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You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Develops, assesses, and facilitates complex care management activities for primarily physical needs members to provide high quality, cost-effective healthcare outcomes including personalized care plans and education for members and their families.<ul> <li>Must reside in CA</li> <li>Evaluates the needs of the member, barriers to accessing the appropriate care, social determinants of health needs, focusing on what the member identifies as priority and recommends and/or facilitates the plan for the best outcome</li> <li>Develops ongoing care plans / service plans and collaborates with providers to identify providers, specialists, and/or community resources to address member's unmet needs</li> <li>Identifies problems/barriers to care and provide appropriate care management interventions</li> <li>Coordinates as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services</li> <li>Provides ongoing follow up and monitoring of member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / unmet needs</li> <li>Provides resource support to members and care managers for local resources for various services (e.g., employment, housing, participant direction, independent living, justice, foster care) based on service assessment and plans, as appropriate</li> <li>Facilitate care management and collaborate with appropriate providers or specialists to ensure member has timely access to needed care or services</li> <li>May perform telephonic, digital, home and/or other site outreach to assess member needs and collaborate with resources</li> <li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators</li> <li>Provides and/or facilitates education to members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li> <li>Provides feedback to leadership on opportunities to improve and enhance care and quality delivery for members in a cost-effective manner</li> <li>Other duties or responsibilities as assigned by people leader to meet business needs</li> <li>Performs other duties as assigned</li> <li>Complies with all policies and standards</li> </ul>Must reside in CAEducation/Experience: Requires a Degree from an Accredited School of Nursing or a Bachelor's degree in Nursing and 2 – 4 years of related experience. License/Certification:<ul><li>RN - Registered Nurse - State Licensure and/or Compact State Licensure required</li></ul>Pay Range: $26.50 - $47.59 per hourCentene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law. Total compensation may also include additional forms of incentives.Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

Oklahoma Complete Health

Care Manager (RN) (State)

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: This position identifies and presents business and operational specifications based on customer and business needs, industry best practices and available technology. Conducts assessment and monitoring of benefit vendors performing outsourced activities, ensuring contract and quality standards are met. Implements processes, systems and methodologies to meet the company's business initiatives.<ul> <li>Applies performance metrics and key performance indicators (KPI) that allows the business to analyze, evaluate and report vendor performance to senior management.</li> <li>Monitors the productivity and quality of vendor services by analyzing data, reports and processes (site evaluations) to ensure contract terms, requirements and specification are met.</li> <li>Prepares reports on vendor performance to internal oversight committees and assists in developing corrective action plans.</li> <li>Identifies systemic issues and develops and executes strategies to address these issues through Health Net and vendor specific initiatives. Seeks recommendations by management to improve vendor’s performance.</li> <li>Assists in the requirements, planning and implementation of vendor processes and reports to support new products, joint ventures and other business activities in which Health Net Inc is engaged. Participates in cross-departmental implementation teams.</li> <li>Ensures vendor SLA and other KPI reports are provided to management as requested and instructed.</li> <li>Validates the accuracy of data and statistics.</li> <li>Examines reports to isolate trends and potential issues; focusing on clean up and root cause analysis.</li> <li>Works with Management to develop corrective action plans.</li> <li>Assists with projects and activities of multiple VOAs.</li> <li>Performs other duties as assigned</li> <li>Complies with all policies and standards</li> <li>Vendors may include, but not limited to, dental, vision, non-emergent medical transport, flex cards, hearing and more</li> </ul>Education/Experience: Bachelor's Degree Business, Information Systems, Finance/Accounting, or relevant field or equivalent experience required. 3+ years In operations/processing position required. 3+ years Analytical and data processing required. Demonstrated ability to cultivate strong relationships with internal stakeholders and external vendors to enhance business outcomes and drive engagement. Experience working with benefit vendors highly preferred (dental, vision, non-emergent medical transport, flex cards, hearing). Experience working in managed healthcare preferred.Pay Range: $55,100.00 - $99,000.00 per yearCentene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law. Total compensation may also include additional forms of incentives.Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

