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Health Plan Operations Remote Jobs

11 fresh jobs found
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VP, Market Operations(Must Live In Ohio)
Ohio WFH, United States

Organizational support Plan management Operational tactics Product oversight Systematic Thinking Implementation Strategy Program strategy Strategic management Health Plan Operations +38

Exec Senior Full Time

USD 150K+

Provider Services Educational & Communications Professional
Work at Home - Virginia, United States

Template design Provider communications Learning design principles Trending Learning Design Assist Health Plan Operations Provider education Rating +48

USD 59K+

General Manager, PHP, NM (Behavioral Health)- Remote
United States, United States

Magellan Health Remote-first

Quality oversight Health Plan Operations Call center Operations Security Controls Financial Performance PHP Care Coordination Team Development Quality Management +18

Senior Full Time

USD 127K+

Medicaid Provider Materials Lead
Remote US, United States

Learning design principles Learning Design Health Plan Operations Matrixed environment Provider Relations Processes Interviewing Utilization management Policy Development +39

Senior Mid Full Time

USD 104K+

Manager, Benefit Coding and Support Implementations
Dayton WFH, United States

Benefit Coding Medical policy development Healthcare payer Medical benefit plan design Payment methodologies Health Plan Operations Facets Resolution HCPCS +42

Senior Mid Full Time

USD 92K+

Data Reporting Analyst or Senior
Portland, OR, United States

Cambia Health Solutions

Minitab Health Plan Operations SPSS OLAP DO Actuarial science Dashboard Development Reporting tools Data Reporting +27

Senior Full Time

USD 86K+

Medical Director
Remote, United States

Medical payment policy Health Plan Operations Coding expertise Payment Integrity Payment Medical policy Claims Adjudication Adjudication Exchange +27

Exec Senior Full Time

USD 190K+

Senior Director, Health Plan Strategy & Operations
Remote - United States

Headspace Remote-first

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

Senior Full Time

USD 170K+

Operations Analyst
Seattle, Washington, United States

Community Health Plan of Washington

Electronic data interface Stakeholder consultation Encounter data reporting Benefits configuration Data assessment Health Plan Operations Claims coding Claims Adjudication Quality improvement +7

Entry Mid Full Time

USD 71K+

Clinical Operations Manager
Remote

Medical necessity reviews Health Plan Operations Clinical Strategy Cost Containment Strategic decision-making Fraud Prevention Clinical operations Claims processing Utilization management +5

Senior Mid 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+

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