HealthPlus Jobs

Quick job details: Setting: Outpatient Neurology Clinic Schedule: 4-5 day work week, woulld consider part-time or full-time candidates. Hours: 8am-4pm Patient Volume: 15 PPD Job Requirements: Must be BC in Neurology and have an active MD license. Compensation: Salary + Bonuses Benefits: Full benefits package About Us: HealthPlus Staffing is National Leader in the Healthcare Staffing Industry. We partner up with top facilities nationwide with the focus of finding them highly qualified candidates. Our Promise: We will put you in front of the decision makers. We will provide feedback on your application. We will work on your behalf to obtain as much info as you need to make a well-informed decision. If interested in this position, please submit an application or call us at 561-291-7787 to speak with one of our highly experienced consultants. We look forward to finding your next position! The HealthPlus Team.

We are seeking a detail-oriented and knowledgeable Claims Specialist I to join our team. Under the direction of the Provider Claims Resolution & Recovery Supervisor, the Claims Specialist I - Provider Claims is responsible for evaluating professional, high dollar and outpatient/inpatient institutional claims while determining coverage and payment levels. Responsible for evaluating and resolving provider disputes & appeals, issuing resolution letters, and processing adjustment requests timely and accurately in accordance with standard procedures that ensure compliance with regulatory guidelines. Additional responsibilities include payment adjustment projects and complex claims as assigned. *Candidate will report to the Supervisor, Provider Claims Resolution and Recovery. * *This position is fully remote. Candidates must reside in California. No out of state candidates will be reviewed.* *Duties* * *Review and process provider dispute resolutions according to state and federal designated timeframes.* * *Research reported issues; adjust claims and determine the root cause of the dispute.* * *Draft written responses to providers in a professional manner within required timelines.* * *Independently review and price complex edits related to all claim types to determine the appropriate handling for each including payment or denial. * * *Complete the required number of weekly reviews deemed appropriate for this position. * * *Respond to provider inquiries regarding disputes that have been submitted.* * *Maintain, track, and prioritize assigned caseload through IEHP's provider dispute database to ensure timely completion. * * *Maintain knowledge of claims procedures and all appropriate reference materials; participate in ongoing training as needed.* * *Communicate with a variety of people, both verbally and in writing, to perform research, gather information related to the case that is under review. * * *Recommend opportunities for improvement identified through the trending and analysis of all incoming PDRs.* * *Coordinate with other departments as necessary to facilitate resolution of claim related issues. Identify and report claim related billing issues to various departments for provider education.* * *Any other duties as required to ensure Health Plan operations are successful.* *Requirements* Minimum of four (4) years of experience evaluating and processing institutional and professional medical claims. Proficiency in the following areas: Medical claims system, ICD-10 and CPT coding, reviewing medical authorizations, Provider contract rate interpretation, medical benefit coverage determination. Prior experience handling provider disputes, appeals and claim adjustments. *Experience preferably in HMO or Managed Care setting. Medicare and/or Medi-Cal experience, as well as managed care or government payer environment is helpful. * *Education Requirement* High School Diploma or GED required. *Skills* Strong analytical and problem-solving skills. Microsoft Office, Advanced Microsoft Excel. Written communication skills. Ability to analyze data and interpret regulatory requirements. Excellent communication and interpersonal skills, strong organizational skills, and skilled in data entry required. Typing a minimum of 45 wpm. Excellent oral and written communication skills. Billing experience will not be considered as actual claims processing or adjudicating experience. Job Type: Full-time Pay: $53,872.00 - $68,681.60 per year Benefits: * 401(k) * 401(k) matching * Dental insurance * Employee assistance program * Flexible spending account * Health insurance * Life insurance * On-site gym * Paid time off * Retirement plan * Tuition reimbursement * Vision insurance Schedule: * 8 hour shift * Day shift * Monday to Friday * No weekends Experience: * Medicare and Medi-Cal Claims processing: 4 years (Required) Work Location: Remote

Become a part of our caring community and help us put health first The UM Administration Coordinator 2 provides non-clinical support for the policies and procedures ensuring best and most appropriate treatment, care or services for members. UM Administration Coordinator 2 Primarily receive calls from Providers, Hospitals, Skilled Nursing Facilities and other vendors Support the UM Nurses to process discharge orders and arrange a safe facility discharge. Work with UM Nurses, Pharmacy, Medical Directors and other Departments. During downtime make calls to UM Nurses, Hospitals, Skilled Nursing Facilities and other vendors. Document all calls and requests. Search for Medicare and Medicaid Guidelines. Process all incoming fax/emails request for services the same day. Return call for all voice messages received the same day. Process provider and member letters (Letter of Agreements, Approvals, Denials etc.) Mail letters to members. Assist the team with various clerical/administrative tasks as necessary. Participate in special projects as assigned by your Supervisor or Manager. Use your skills to make an impact Additional Job Description Required Qualifications 1 or more years of Administrative support experience 1 or more years of Healthcare experience 1 or more years of telephonic Customer Service experience Working knowledge of Microsoft Word, Excel, and Outlook. Monday-Friday 8am-5pm EST, must have ability to work Nights, Weekends and Holidays based on business needs. Preferred Qualifications Bilingual English/Spanish able to speak, read and write in both languages without limitations or assistance. See Additional Information on testing Proficient utilizing documentation programs. Experience with the CarePlus Platform. Proficient and/or experience with medical terminology and/or ICD-10 codes. Member