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Bowie, MD (BU: Provider, Office: Bowie ) Hybrid permanent
AgileCollaborationSaaSRegulatory CompliancePharmacyInfection PreventionSafety ManagementData SubmissionTeam CultureStakeholder Engagement

Inovalon was founded in 1998 on the belief that technology, and data specifically, would empower the transformation of the entire healthcare ecosystem for the better, improving both outcomes and econo...

April 6, 2026 View Details
Remote Remote permanent
Clinical ProficiencyRemote ManagementOperational InfrastructureInterpersonal CommunicationAdministrative OversightRecruitment SupportLeadership and Coaching

In the U.S., 60% of adults – more than 133 million people – live with at least one chronic condition. These patients need frequent, proactive support to stay healthy, yet our care system isn’t built f...

April 2, 2026 View Details

Health Plan Configuration Analyst III

Healthcare Management Administrators

Bellevue, Washington, United States Remote permanent
Configuration DesignRequirements GatheringProcess DocumentationSystem OptimizationTroubleshootingCross-Functional CoordinationClaims System ConfigurationRegulatory ComplianceChange Request AnalysisBenefit Review

HMA is the premier third-party health plan administrator across the PNW and beyond. We relentlessly deliver on our promise to provide medium to large-size employers with customized health plans. We of...

April 1, 2026 View Details

Manager, Clinical Cost Containment

Healthcare Management Administrators

Bellevue, Washington, United States Remote permanent
LeadershipClinical ExpertiseFraud PreventionTeam LeadershipRegulatory CompliancePerformance MonitoringProcess ImprovementStakeholder CollaborationData AnalysisCost Containment

HMA is the premier third-party health plan administrator across the PNW and beyond. We relentlessly deliver on our promise to provide medium to large-size employers with customized health plans. We of...

April 1, 2026 View Details
El Centro, California, United States Hybrid permanent
Customer ServiceCase ManagementCompassionAdvocacyCare CoordinationIn-Person CommunicationProblem-SolvingResource AllocationRelationship BuildingFull Support

At Pacific Health Group, we’re more than just a healthcare organization—we’re a catalyst for positive change in our communities. Our Enhanced Care Management (ECM) programs focus on addressing social ...

March 31, 2026 View Details

Configuration Analyst II

Healthcare Management Administrators

Bellevue, Washington, United States Remote permanent
Customer ServiceSystem ConfigurationValidationRequirements GatheringRegulatory RequirementsBenefit DesignDocumentationTroubleshootingChange ManagementTrainingClaims System Configuration

HMA is the premier third-party health plan administrator across the PNW and beyond. We relentlessly deliver on our promise to provide medium to large-size employers with customized health plans. We of...

March 26, 2026 View Details
Los Angeles County (RHC Office) Remote permanent
Customer ServiceMedical TerminologyHIPAACase ManagementHousing AssistanceReferralsIndividualized Service PlanCoordinationHealthcare Systems

WHY WORK FOR US? We are mission and values driven and your contributions will make a difference. We make a positive difference in people's lives and help an average of 23 people per week to find a pla...

March 20, 2026 View Details
Oakland, California Hybrid permanent
LeadershipTeam ManagementAuditingComplianceTrainingResource ProvisionPatient CareSafetyPerformance MonitoringCommunication

WE ARE TITANIUM HEALTHCARE Titanium is a healthcare company that puts heart and compassion above all else. Millions of Americans just aren’t getting the medical care they need. We’re on a mission to ...

March 20, 2026 View Details
Remote Remote permanent
Program ManagementLeadershipCare CoordinationClinical ExpertiseQuality ImprovementPatient OutcomesProcess OptimizationTeam DevelopmentKPIsComprehensive Care

Who We Are Evergreen Nephrology partners with nephrologists to transform kidney care through a value-based, person-centered, holistic, and comprehensive approach to kidney care. We believe patients l...

March 19, 2026 View Details
Santa Clara, California, United States Hybrid permanent
LeadershipTeam SupervisionProgram DevelopmentQuality AssuranceMember ServicesCross-Functional CollaborationBudget ManagementInnovationOperational CoordinationPerformance Reporting

ECM Program Manager Pacific Health Group | Transforming Care Through Connection At Pacific Health Group, we’re more than just a healthcare organization—we’re driving real change. As an ECM Program M...

