55K+

Medicaid Insurance Product Manager
Remote US, United States

Health Plan Operations Benefit design Agile Delivery Microsoft Office Applications Strategic direction RFP Medical Coding Population health Clinical operations +63

USD 86K+

Consumer Directed (CD) Services Project Manager
Work at Home - Virginia, United States

Consumer directed services Health Plan Operations Long Term Care Social Work Six Sigma Policy Development Travel Healthcare services Vision +33

USD 71K+

Network Innovations Program Manager
Portland, OR, United States

Cambia Health Solutions

Alternative payment methodologies Capitation Health Plan Operations DO Value-based care KPI Management Facilitation Vendor Management Relationship building +8

Senior Full Time

USD 104K+

Senior Provider Relations Manager
Remote NV Las Vegas 89101, United States

Magellan Health Remote-first

Network compliance Health Plan Operations Client education Network management Provider Relations Training Programs Stakeholder Collaboration Presentations Outreach +8

Senior Full Time

USD 70K+

Director, Health Plan Strategy & Operations
Remote - United States

Headspace Remote-first

Payer network management Health plan strategy Health Plan Operations Payer strategy Leave of absence Mental Health Coaching ACT Network management Network Operations +21

Exec Senior Full Time

USD 140K+

Manager Clinical Services Operations
Portland, OR, United States

Cambia Health Solutions

Health insurance industry knowledge Health Plan Operations DO Healthcare operations Federal regulations Process Management Resource Management Team Development Medical terminology +9

Senior Full Time

USD 94K+

Senior Provider Education Professional (Medicaid)
Remote US, United States

Managed healthcare contracts Learning design principles Template design Health Plan Operations Microsoft Office Word Learning Design Matrixed environment Provider Relations Provider education +44

Senior Full Time

USD 78K+

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