service Experience with Utilization Review and/or Prior Authorization, preferably within a managed care organization. Additional Information Work Schedule: Monday-Friday 8am-5pm EST, and work 1 weekend a quarter. Schedule subject to change based on business needs. As part of our hiring process, we will be using an exciting interviewing technology provided by HireVue, a third-party vendor. This technology provides our team of recruiters and hiring managers an enhanced method for decision-making. If you are selected to move forward from your application prescreen, you will receive correspondence inviting you to participate in a pre-recorded Voice Interview and/or an SMS Text Messaging interview. If participating in a pre-recorded interview, you will respond to a set of interview questions via your phone. You should anticipate this interview to take approximately 10-15 minutes. If participating in a SMS Text interview, you will be asked a series of questions to which you will be using your cell phone or computer to answer the questions provided. Expect this type of interview to last anywhere from 5-10 minutes. Your recorded interview(s) via text and/or pre-recorded voice will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews. Work at Home Guidance To ensure Home or Hybrid Home/Office associates' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested Satellite, cellular and microwave connection can be used only if approved by leadership Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information Internal- If you have additional questions regarding this role posting, please send them to the Ask A Recruiter persona by visiting go/vivaengage and searching Ask A Recruiter! Please be sure to provide the requisition number so we may be able to research your request quicker. #LI-BB1 Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $40,000 - $52,300 per year Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. About us About CarePlus Health Plans: CarePlus Health Plans is a recognized leader in healthcare delivery that has been offering Medicare Advantage health plans in Florida over 23 years. CarePlus strives to help people with Medicare, or both Medicare and Medicaid, achieve their best possible health and wellness through plans with benefits and services they care about. As a wholly owned subsidiary of Humana, CarePlus currently serves Medicare beneficiaries throughout 21 Florida counties.About Humana: Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers, and our company. Through our Humana insurance services, and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. Equal Opportunity Employer It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

What you can expect! Find joy in serving others with IEHP! We welcome you to join us in “healing and inspiring the human spirit” and to pivot from a “job” opportunity to an authentic experience! This position is responsible for performing actuarial analytic support to the department that helps drive company key initiatives. Commitment to Quality: The IEHP Team is committed to incorporate IEHP's Quality Program goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation. Additional Benefits Perks IEHP is not only committed to healing and inspiring the human spirit of our Members, but we also aim to match our team members with the same energy by providing prime benefits and more. Competitive salary CalPERS retirement State of the art fitness center on-site Medical Insurance with Dental and Vision Life, short-term, and long-term disability options Career advancement opportunities and professional development Wellness programs that promote a healthy work-life balance Flexible Spending Account - Health Care/Childcare CalPERS retirement 457(b) option with a contribution match Paid life insurance for employees Pet care insurance Key Responsibilities Supports on-going analyses of financial, budgetary or medical claims data, through forecasting, statistical analyses, trending, regression analyses, risk assessment, and utilization assessment. Identifies key issues and trends and brings them to the attention of higher level staff members. Works with team members and managers to solve problems. Monitors financial models to support operational initiatives and analytical endeavors and enable decision-making on business and strategic matters. Provides on-going financial analyses. Tests and reconciles all financial models and analytic results. Quantifies the financial impact of opportunities or expenditures. Works on more complex financial analysis projects under the supervision of a more senior staff member. Monitors, analyzes and evaluates more complex data using statistical tools to identify variances, problems and trends. Generates regularly scheduled actuarial reports. Reviews and organizes actuarial and operational data for reports. Utilizes statistical tools to monitor and provide ongoing analysis of these reports, noting any aberrant data. May assist in the preparation of complex reports. Participates and work collaboratively in a variety of special studies and ad hoc analyses in support of departmental business and/or clinical objectives. Researches and resolves data integrity issues. Partners with other team members to solve problems. Acts as a resource to staff in other departments, providing information and explanations related to financial data as needed. May participate in workgroups or meetings. Perform ad hoc analysis as assigned. Qualifications Education & Requirements Minimum two (2) years of actuarial experience Healthcare and/or Medicaid experience is preferred Bachelor's degree from an accredited institution required Passed three (3) SOA exams - pursuing the designation of ASA (Associate) in the Society of Actuaries Key Qualifications SQL Programming knowledge is preferred Excellent interpersonal and communication skills (both oral & written) Ability to identify and resolve problems, think creatively, strategically and analytical Ability to work independently and take initiative Extremely organized, sharp attention to detail, strong work ethic, expansive learner Position is eligible for telecommuting/remote work location upon completing the necessary steps and receiving HR approval Start your journey towards a thriving future with IEHP and apply TODAY! Work Model Location Telecommute (All IEHP positions approved for telecommute or hybrid work locations may periodically be required to report to IEHP's main campus for mandatory in-person meetings or for other business needs as determined by IEHP leadership) Pay Range USD $91,249.60 - USD $120,910.40 /Yr.