March 16, 2026 View Details
San Marcos, California, United States Hybrid permanent
Customer ServiceCompassionate CareCase ManagementCare CoordinationAdvocacyCommunity EngagementHolistic ApproachCommunication

At Pacific Health Group, we’re more than just a healthcare organization—we’re a catalyst for positive change in our communities. Our Enhanced Care Management (ECM) programs focus on addressing social ...

March 13, 2026 View Details
Calexico, California, United States Hybrid permanent
Customer ServiceCompassionate CareEmpathyCase ManagementCare CoordinationSocial Determinants of HealthCommunity-Based ServicesAdvocacyHolistic Approach

At Pacific Health Group, we’re more than just a healthcare organization—we’re a catalyst for positive change in our communities. Our Enhanced Care Management (ECM) programs focus on addressing social ...

March 11, 2026 View Details

Contract Process Analyst II

Healthcare Management Administrators

Bellevue, Washington, United States Remote contract
Process AnalysisWorkshopsDocumentationRequirementsComplianceEfficiencyScalabilityCollaborationTechnical Business AnalystFuture-Driven Solutions

HMA is the premier third-party health plan administrator across the PNW and beyond. We relentlessly deliver on our promise to provide medium to large-size employers with customized health plans. We of...

March 4, 2026 View Details

Contract Technical Writer II

Healthcare Management Administrators

Bellevue, Washington, United States Remote contract
Technical WritingDocumentationEditingCollaborationCommunicationInnovation TranslationClarityConsistencyComplianceSME Coordination

HMA is the premier third-party health plan administrator across the PNW and beyond. We relentlessly deliver on our promise to provide medium to large-size employers with customized health plans. We of...

March 4, 2026 View Details

Contract Data Integrations Engineer I

Healthcare Management Administrators

Bellevue, Washington, United States Remote contract
Data IntegrationSQLETLEDIDatabase DesignETL TestingDatabase SystemsTroubleshootingSDLCStored Procedures

HMA is the premier third-party health plan administrator across the PNW and beyond. We relentlessly deliver on our promise to provide medium to large-size employers with customized health plans. We of...

March 4, 2026 View Details

Contract Technical Project Manager II

Healthcare Management Administrators

Bellevue, Washington, United States Remote contract
Project LeadershipCross-Functional CoordinationRisk ManagementIssue ManagementChange ManagementRequirements ManagementCommunication

HMA is the premier third-party health plan administrator across the PNW and beyond. We relentlessly deliver on our promise to provide medium to large-size employers with customized health plans. We of...

March 4, 2026 View Details

Enterprise Data Architect III

Healthcare Management Administrators

Bellevue, Washington, United States Remote permanent
StrategyRoadmappingData TechnologiesCloud PlatformsData ArchitectureComplianceAnalyticsMachine Learning

HMA is the premier third-party health plan administrator across the PNW and beyond. We relentlessly deliver on our promise to provide medium to large-size employers with customized health plans. We of...

March 4, 2026 View Details
Annapolis, MD (Lanham, MD) permanent
Customer ServiceCommunicationCoordinationProblem SolvingDocumentationReferral ManagementTransportation ArrangementHIPAAClerical Skills

Position Objective: Care Management Assistants are administrative professionals who provide direct support to ensure that patients move through the system and receive the treatment and services they ...

February 27, 2026 View Details

Technical Project Manager II

Healthcare Management Administrators

Bellevue, Washington, United States Remote permanent
Customer ServiceStrategic PlanningProject ManagementBudget ManagementStakeholder ManagementRisk ManagementCommunicationProblem SolvingTechnical CollaborationExecution

HMA is the premier third-party health plan administrator across the PNW and beyond. We relentlessly deliver on our promise to provide medium to large-size employers with customized health plans. We of...

February 25, 2026 View Details
Long Beach, CA, United States contract
Project MethodologiesMS ProjectSharePointExcelVisioPowerPointPMP CertificationHealthcare Insurance domain background

• Healthcare experience from a Payer’s perspective (this is a must-have) • Care Management (CM) – healthcare payer perspective • Disease Management (DM) – healthcare payer perspective • Utilization...

