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Results based on filters ( 114 jobs found )

Supervisor Long Term Services & Support Utilization Management Review

Keystone First
Located in Ohio
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Your career starts now. We are looking for the next generation of health ...
Details
Summary
About the job:
care leaders. At AmeriHealth Caritas, we are passionate about helping people get care, stay well and build healthy communities. As one of the nations leaders in health care solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together we can build healthier communities. If you want to make a difference, we would like to...
Location:
Located in Ohio
Job Type:
Full-Time
Permanent
Occupation:
Medical and Health Services Managers
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
Keystone First
Certifications / Licenses:
Certified in Healthcare Compliance
Certified Registered Nurse
National Committee for Quality Assurance
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Community Educator

Keystone First
Asheville, NC
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Your career starts now. We are looking for the next generation of health ...
Details
Summary
About the job:
care leaders. At AmeriHealth Caritas, we are passionate about helping people get care, stay well and build healthy communities. As one of the nations leaders in health care solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services, and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together we can build healthier communities. If you want to make a difference, we would like to...
Location:
Asheville, NC
Job Type:
Full-Time
Permanent
Occupation:
Community and Social Service Specialists, All Other
Career Level / Education:
Bachelor's degree
Salary:
Middle Income Jobs ($30K-$49K)
From:
Keystone First
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Vice President, Facilities

Keystone First
Newtown Square, PA
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Your career starts now. We’re looking for the next generation of health care ...
Details
Summary
About the job:
leaders. At AmeriHealth Caritas, we’re passionate about helping people get care, stay well and build healthy communities. As one of the nation's leaders in health care solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together we can build healthier communities. If you want to make a difference, we’d like to hear...
Location:
Newtown Square, PA
Job Type:
Full-Time
Permanent
Occupation:
Facilities Managers
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
Keystone First
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Community Educator

Keystone First
Charleston, SC
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Role Overview Under the supervision of the Supervisor, Community Outreach, ...
Details
Summary
About the job:
the Community Educator promotes The Health Plan’s programs throughout the state via site visits and participation in community events. They will identify and direct potential Medicaid and uninsured candidates appropriately to The Plan’s programs. They will develop, implement and manage community event opportunities and coordinate these activities with the Community Education staff. They will educate potential Medicaid recipients on how to enroll and access the enrollment broker system for plan enrollment. Work...
Location:
Charleston, SC
Job Type:
Full-Time
Permanent
Occupation:
Community and Social Service Specialists, All Other
Career Level / Education:
Bachelor's degree
Salary:
Middle Income Jobs ($30K-$49K)
From:
Keystone First
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Care Manager II

Keystone First
Detroit, MI
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Role Overview: The Care Manager assists members who are appropriate for care ...
Details
Summary
About the job:
management and care coordination services in achieving their optimal level of health through self-management. The Care Manager is responsible for engaging with the member, the member's caregiver, and providers to assess the plan and establish individualized goals for each member. Will facilitate and coordinate care for members while ensuring the quality and use of cost-effective resources. The position will serve as a single point of contact and act as an advocate for members in the care coordination program. In...
Location:
Detroit, MI
Job Type:
Full-Time
Permanent
Occupation:
Clinical Nurse Specialists
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
Keystone First
Certifications / Licenses:
Certified Case Manager
Certified Registered Nurse
National Committee for Quality Assurance
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Director of Operations Health DC Plan

Keystone First
Washington, DC
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Job Responsibilities The Director Operations (Healthy DC Plan) reports to ...
Details
Summary
About the job:
the Market President, with oversight of operation services delivered by the Healthy DC Plan line of business, ensuring that services are aligned and compliant with AmeriHealth Caritas’s Enterprise Business Plan and all relevant federal, state, and local regulatory requirements. The Director Operations Healthy DC Plan is accountable for ensuring the plan’s operating and financial metrics consistently meet and/or exceed all compliance requirements, key performance targets, and associated service level agreements for all...
Location:
Washington, DC
Job Type:
Full-Time
Permanent
Occupation:
Medical and Health Services Managers
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
Keystone First
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Community Educator

Keystone First
Columbia, SC
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Role Overview Under the supervision of the Supervisor, Community Outreach, ...
Details
Summary
About the job:
the Community Educator promotes The Health Plan’s programs throughout the state via site visits and participation in community events. They will identify and direct potential Medicaid and uninsured candidates appropriately to The Plan’s programs. They will develop, implement and manage community event opportunities and coordinate these activities with the Community Education staff. They will educate potential Medicaid recipients on how to enroll and access the enrollment broker system for plan enrollment. Work...
Location:
Columbia, SC
Job Type:
Full-Time
Permanent
Occupation:
Community and Social Service Specialists, All Other
Career Level / Education:
Bachelor's degree
Salary:
Middle Income Jobs ($30K-$49K)
From:
Keystone First
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Wellness Center Admin (B)

Keystone First
Allentown, PA
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Role Overview The Bilingual Wellness Center (WC) Administrator oversees the ...
Details
Summary
About the job:
operation of the WC. This includes oversight of all WC activities, daily operations, programs, staffing, facility logistics, data tracking, and reception of WC visitors. Work Arrangement On-Site Travel required to Northampton, Lehigh, Berks, and other surrounding counties in PA, Responsibilities The Bilingual Wellness Center Administrator must demonstrate the ability to speak both English and Spanish, performing the position’s responsibilities in both languages Collaborates with the Plan Marketing, Communication, and...
Location:
Allentown, PA
Job Type:
Full-Time
Permanent
Occupation:
Social and Community Service Managers
Career Level / Education:
Bachelor's degree
Salary:
High Income Jobs ($80K-$99K)
From:
Keystone First
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Manager Provider Network Management (Health DC Plan)

Keystone First
Washington, DC
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Responsibilities: Responsible for managing the day-to-day activities of the ...
Details
Summary
About the job:
Health DC Plan Network Management department and staff. Responsible for assisting the Leader with departmental activities related to provider satisfaction, education, and communication. This position is also responsible for all provider network recruiting and contracting management activities as it relates to the Health DC Plan. Ensures that the department and staff remain current in all aspects of Federal and State rules, regulations, policies and procedures and creates or modifies departmental policies to reflect...
Location:
Washington, DC
Job Type:
Full-Time
Permanent
Occupation:
Medical and Health Services Managers
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
Keystone First
Certifications / Licenses:
National Committee for Quality Assurance
Advanced Certification Administrator
Driver's License
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Director, Facilities Management

Keystone First
Newtown Square, PA
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Role Overview The Director, Facilities Management is responsible for ...
Details
Summary
About the job:
overseeing the operations, maintenance, and strategic planning of all physical buildings, grounds and infrastructure within the organization. This role ensures that facilities are safe, functional compliant and aligned with the organization’s goals. The Facilities Director manages a team of maintenance personnel and coordinates with external contractors and vendors. Work Arrangement - This is an office based position located at our Newtown Square / Ellis Preserve office Responsibilities - Oversee all Facilities activities...
Location:
Newtown Square, PA
Job Type:
Full-Time
Permanent
Occupation:
Administrative Services Managers
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
Keystone First
Certifications / Licenses:
Certified Facility Manager
Facility Management Professional
Occupational Safety & Health Administration Certification
Driver's License
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information
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