As the Senior Vice President of Market and Client Services you will be a strategic leader responsible for driving market research, client satisfaction, retention, and revenue growth for both new and existing accounts. This role oversees executive-level client relationships and manages an internal team dedicated to providing ongoing client support. The SVP will focus on aligning with client priorities and building strong external relationships to ensure all strategic objectives are met. Key responsibilities include meeting and exceeding key performance indicators related to contractual commitments and delivering continuous value to clients. As a trusted advisor and subject matter expert, the SVP will build credibility and deep relationships within client accounts. This individual will leverage their expertise in business and technology to address both current and future-state solutions. Responsibilities Oversee all aspects of the account relationship, ensuring the ongoing success of engagements by developing a deep understanding of market dynamics, client needs, account details, and internal capabilities. Maintain continuous communication and leadership with account leadership, focusing on key priorities at both operational and executive levels. Lead the development and execution of account strategies and plans to ensure strong customer retention and growth. Collaborate closely with internal stakeholders across all functions and levels, including product, operations, and sales, to create a cohesive, efficient, and effective business team supporting the market. Stay informed on market and industry trends, as well as the competitive landscape, acting as a thought leader and consultant, and serving as a subject matter expert for our services. Build and develop a high-performing account management and client support team. Qualifications Bachelor's Degree with MBA desired. Minimum 15 years of managing clients in the home health or healthcare sector, with a focus on care delivery services and related technology solutions. In-depth understanding of patient care pathways in the post-acute care space, relevant to Commercial, Medicare, and Medicaid, along with the strategic and operational challenges faced by health plans and hospital systems. Familiarity with market and industry trends, as well as regulatory and legislative factors impacting healthcare decisions. Excellent communication skills, speaking and writing in a direct style, and can effectively frame opportunities and challenges for the team and client, and facilitate solutions Proven expertise in leading teams and fostering internal collaboration across complex organizations, while managing processes focused on achieving client KPIs. Strong executive presence with ability to work directly with senior management both externally and internally Excellent negotiation, change management and organizational skills Demonstrated experience in building and developing high-performing teams. Energy, drive, and passion to commit to a company in a strong growth phase, with an understanding of what it takes to retain and scale accounts. Impeccable ethical standards with a mission focused on improving healthcare. What we offer: Salary Range - $260000 - $300000 / year plus corporate bonus incentives Competitive base salary and annual performance bonuses Equity opportunities with Walgreens Health, Wellness & Financial: Medical, Dental, Vision, 401(k) with company match, HSA employer contributions, Dependent Care FSA employer contribution Work-Life Balance: Flex time off, fully remote work arrangement and wellness programs Award-winning culture that keeps our company values at the heart of everything we do: We Care; We Do the Right Thing; We Strive for Excellence; We Think BIG; We Take our Work Seriously, Not Ourselves CareCentrix maintains a drug-free workplace. #IDCC We are an equal opportunity employer. Employment selection and related decisions are made without regard to age, race, color, national origin, religion, sex, disability, sexual orientation, gender identification, or being a qualified disabled veteran or qualified veteran of the Vietnam era or any other category protected by Federal or State law. CareCentrix accepts applications on an ongoing basis until a candidate is identified.