Vendor Performance Analyst

<a href="#"> </a> <a href="#">About Us</a> <a href="#">Current Employee Job Search</a> <a href="#">Go to Hillcrest HealthCare System Careers</a> <ul> <li> <a href="#">Home</a> <a href="#">Home</a> </li> <li> <a href="#">Locations</a> <a href="#">Locations</a> </li> <li> <a href="#">Nursing Careers</a> <a href="#">Nursing Careers</a> </li> <li> <a href="#">Provider Careers</a> <a href="#">Provider Careers</a> </li> <li> <a href="#">Corporate Careers</a> <a href="#">Corporate Careers</a> </li> <li> <a href="#">Executive Careers</a> <a href="#">Executive Careers</a> </li> <li> <a href="#">Join Talent Community</a> <a href="#">Join Talent Community</a> </li> </ul> <ul> <li> <a href="#">Home</a> </li> <li> <a href="#">Locations</a> </li> <li> <a href="#">Nursing Careers</a> </li> <li> <a href="#">Provider Careers</a> </li> <li> <a href="#">Corporate Careers</a> </li> <li> <a href="#">Executive Careers</a> </li> <li> <a href="#">Join Talent Community</a> </li> <li> <ul> <li><a href="#">Careers Home</a></li> <li><a href="#">Search Jobs</a></li> </ul> </li> </ul> Candidates residing in the following states, CA, CO, CT, HI, IL, MA, MD, ME, MI, MN, NH, NV, NY, OR, RI, VT, WA, Washington DC and WV, must be willing to relocate if they are hired in a remote role. We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class. FOLLOW US <a href="https://www.linkedin.com/company/hillcrest-healthcare-system" target="_blank"> </a> <a href="https://www.youtube.com/user/HillcrestMedicalCtr" target="_blank"> </a> <a href="https://www.facebook.com/UticaPark" target="_blank"> </a> <h4>ARDENT HEALTH SERVICES</h4> Ardent Health Services invests in quality health care. In people, technology, facilities and communities, Ardent makes considerable investments – producing high quality care and extraordinary results. <h4>CONTACT US</h4> 340 Seven Springs Way Suite 100, Brentwood, TN 37027 (615) 296-3000 We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class. Copyright © Ardent Health Services. All rights reserved. <a href="#">Providerrecruitment@ardenthealth.com</a> <a href="#">Providerrecruitment@ardenthealth.com</a> <a href="#">Providerrecruitment@ardenthealth.com</a> <a href="#">Providerrecruitment@ardenthealth.com</a> <a href="#">Providerrecruitment@ardenthealth.com</a> <a href="#">Providerrecruitment@ardenthealth.com</a>

Utica Park Clinic

CNS Cardiology Same-Day Discharge at the Oklahoma Heart Institute

Start in 2025: 1st Assist, Vein Harvesting CVT Surgery PA at the Oklahoma Heart Institute

Transform cancer care in Tulsa | BE/BC Gynecologic Oncologist needed for growing service | Sign on & Relocation

Outpatient Neurology Opportunity in Thriving Tulsa, OK - Join a Collaborative Team!