October 3, 2016 View Details

Sales Proposal Specialist I

Healthcare Management Administrators

Bellevue, Washington, United States Remote permanent
Customer ServiceCommunicationProposal DraftingRFP ManagementChange Impact AnalysisDatabase ManagementCoordinationSales ReportingProcess ImprovementAdministrative Support

HMA is the premier third-party health plan administrator across the PNW and beyond. We relentlessly deliver on our promise to provide medium to large-size employers with customized health plans. We of...

February 2, 2026 View Details

Office Manager II

Healthcare Management Administrators

Bellevue, Washington, United States permanent
Office OperationsFacilities ManagementSafety CoordinationVendor CoordinationInternational OptimizationEmergency ResponseEmployee SafetyEvent SupportSOC2 AuditAdministrative SupportMail OperationsBCDR Planning

HMA is the premier third-party health plan administrator across the PNW and beyond. We relentlessly deliver on our promise to provide medium to large-size employers with customized health plans. We of...

January 8, 2026 View Details

Manager, Claims Operations

Healthcare Management Administrators

Bellevue, Washington, United States Hybrid permanent
Claims ProcessingVendor ManagementVendor Data IngestionQuality AssuranceRisk AnalysisFinancial ModelingBudget ManagementTeam LeadershipPerformance ManagementCompliance

HMA is the premier third-party health plan administrator across the PNW and beyond. We relentlessly deliver on our promise to provide medium to large-size employers with customized health plans. We of...

January 27, 2026 View Details

Payment Integrity Revenue Analyst II

Healthcare Management Administrators

Bellevue, Washington, United States Remote permanent
Payment IntegrityRevenue AnalysisData AnalysisReportingRoot Cause AnalysisCross-Functional CollaborationProcess ImprovementDashboard DevelopmentFinancial Statements EvaluationTotal Savings

HMA is the premier third-party health plan administrator across the PNW and beyond. We relentlessly deliver on our promise to provide medium to large-size employers with customized health plans. We of...

February 11, 2026 View Details

Full Stack Developer II

Healthcare Management Administrators

Bellevue, Washington, United States Remote permanent
Full Stack DevelopmentC#.NETSQLCloud ServicesDevOps PipelinesGitSource Control

HMA is the premier third-party health plan administrator across the PNW and beyond. We relentlessly deliver on our promise to provide medium to large-size employers with customized health plans. We of...

February 11, 2026 View Details

Account Manager II

Healthcare Management Administrators

Bellevue, Washington, United States Hybrid permanent
Customer ServiceRelationship ManagementCommunicationStrategic PlanningData AnalysisCRM ManagementIndustry KnowledgeProblem SolvingTeam CollaborationAdaptability

HMA is the premier third-party health plan administrator across the PNW and beyond. We relentlessly deliver on our promise to provide medium to large-size employers with customized health plans. We of...

December 2, 2025 View Details
Warner Robins, Georgia, United States Remote permanent
Patient CareEMR SystemsHIPAACommunicationProblem SolvingMulti-taskingCollaborationRemote WorkChronic Care ManagementIn-home Monitoring

We believe everyone should have confidence in navigating their healthcare. We are looking for a qualified Registered Nurse (RN) to serve our patient population in the navigation, prevention and manage...

August 18, 2024 View Details
Annapolis, MD permanent
CommunicationMedicareMedicaidEMR SystemsHIPAAMedical TerminologyCPRBLS CertificationBlue Cross

Position Objective: Facilitates the exchange of clinical information and authorization between the hospital and the third party payors, providing direct support to the utilization review process. Es...

February 19, 2026 View Details
Annapolis, MD permanent
CommunicationMedical KnowledgeDocumentationProblem SolvingTime ManagementCustomer ServiceAttention to Detail

Position Objective: Facilitates the exchange of clinical information and authorization between the hospital and the third party payors, providing direct support to the utilization review process. Es...

February 19, 2026 View Details
Santa Clara, California, United States Hybrid permanent
Customer ServiceCompassionate CareAdvocacyCare CoordinationCase ManagementHolistic ApproachSocial Determinants of HealthTrust BuildingIn-Person VisitsHolistic Impact

Job Type: Full-time Pay: $29.00 - $32.00 per hour Schedule: Monday to Friday 8:30am - 5:00pm Work Location: Hybrid Join Our Mission to Transform Lives: Enhanced Care Management At Pacific Health ...