As a Patient Billing Representative, you will research, resolve, and document approximately 30-35 inbound calls per day from patients, providers and health plan companies. You will respond to patient needs and help educate the patient in the role CareCentrix plays in their care. Hiring for multiple positions! Location: 100% Remote Start Date: Monday, 6/9th, 2025 Starting Pay: $17.50 / hour + monthly bonus incentives Training & Nesting Period: 4 to 6 Weeks Training & Nesting Hours - Monday - Friday 8:00am - 4:30pm EST Shift After Training - Monday - Friday 9:30am - 6:00pm EST Responsibilities In this Job you will: Investigate payment status/inquiries to determine patient out of pocket financial responsibility. Collect outstanding balances and offer patient's payment help through various financial options. Answer billing questions (explanation of benefits, balance, payments, and benefit information). Ensure prompt, efficient and accurate call resolution. Escalate patient issues and concerns as needed. This job is for you if: You enjoy working in a high-volume call center environment. You can gain/build instant rapport with people over the phone. You can demonstrate empathy and the patience to deal with difficult callers or complex requests. You are detail oriented and able to problem solve. You can comply with all company policies, including HIPAA/PHI policy. You strive to meet/exceed individual performance goals in the areas of: Call Quality, Adherence, Attendance and other Contact Center objectives. You are fun to work with! We are looking for team members who bring joy to the work they do. Qualifications You should get in touch if you have: High School Diploma or GED. Minimum 1 year Customer Service experience in a call center environment. Minimum 1 year of experience working in the healthcare or medical industry. Minimum 1 year of Billing experience preferred. Ability to navigate dual monitors and multiple applications. Intermediate keyboarding abilities (at least 30 WPM, data entry while active listening). Basic PC & Search Engine abilities (for example: use the mouse to click, troubleshooting, working with Microsoft Office, opening a browser, typing in URLs in the right location, bookmarking a site, and navigating the use of back/forward buttons). What we offer: Starting Pay for external hires is $17.50 / hour + Incentive Bonus Opportunity. The pay range included in this posting reflects future growth / earning potential. Full range of benefits including Health, Dental and Vision with HSA Employer Contributions and Dependent Care FSA Employer Match Generous PTO, 401K Savings Plan, Paid Parental Leave, free on-demand Virtual Fitness Training and more Advancement Opportunities, professional skills training, and tuition /exam reimbursement PayActiv - access earned income in between pay checks Walgreens Discount - receive up to 25% off eligible items Great culture with a sense of community CareCentrix maintains a drug-free workplace #IDCC We are an equal opportunity employer. Employment selection and related decisions are made without regard to age, race, color, national origin, religion, sex, disability, sexual orientation, gender identification, or being a qualified disabled veteran or qualified veteran of the Vietnam era or any other category protected by Federal or State law. CareCentrix accepts applications on an ongoing basis until a candidate is identified.

At this organization, you will provide compassionate care to patients grappling with chronic pain. In addition to traditional counseling responsibilities, candidates may also have the opportunity to fulfill aspects of a health coaching role, supporting patients in adopting holistic approaches to pain management and wellness. Quick job details: Setting: Remote Schedule: 15-30 hours per week Hours: Flexible / choose your own Job Requirements: LCSW License Must be licensed in NY Experience 2+ years Conduct virtual sessions with patients experiencing chronic pain. About Us: HealthPlus Staffing is National Leader in the Healthcare Staffing Industry. We partner up with top facilities nationwide with the focus of finding them highly qualified candidates. Our Promise: We will put you in front of the decision makers. We will provide feedback on your application. We will work on your behalf to obtain as much info as you need to make a well-informed decision. If interested in this position, please submit an application or call us at 561-291-7787 to speak with one of our highly experienced consultants. We look forward to finding your next position! The HealthPlus Team.

What you can expect! Find joy in serving others with IEHP! We welcome you to join us in "healing and inspiring the human spirit" and to pivot from a "job" opportunity to an authentic experience! Under the direction of the Enrollment Assistance Manager, the Enrollment Specialist is responsible for providing full-service application assistance to the uninsured, including screen for program eligibility, complete a Covered California or Medi-Cal application, and submit the application to Covered California or Medi-Cal Office on behalf the applicant. The Enrollment Specialist will follow-up on the submission to ensure the application is processed and a final decision is made on applicant's eligibility. The Enrollment Specialist will also outreach to auto-enrolled Covered California Members to help effectuate their membership. For newly enrolled Medi-Cal beneficiaries who want to enroll with IEHP, the Specialist will assist to complete a Health Plan Choice Form to be submitted for State approval. Additional responsibilities include inbound and outbound sales calls and follow-up calls to help potential Members apply for Covered California and/or Medi-Cal. The Enrollment Specialist will also support external off-site enrollment events upon request. This is a Bilingual (English/Spanish) position. The Team Member in this role must take a language proficiency assessment and must receive a passing score. Commitment to Quality: The IEHP Team is committed to incorporate IEHP's Quality Program goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation. Perks IEHP is not only committed to healing and inspiring the human spirit of our Members, but we also aim to match our team members with the same energy by providing prime benefits and more. * Competitive salary * CalPERS retirement * State of the art fitness center on-site * Medical Insurance with Dental and Vision * Life, short-term, and long-term disability options * Career advancement opportunities and professional development * Wellness programs that promote a healthy work-life balance * Flexible Spending Account - Health Care/Childcare * CalPERS retirement * 457(b) option with a contribution match * Paid life insurance for employees * Pet care insurance Education & Requirements * Three (3) years of experience in the following disciplines: * In-house sales * Outbound Sales Experience * High-volume telemarketing * High-volume consumer products/industrial distribution order taking * Customer Service in a high-call-volume environment * Outreach, Enrollment and Retention * High School diploma or GED required * Certification/License from Covered California (California's Health Exchange) to conduct Covered California and Medi-Cal Application is required * If not possessing a Certification at the time of hire, the candidate is required to obtain this Certification within six (6) months after been hired * This Certification needs to be renewed annually through an annual certification process conducted by Covered California * This is a bilingual position. Identified bilingual team members in this role must take a language proficiency assessment and must receive a passing score. Key Qualifications * Valid California Driver's License Preferred * Knowledge of the following areas: * Medi-Cal and/or Covered California eligibility * Customer service and phone etiquette * Expert knowledge in the following areas: * State Health Programs and the application and enrollment process * Both Open and Special Enrollment Period eligibility requirements * Skilled in data entry * Will work a normal (8 a.m. - 5 p.m. or 9 a.m. - 6 p.m.) workday with some weekends, but work schedules and hours may vary depending upon department needs and Renewal/Enrollment Periods * The Enrollment Specialist will be provided at least one week's notice when a managerial change of a work schedule and/or hours is required Start your journey towards a thriving future with IEHP and apply TODAY! Pay Range * $23.98 USD Hourly - $30.57 USD Hourly

First Healthcare Networks, LLC We are dedicated to the highest level of professional care to return our patients to optimal health, to enhance their quality of life and meet their social and emotional needs. We are a local Home Health agency clinician owned and operated. Job Description Administer medications and treatments, such as catheterizations, suppositories, irrigations, enemas, massages, and douches, as directed by a physician or nurse. Answer patients' call signals. Bathe, groom, shave, dress, and/or drape patients to prepare them for surgery, treatment, or examination. Clean rooms and change linens. Feed patients who are unable to feed themselves. Prepare, serve, and collect food trays. Provide patient care by supplying and emptying bed pans, applying dressings and supervising exercise routines. Provide patients with help walking, exercising, and moving in and out of bed. Transport patients to treatment units, using a wheelchair or stretcher. Turn and re-position bedridden patients, alone or with assistance, to prevent bedsores. Work as part of a medical team that examines and treats clinic outpatients. Answer phones and direct visitors. Collect specimens such as urine, feces, or sputum. Deliver messages, documents and specimens. Explain medical instructions to patients and family members. Maintain inventory by storing, preparing, sterilizing, and issuing supplies such as dressing packs and treatment trays. Observe patients' conditions, measuring and recording food and liquid intake and output and vital signs, and report changes to professional staff. Perform clerical duties such as processing documents and scheduling appointments. Restrain patients if necessary. Set up equipment such as oxygen tents, portable x-ray machines, and overhead irrigation bottles. Qualifications Must be holding current CNA VALID STATE BOARD LICENSE AT LEAST ONE YEAR OF EXPERIENCE IN HEALTH CARE SETTING Graduate from accredited school Be currently licensed through the Maryland Board of Nursing in good standing Current Valid CPR, Capability in meeting the patient needs. Additional Information

First Healthcare Networks, LLC We are dedicated to the highest level of professional. We are a local Home Health agency clinician owned and operated. Additional Information We look forward to receiving your application!All your information will be kept confidential according to EEO guidelines. First Health Care Network LLC 1408 golf course drive Bowie, 20721 United States Tel. +1 / 301 / 8083686 [email protected]

What you can expect! Find joy in serving others with IEHP! We welcome you to join us in "healing and inspiring the human spirit" and to pivot from a "job" opportunity to an authentic experience! Reporting to the Supervisor, Grievance & Appeals, the Grievance & Appeals Nurse, RN (G&A Nurse, RN) is responsible for working directly with the IPAs, Hospitals, internal IEHP departments, and the Grievance team to ensure Grievance and Appeal cases are processed per the Grievance Policy & Procedures and Department of Managed Health Care (DMHC)/ Department of Health Care Services (DHCS)/ Center for Medicare and Medicaid Services (CMS) regulations and NCQA. This position coordinates care, within the scope of their licensure, of members in conjunction with the member's PCP and IPA and/ or IEHP Team Members to provide continuous Quality-Of-Care and assist in the development of quality initiatives. The incumbent serves as a resource person to IEHP personnel, as well as external practitioners and providers. When designated, the G&A Nurse, RN will also be responsible for triaging