Remote Director, Health Plan Service Delivery
$112.7k - $193.2kOptum
Optum is seeking a Director of Service Delivery to drive execution of service delivery commitments for Health Plan clients. The role involves maintaining multi-level client relationships, ensuring operational excellence, and delivering measurable client value. Candidates should have experience in client management and leadership roles. This remote position offers a salary range from $112,700 to $193,200 annually, along with a comprehensive benefits package. Join Optum and help improve health outcomes for communities. #J-18808-Ljbffr
$112.7k - $193.2k
...UnitedHealth Group is seeking a Director of Service Delivery in Eden Prairie, Minnesota, responsible for... ...service delivery commitments for Health Plan clients. This strategic role requires... ...issue resolutions. The position allows remote work flexibility within the U.S., and...Remote workHealth Insurance- ...PCHP - Parkland Community Health Plan Remote PRIMARY PURPOSE Oversees... ...clinical oversight for the services provided by the health plan... ...for Managed Care Medical Directors. Board certification in... ...goals of the managed care delivery system and PCHP. Facilitates...Remote workHealth InsuranceContract workWork at officeLocal area
$124k - $211k
A healthcare solutions provider is seeking a Director of Health Plan Underwriting to lead the underwriting team remotely. This role involves guiding pricing strategies and ensuring accurate financial responses to clients. The ideal candidate should have a strong background...Remote workHealth Insurance$124k - $211k
...leading pharmacy benefits management organization is seeking a Director of Health Plan Underwriting to lead the underwriting team in providing... ...strategy execution, and client engagement. The position is remote with a salary range of $124k–$211k based on experience. J-1...Remote workHealth Insurance$124k - $211k
...A leading pharmacy benefit manager is seeking a Director of Health Plan Underwriting. This remote position involves leading the underwriting team, providing direction, and supporting pricing strategies. Ideal candidates will have a Bachelor's degree in a related field...Remote workHealth Insurance$127k - $180.9k
...Site: Mass General Brigham Health Plan Holding Company, Inc. Mass... ...research, teaching, and community service, striving to provide... ...Responsible for overseeing the delivery of behavioral health services... ...the office 1x/month Remote Type Hybrid Work Location...Remote workHealth InsuranceWork at officeLocal areaFlexible hoursShift work$124k - $211k
...Director Health Plan Underwriting - REMOTE At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability... ...of audiences Strong team player with a customer service approach Ability to effectively communicate with Senior...Remote workHealth InsuranceContract workWork experience placementLocal areaVisa sponsorshipWork visa$124k - $211k
...pharmacy benefit manager is seeking a Director of Health Plan Underwriting to lead the underwriting... ...accuracy in contractual agreements. This remote position requires a strong background... ..., with a focus on delivering quality service and influencing senior leadership. Competitive...Remote workHealth Insurance- ...medical necessity of member dental care services - targeting opportunities for quality improvement... ...senior leadership to establish strategic plans and objectives. Contributes to... ...unrestricted in state of practice. • Health care management/leadership experience preferred...Remote workHealth InsuranceWork at office
$102.16k - $199.22k
..., and resolution.Enforces the compliance plan, code of conduct and anti-fraud plan.In conjunction... ...skills and the ability to meet delivery targets.Disciplined and ability to effectively... ...QualificationsPrevious experience in a health plan or government programs setting (...Remote workHealth InsuranceWork experience placementWork at office- ...DESCRIPTION Job Summary Leads and directs team responsible for the development and administration of state health plan operational functions, programs and services - ensuring functional operations, contractual compliance, and alignment with health plan member...Remote workHealth InsuranceContract workWork at office
$180.8k - $226k
...creative individual for the position of Director Health Planning for the design practice, to lead... ...time off, flex‑time schedules, remote work options and a 401k plan and... ...simply satisfaction). Consistent delivery of the best service is what we are about. We are committed...Remote workHealth InsuranceFor contractorsWork experience placementFlexible hours$91.7k - $163.7k
...Minnesota to manage ongoing relationships and ensure service delivery for clients. The role involves building solid... ...candidates should have over 10 years of experience in the health industry and strong communication skills. Remote work is allowed, and the salary ranges from $91,7...Remote workHealth Insurance$125k - $150k
...Reliant Health Partners is an innovative medical claims repricing service provider, helping employers achieve maximum health plan savings with minimum noise. We tailor our services to each... ...network alternative. The National Director of Health Plan Growth is a strategic...Remote workHealth InsuranceContract workLocal areaFlexible hours- ...Manager, Benefits to design the foundation of a next-generation health plan. You will define how care is paid for, shape benefit design,... ...complex benefit designs into efficient systems. This role offers competitive compensation and remote work flexibility. #J-18808-Ljbffr...Remote workHealth Insurance