February 13, 2026 View Details
Santa Clara, California, United States Hybrid permanent
Customer ServiceEmpathyCase ManagementCare CoordinationIn-Person CommunicationSocial ServicesHousing AssistanceTransportation CoordinationFinancial SupportAdvocacy

Job Type: Full-time Pay: $29.00 - $32.00 per hour Schedule: Monday to Friday 8:30am - 5:00pm Work Location: Hybrid Join Our Mission to Transform Lives: Enhanced Care Management At Pacific Health ...

January 21, 2026 View Details
Stockton, California, United States Hybrid permanent
Customer ServiceCase ManagementEmpathyIn-Person CommunicationCare CoordinationSocial ServicesResource AllocationAdvocacyEmpowermentContinuous Improvement

At Pacific Health Group, we’re more than just a healthcare organization—we’re a catalyst for positive change in our communities. Our Enhanced Care Management (ECM) programs focus on addressing social ...

February 13, 2026 View Details

Care Management Pharmacist

Evergreennephrology

Remote - All Locations (Remote) Remote permanent
PharmacistClinical CareMedication ManagementMedication ReconciliationDrug Therapy MonitoringPatient OutcomesHolistic CareInterdisciplinary CollaborationFinancial ManagementInnovative Environment

Who We Are Evergreen Nephrology partners with nephrologists to transform kidney care through a value-based, person-centered, holistic, and comprehensive approach to kidney care. We believe patients l...

February 13, 2026 View Details
Shasta, California, United States Hybrid permanent
Customer ServiceEmpathyCase ManagementSocial Determinants of HealthCommunicationComprehensive Care Coordination

At Pacific Health Group, we’re more than just a healthcare organization—we’re a catalyst for positive change in our communities. Our Enhanced Care Management (ECM) programs focus on addressing social ...

December 20, 2025 View Details
Oceanside, California, United States Hybrid permanent
Customer ServiceEmpathyCommunicationCase ManagementSocial ServicesTransportation CoordinationHousing AssistanceFinancial SupportFamily AdvocacyHealthcare Coordination

At Pacific Health Group, we’re more than just a healthcare organization—we’re a catalyst for positive change in our communities. Our Enhanced Care Management (ECM) programs focus on addressing social ...

January 6, 2026 View Details
Monterey, California, United States Hybrid permanent
Customer ServiceCompassionEmpathyCase ManagementCare CoordinationSocial Determinants of HealthCommunity EngagementAdvocacyHolistic CareFrequent In-Person Visits

At Pacific Health Group, we’re more than just a healthcare organization—we’re a catalyst for positive change in our communities. Our Enhanced Care Management (ECM) programs focus on addressing social ...

December 17, 2025 View Details
Mendocino, California, United States Hybrid permanent
Customer ServiceEmpathyCase ManagementCare CoordinationSocial Determinants of HealthAdvocacyCommunity EngagementCommunicationProblem-SolvingReliability

At Pacific Health Group, we’re more than just a healthcare organization—we’re a catalyst for positive change in our communities. Our Enhanced Care Management (ECM) programs focus on addressing social ...

December 20, 2025 View Details
Orland, California, United States Hybrid permanent
Customer ServiceEmpathyCase ManagementAdvocacyCare CoordinationCommunity EngagementTransportation CoordinationResource AllocationMental Health AwarenessRelationship Building

At Pacific Health Group, we’re more than just a healthcare organization—we’re a catalyst for positive change in our communities. Our Enhanced Care Management (ECM) programs focus on addressing social ...

December 18, 2025 View Details
Lanham, MD permanent
Customer ServiceCommunicationCoordinationProblem SolvingAttention to DetailDocumentationSchedulingTransportation CoordinationReferral ManagementClerical Skills

Position Objective: Care Management Assistants are administrative professionals who provide direct support to ensure that patients move through the system and receive the treatment and services they ...

February 12, 2026 View Details
Detroit, MI Remote permanent
Care ManagementLeadershipTeam ManagementRegulatory ComplianceVendor ContractsTraining ProgramsMetrics DevelopmentInterdisciplinary CoordinationPatient OutcomesHealthcare Innovation

The Manager, Care Management determines care management strategy and leads the care management team in pursuit of market goals. They ensure compliance with program requirements by liaising with contra...