and assigning Grievance and Appeals cases to ensure timeliness and regulatory requirements are met. The G&A Nurse, RN will support appropriate Grievance case categorization inclusive of Quality of Care, identification of member harm, in addition to the completion of required reporting to internal departments (e.g. Critical Incidents and Potential Quality Incidents) and external mandatory reporting (e.g. CPS and APS). Commitment to Quality: The IEHP Team is committed to incorporate IEHP's Quality Program goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation. Perks IEHP is not only committed to healing and inspiring the human spirit of our Members, but we also aim to match our team members with the same energy by providing prime benefits and more. * Competitive salary * CalPERS retirement * State of the art fitness center on-site * Medical Insurance with Dental and Vision * Life, short-term, and long-term disability options * Career advancement opportunities and professional development * Wellness programs that promote a healthy work-life balance * Flexible Spending Account - Health Care/Childcare * CalPERS retirement * 457(b) option with a contribution match * Paid life insurance for employees * Pet care insurance Education & Requirements * Two (2) or more years of experience as an RN in case management, utilization management in managed care setting or related experience in a health care delivery setting * Two (2) or more years of experience as an RN in clinical nursing in a hands-on patient care delivery setting * Experience in an HMO or experience in managed care setting preferred * Associate's degree in nursing from an accredited institution required * Bachelor's degree in nursing from an accredited institution preferred * Minimum possession of an active, unrestricted, and unencumbered Registered Nurse (RN) license issued by the California Board of Registered Nursing required Key Qualifications * Knowledge of: * Outside agencies and resources such as CCS, CMS, DMHC, or DHCS * Patient rights and ethical decision-making frameworks * Medical necessity and level of care, chronic disease and complex clinical cases * Diagnostic and procedural understanding in a clinical setting. * Regulatory guidelines surrounding grievances and appeals per CMS, DHCS, and DMHC and NCQA. * Member and Provider legal rights to access the grievance and appeals resolution process, within the respective Provider Organization, DHCS, DMHC, and CMS, and/or IEHP * Microcomputer applications: spreadsheet, database, and word processing; Excellent interpersonal and communication skills * Time management and priority setting skills * Proven ability to: * Demonstrate a commitment to incorporate LEAN principles into daily work * Work effectively with various internal departments and external Providers and entities * Assess complex Grievance & Appeal cases and recommend appropriate action * Analyze documentation of incoming cases to determine appropriateness of care and applicable next steps * Effectively escalate issues as identified, following established protocols * Maintain a positive attitude and work in a team setting * Word processing and data entry involving computer keyboard and screens, automobile travel within the Inland Empire * While performing the duties of this job, the employee is occasionally required to stand; walk; sit; use hands to finger, handle, or feel objects, tools or controls; reach with hands and arms; climb stairs; balance; stoop, kneel, crouch or crawl; talk or hear; and taste or smell * The employee must occasionally lift or move up to 25 pounds * Specific vision abilities required by the job include close vision, distance vision, color vision, peripheral vision, depth perception and the ability to adjust focus Start your journey towards a thriving future with IEHP and apply TODAY! Pay Range * $91,249.60 USD Annually - $120,910.40 USD Annually

What you can expect! Find joy in serving others with IEHP! We welcome you to join us in "healing and inspiring the human spirit" and to pivot from a "job" opportunity to an authentic experience! Under the direction of the Department Leadership, the Data Engineer III is responsible for the design, planning and development of IEHP data solutions. The Data Engineer III will lead the design and development of data transformation. This position will be involved in data architecture. The Data Engineer III is expected to lead by example. In this role the Data Engineer III will follow coding standards throughout all aspects of the solution development to produce efficient and high-quality solutions, in addition to collaboration with, inter-departments to ensure member needs are met while simultaneously building strong peer relationships. Key Responsibilities: 1. Design, develop and implement reliable and effective data solutions based on business requirements. 2. Maintain process design artifacts like data flow diagrams, end user process maps and technical design documents. 3. Find trends in data sets and develop algorithms to help make raw data more useful to IEHP. 4. Create and maintain optimal data pipeline architecture that meet security standards. 5. Identify, design, and implement internal process improvements: automating manual processes, optimizing data delivery, re-designing infrastructure for greater scalability. 6. Develop best practices for database design and development activities. 7. Create complex functions, scripts, and services to support the Data Services team. 8. Ensure all data solutions meet company and performance requirements. 9. Work under minimal supervision with wide latitude for independent judgment. 10. Conduct code reviews. 11. Direct and mentor some level I and II engineers. 12. Serve as a subject matter expert in key business projects. 13. Recommend improvements to existing Data Services processes as necessary. 14. Provide detailed analysis of data issues; data mapping; and the process for automation and enhancement of data quality. 15. Analyze and integrate new technologies with existing applications to improve the design and functionality of applications. 