Jenks Public Schools

Special Education Teacher, Language Arts

<a href="#"> </a> <a href="#">About Us</a> <a href="#">Current Employee Job Search</a> <a href="#">Ardent Health Careers</a> <a href="https://hillcrest.com/rncareers" target="_blank">Nurse Residency Program</a> <ul> <li> <a href="#">Home</a> <a href="#">Home</a> </li> <li> <a href="#">Locations</a> <a href="#">Locations</a> </li> <li> <a href="#">Nursing Careers</a> <a href="#">Nursing Careers</a> </li> <li> <a href="#">Provider Careers</a> <a href="#">Provider Careers</a> </li> <li> <a href="#">Corporate Careers</a> <a href="#">Corporate Careers</a> </li> <li> <a href="#">Executive Careers</a> <a href="#">Executive Careers</a> </li> <li> <a href="#">Join Talent Community</a> <a href="#">Join Talent Community</a> </li> </ul> <ul> <li> <a href="#">Home</a> </li> <li> <a href="#">Locations</a> </li> <li> <a href="#">Nursing Careers</a> </li> <li> <a href="#">Provider Careers</a> </li> <li> <a href="#">Corporate Careers</a> </li> <li> <a href="#">Executive Careers</a> </li> <li> <a href="#">Join Talent Community</a> </li> <li> <ul> <li><a href="#">Careers Home</a></li> <li><a href="#">Search Jobs</a></li> </ul> </li> </ul> Candidates residing in the following states, CA, CO, CT, HI, IL, MA, MD, ME, MI, MN, NH, NV, NY, OR, RI, VT, WA, Washington DC and WV, must be willing to relocate if they are hired in a remote role. We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class. FOLLOW US <a href="https://www.linkedin.com/company/hillcrest-healthcare-system" target="_blank"> </a> <a href="https://www.youtube.com/user/HillcrestMedicalCtr" target="_blank"> </a> <a href="https://www.facebook.com/hillcrestmedicalcenter" target="_blank"> </a> <h4>ARDENT HEALTH SERVICES</h4> Ardent Health Services invests in quality health care. In people, technology, facilities and communities, Ardent makes considerable investments – producing high quality care and extraordinary results. <h4>CONTACT US</h4> 340 Seven Springs Way Suite 100, Brentwood, TN 37027 (615) 296-3000 We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class. Copyright © Ardent Health Services. All rights reserved. <a href="#">Providerrecruitment@ardenthealth.com</a> <a href="#">Providerrecruitment@ardenthealth.com</a> <a href="#">Providerrecruitment@ardenthealth.com</a> <a href="#">Providerrecruitment@ardenthealth.com</a> <a href="#">Providerrecruitment@ardenthealth.com</a> <a href="#">Providerrecruitment@ardenthealth.com</a>

Hillcrest Healthcare System

Registered Nurse / RN Stroke Coordinator

Liberty Mutual Strategic Ventures

Surety Home Office Executive Underwriter

At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.Position Summary: Sales Executives are professionals who help us build our middle market business via the broker distribution channels for Medical, Group Insurance and Specialty products. Their goal is to understand and meet customer needs using Aetna’s and CVS’ combined products and services.Fundamental components: - Develops new business opportunities to ensure profitable customers and help grow the business through consultative selling, issue resolution and superior service. - Ensures product, pricing and services meet client's needs while meeting Aetna revenue growth and profit objectives. - Manages and builds producer relations. - Identifies various ways to partner with the client by drawing from entire spectrum of product line illustrating a keen understanding of client's multifaceted needs and benefits of Aetna's full product array. - Collaborates with internal partners and/or external constituents to uncover profitable growth and cross-sell opportunities within new or existing customers and to support post-sale activities. - Coordinates sales materials, testimonials and subject matter expert involvement in support of the successful delivery of constituent presentations. Participates and leads constituent meetings including finals presentations. Required Qualifications:<ul> <li> 3+ years of relevant industry experience. </li> <li>Must be willing to travel within the Market (San Diego, Inland Empire).</li> <li>Must reside in San Diego County.</li> <li>Health &amp; Life Insurance license. </li> <li>Proficiency in Microsoft Office, Excel and PowerPoint.</li> <li>Strong business acumen.</li> </ul>Preferred Qualifications<ul> <li>Established relationships with Broker Channel.</li> <li>Carrier Sales experience.</li> <li>Salesforce experience</li> </ul>Education:Bachelor’s degree or equivalent experience (HS diploma + 4 years relevant experience).Anticipated Weekly Hours40Time TypeFull timePay RangeThe typical pay range for this role is:$56,855.00 - $111,414.00This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.Great benefits for great peopleWe take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:<ul> <li>Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.</li> <li>No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.</li> <li>Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.</li> </ul>For more information, visit <a href="https://jobs.cvshealth.com/us/en/benefits" target="_blank">https://jobs.cvshealth.com/us/en/benefits</a>We anticipate the application window for this opening will close on: 04/14/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

CVSHealth

Sales Executive - San Diego

3,277 Jobs