- ...A leading healthcare organization is hiring a Care Manager LPN LVN for a remote role, focused on care coordination services for individuals with complex health needs. The ideal candidate must have a diploma in nursing, 5 years of clinical experience, and a current Oregon...Remote workHealth Insurance
$39 per hour
...A health services provider is seeking a Care Manager RN for a remote, contract role in Detroit. This position involves leading a multidisciplinary team to deliver holistic care and requires a Nursing Diploma or Associate's degree, with a preference for a Bachelor's degree...Remote workHealth InsuranceContract work- ...and expertise related to behavioral health and chemical dependency services, and assists with implementation of... ...and clinical leadership for health plan and/or market specific utilization... ...working closely with regional medical directors to standardize behavioral health...Remote workHealth InsuranceWork at officeLocal area
$170k - $180k
...affordable, improve the health of patients, and... ...Guidehealth leverages remotely-embedded Healthguides... ...centralized Managed Service Organization to build... ...Description The Sr. Director, Health Plan Relationships is the... ..., performance delivery oversight, and strategic...Remote workHealth InsuranceBi-weekly payFull timeContract workTemporary workFor contractorsLocal areaWork from homeFlexible hours- ...Overview: Overview The Director of Behavioral Health serves as the leader of... ...the Commercial Health Plan. This role is responsible for... ...oversight of behavioral health services, ensuring high-quality care... ...that are available as remote work, Sentara Health employs...Remote workHealth InsuranceTemporary workShift work
$80k - $100k
...Division Director, Behavioral Health Planning The Division Director is a key leadership role within the Office of Human Services, responsible for directing and managing all aspects of the... ...policies, procedures, and service delivery systems. Ensure compliance with...Health InsuranceWork at officeLocal areaAfternoon shift- ...with developing personalized service care plans/service plans for long-term... ...quality of care and service delivery for long-term care members in... ...will include 80% travel. Remote role. Will require a driver’... ...required: 2-4 years of physical health care management experience,...Remote workHealth InsuranceContract workWork at office
- ...Sanford Health in Remote, IA is looking for a Product Manager to lead healthcare product lines. The role involves managing the product lifecycle, collaborating with various teams, and ensuring product compliance with regulations. Candidates should have a Bachelor's degree...Remote workHealth Insurance
- ...organization in the United States is seeking a Medical Director specializing in Neurology. In this pivotal role, you will... ...salary and a robust benefits package, including health insurance, retirement planning, and various wellness support options. #J-18808-Ljbffr...Remote workHealth Insurance
- ...Job Summary Leads and manages team responsible for Hospital Health Plan provider network contracting activities. Supports network... ...company guidelines with physicians, hospitals, managed long-term services and supports (MLTSS) and other health care providers. • Utilizes...Remote workHealth InsuranceContract workWork at office
- ...Leads and manages team responsible for health plan growth and community engagement activities... ...are aware of Molina products and services. • Establishes simple referral processes... ...within the community on the health care delivery system and wellness topics. • Demonstrates...Remote workHealth InsuranceWork at officeLocal area
- ...Curana Health, Inc. is seeking a Director of Health Plan Business Development to lead the growth of their Institutional Special Needs Plans (ISNP). This... ...facilities and senior living operators to enhance service delivery. The ideal candidate will have over 7 years of...Health Insurance
- ...solutions that includes comprehensive pharmacy services; full-service pharmacy benefit management;... ...refine and improve internal workflows and service delivery. Support onboarding and implementation efforts for new health plan clients and referral programs. Stay...Remote workHealth InsuranceFull timeTemporary workWork at officeLocal areaFlexible hours
- A healthcare staffing agency is seeking a Health Plan Network Strategy Director based in New Mexico to lead strategic provider contracting and network... ...strong financial analytical skills. This position is fully remote, requiring candidates to be US citizens or Green Card...Remote workHealth InsuranceContract work
- ...operations and staff of the Behavioral Health Clinic in Grand Island, Nebraska! Find... ...opportunity to have it all: Direct clinical service delivery, Mentoring future psychologists... ...your first year, flexible scheduling, remote work opportunities, excellent healthcare...Remote workFull timeInternshipRelocation packageFlexible hours
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