16. Maintain proficient programming skills in REST web services, C#.NET, TSQL, XML, JSON, and other relevant languages and/or frameworks. 17. Develop and automate solutions to consume data from multiple data sources, including external API 18. Program and modify code in languages like Java, Json, Python, and Spark to support and implement Data Warehouse solutions. 19. Design and deploy enterprise-scale cloud infrastructure solutions. 20. Research, analyze, recommend and select technical approaches for solving difficult and meaningful development and integration problems. 21. Work closely with the Data and Engineering teams to design best in class Azure implementations. 22. Clearly and regularly communicate with management, colleagues, and domain units. Commitment to Quality: The IEHP Team is committed to incorporate IEHP's Quality Program goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation. Perks IEHP is not only committed to healing and inspiring the human spirit of our Members, but we also aim to match our team members with the same energy by providing prime benefits and more. * Competitive salary. * Hybrid schedule. * CalPERS retirement. * State of the art fitness center on-site. * Medical Insurance with Dental and Vision. * Life, short-term, and long-term disability options * Career advancement opportunities and professional development. * Wellness programs that promote a healthy work-life balance. * Flexible Spending Account - Health Care/Childcare * CalPERS retirement * 457(b) option with a contribution match * Paid life insurance for employees * Pet care insurance Education & Experience * Minimum of eight (8) years of experience in provisioning, configuring, and developing solutions in Azure Data Lake, Azure Data Factory, Azure SQL Data Warehouse, Azure Synapse and Cosmos DB. * Eight (8) years implementing software development methodologies. * Eight (8) years working with relational databases. Experience building and optimizing big data pipelines, architectures, and data sets. * Experience performing root cause analysis on internal and external data and processes. Experience using Source Control and management tools such as Azure DevOps and Gitlab/GitHub. Experience transforming requirements into Design Concepts and ERDs using Visio and similar tools. * Of the total eight, a minimum of five (5) years of hands-on experience with cloud orchestration and automation tools and CI/CD pipeline creation is required. * Bachelor's degree in a quantitative discipline such as Computer Science, Statistics, Mathematics or Engineering from an accredited institution required. Key Qualifications * Strong knowledge and understanding in the following areas: * DevOps, Python or Java or Json, (HL7/ FHIR is a plus) * Applicable data privacy practices and laws * common SDLC models (Waterfall, Agile - Scrum and Kanban) * Practice of DevOps * Non-relational database (NoSQL) designs using MongoDB and others * Relational databases like MS SQL Server * Fluency with at least one scripting or programming language such as Python. * Message queuing, stream processing, and highly scalable 'big data' data stores. Start your journey towards a thriving future with IEHP and apply TODAY! Pay Range * $118,601.60 USD Annually - $157,144.00 USD Annually

What you can expect! Find joy in serving others with IEHP! We welcome you to join us in "healing and inspiring the human spirit" and to pivot from a "job" opportunity to an authentic experience! Under leadership of the Supervisor of Finance Analytics - Commercial Finance, the Financial Analyst II - Commercial Finance will complete a variety of specialized duties related to financial reconciliation of premium invoicing and payments from various sources, monitoring of BPO vendor, collaborating with cross-departmental teams to resolve payment issues, and ad-hoc analysis as it relates to commercial products. This role will work with large data sets and develop moderate SQL queries. Key Responsibilities: 1. Monitor and respond to inquiries, both internally and externally, regarding premium invoicing. 2. Analyze over- or under-premium payments and submit findings for leadership review. 3. Perform research into member premium issues and/discrepancies and provides recommendations on solutions. 4. Program simple to moderate SQL queries to perform reconciliation of various revenue streams (i.e.: Member payments, APTC payments, state credit/subsidies) to ensure Member accounts are accurate. 5. Resolve payment disputes received from the merchant services vendor and lockbox decisioning items received from bank lockbox to ensure funds are accurately applied to member accounts in a timely manner. 6. Work with print vendor to create/update premium billing notifications and member notices as it pertains to premium payments, as required by regulatory guidelines. 7. Coordinate with BPO vendor for programming modifications and/or other business needs. 8. Perform detailed analysis of refund requests and/or overpayments and process member refunds. 9. Perform verification of internal and external broker commission payments to ensure accuracy of payments. 10. Prepare month end reports and/or journal entries for monthly financial reporting and management reporting requirements. 11. Perform accurate interpretation of regulatory requirements as it pertains to premium billing activities, member notices as it relates to member premiums, and revenue reconciliation requirements. 12. Act as a trusted resource for the organization and consistently demonstrates IEHP organizational values while building and maintaining strong internal relationships. 