February 12, 2026 View Details
Boston, MA (BU: Provider, Office: Bowie ) permanent
Product ExpertiseAgile MethodologiesSprint PlanningBacklog ManagementTechnical CollaborationRegulatory CompliancePharmacy KnowledgeInfection PreventionSafety ManagementBusiness Analysis

Inovalon was founded in 1998 on the belief that technology, and data specifically, would empower the transformation of the entire healthcare ecosystem for the better, improving both outcomes and econo...

February 11, 2026 View Details
Chicago, IL (BU: Provider, Office: Bowie ) permanent
Product ExpertiseAgile FrameworksScrum MethodologyProduct ManagementSprint PlanningBacklog ManagementStakeholder CollaborationBusiness RequirementsRegulatory ComplianceData Submission

Inovalon was founded in 1998 on the belief that technology, and data specifically, would empower the transformation of the entire healthcare ecosystem for the better, improving both outcomes and econo...

February 11, 2026 View Details
Baltimore, MD, United States permanent
Clinical AssessmentCrisis protocolsBiopsychosocial AssessmentClinical EvaluationTherapyCounselingEmployee ReferralsTreatment PlanningPatient RelationshipsAdvance Care PlanningConsultation ManagementProgram Evaluation

Renowned as the academic flagship of the University of Maryland Medical System, our Magnet®-designated facility is a nationally recognized, academic medical center with opportunities across the contin...

December 30, 2025 View Details
Baltimore, MD, United States permanent
Patient CareEMR SystemsHIPAACrisis protocolsBiopsychosocial AssessmentClinical EvaluationTherapyCounselingEmployee ReferralsTreatment PlanningPatient Relationships

Renowned as the academic flagship of the University of Maryland Medical System, our Magnet®-designated facility is a nationally recognized, academic medical center with opportunities across the contin...

February 3, 2026 View Details
Baltimore, MD, United States permanent
Psychosocial AssessmentDischarge PlanningCrisis InterventionTrauma-Informed CareSocial Work SkillsPerformance ImprovementCommunity ResourcesMedical KnowledgeCounselingLiaison

Renowned as the academic flagship of the University of Maryland Medical System, our Magnet®-designated facility is a nationally recognized, academic medical center with opportunities across the contin...

February 3, 2026 View Details
Baltimore, MD, United States permanent
Patient CareCrisis InterventionSocial Work SkillsTrauma Informed CareResource ManagementMedical KnowledgeChart ReviewReferral CoordinationEducation and TrainingHIPAA Compliance

Renowned as the academic flagship of the University of Maryland Medical System, our Magnet®-designated facility is a nationally recognized, academic medical center with opportunities across the contin...

February 3, 2026 View Details
United States (Central Time Zone) (Hybrid) Remote permanent
Customer ServiceCommunicationCoordinationFollow-upsResource ManagementPatient EducationHIPAA ComplianceTime ManagementTechnology ProficiencyData Analysis

What We Strive For At Strive Health, we’re driven by a purpose: transforming the broken kidney care system. Through early identification, engagement, and comprehensive coordinated care, we significan...

February 3, 2026 View Details
Mombasa contract
Medical InsuranceClaims ProcessingCustomer ServiceEmergency ResponseHospital LiaisonPreauthorizationProvider ManagementReportingNegotiationPatient Advocacy

This role will be based in Mombasa, Kenya. ABOUT ZAMARA The Zamara Group is a diversified financial services business specialising in pensions, medical services, insurance and actuarial solutions. H...

February 3, 2026 View Details
Los Angeles County (RHC Office) Remote permanent
Customer ServiceCommunicationCase ManagementHealthcare SystemsReferral CoordinationIndividualized Service PlanningMedical Care CoordinationHousing Navigation

WHY WORK FOR US? We are mission and values driven and your contributions will make a difference. We make a positive difference in people's lives and help an average of 23 people per week to find a pla...

January 22, 2026 View Details
United States (Mountain Time Zone) (Hybrid) Remote permanent
Customer ServiceCommunicationCoordinationOutbound CallsInbound CallsFollow-upPatient CareResource CoordinationEducationHealthcare

What We Strive For At Strive Health, we’re driven by a purpose: transforming the broken kidney care system. Through early identification, engagement, and comprehensive coordinated care, we significan...

January 30, 2026 View Details