13. Demonstrate a commitment to incorporate LEAN principles into daily work. 14. Any other duties as required ensuring Health Plan operations are successful. Commitment to Quality: The IEHP Team is committed to incorporate IEHP's Quality Program goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation. Perks IEHP is not only committed to healing and inspiring the human spirit of our Members; we also aim to match our Team Members with the same energy by providing prime benefits and more. * This is a full remote position. California residency required. * CalPERS retirement * 457(b) option with a contribution match * Generous paid time off- vacation, holidays, sick * State of the art fitness center on-site * Medical Insurance with Dental and Vision * Paid life insurance for employees with additional options * Short-term, and long-term disability options * Pet care insurance * Flexible Spending Account - Health Care/Childcare * Wellness programs that promote a healthy work-life balance * Career advancement opportunities and professional development * Competitive salary with annual merit increase * Team bonus opportunities Education & Experience * Minimum three (3) years of premium billing, premium and membership reconciliation, and/or premium reporting experience. Experience working with other finance teams to support monthly financial reporting. Experience working with large data sets and developing moderate SQL queries. Managed care experience related to commercial products required. * Bachelor's degree in Finance, Business Administration, Economics, Health Care Administration, Accounting, or other related field from an accredited institution required. Key Qualifications * Strong knowledge and practical application of premium billing practices in the healthcare industry. * Working knowledge of generally accepted accounting principles (GAAP) and practical application of general accounting theory. * Must have SQL Server query development and writing skills. * Intermediate skills in utilizing Excel and Word. * Strong communication abilities (both written and verbal) and problem-solving skills. * Strong critical thinking, analytical, problem solving, and prioritizing skills. * Strong initiative to meet established deadlines. * High level of attention to detail is required. * Be able to communicate effectively at all organizational levels both orally and written. Start your journey towards a thriving future with IEHP and apply TODAY! Pay Range * $80,059.20 USD Annually - $106,059.20 USD Annually

Looking for meaningful work with an Organization that values you? It's here! Monroe Plan for Medical Care is hiring Care Managers in the Albany area! Join our team of dedicated, caring professionals in our passionate pursuit of improved access and quality of healthcare for underserved populations. For over 50 years, Monroe Plan for Medical Care, a not-for-profit health care services organization, has been focused on improving the health status of individuals and families who are recipients of government sponsored health insurance. Monroe Plan is the largest Care Management Agencies serving 28 counties and over 3000 members with an outstanding reputation for excellence throughout our service area! We've earned that reputation by providing quality care management focused on compassion, empowerment, and teamwork. Our award-winning work culture is built on these same principles! When you join our team, you can expect to reap the intrinsic rewards of serving others while enjoying flexible work arrangements, competitive pay, superior benefits, and a supportive, inclusive culture! Candidate must be willing to travel throughout the Binghamton area; candidate should have previous experience working with adults. Grade 207: This is a full time position, working from home. The minimum and maximum annual salary that Monroe Plan believes in good faith to be accurate for this position at the time of this posting are $46,948 - $57,380. In addition to your salary, Monroe Plan offers a comprehensive benefits package (all benefits are subject to eligibility requirements) and non-monetary perks. The company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws. POSITION SUMMARY Provides care management services to specific population eligible for Health Home services. Provides information, referrals, and/or care management on health and psychosocial issues. This position works with substantial independence in the field, with consultation available from Team Lead and/or Supervisor, as needed. ESSENTIAL JOB DUTIES/FUNCTIONS % of Time Essential Function 50% Care Management * Receives referrals of members for Health Home services from internal and external sources. * Contacts referral within appropriate timeframe, addresses any urgent /emergent issues and schedules an appointment for a face-to-face intake, within required time frame. * Conducts comprehensive bio-psycho-social assessments for adults and/or children using NYS and agency approved processes and documents. * Develops therapeutic relationship with member utilizing person centered interventions based on the member's level of activation and presenting conditions. * Coordinates services through communication with all identified health and community providers/agencies connected to the member. * Develops a Person-Centered Plan of Care with the member and involved providers. * Disseminates this information to all individuals who are involved in members' care, as approved by member. * Interviews referrals and their families to collect data, disseminate pre-approved health education information. * Determines need and makes recommendations for continuation of or change in services. * Maintains, at minimum, monthly telephonic contact with the member and an in-person visits at minimum once every three months. Contacts may be more often depending upon the acuity and/or complexity of the member's current condition or situation. If staff manage members that are in a program that requires a higher level of engagement such as Health Home Plus or Children's, the required number of contacts and core services are made. Seeks out consultation/information for complex medical, behavioral health or psycho-social needs, as needed. * Recognizes cultural differences, demonstrates responsiveness to those differences when working with members and others in the community. * Travels as required for home visits and other community activities. * Adheres to Monroe Plan professional boundaries and protocols. 30% Documentation * Completes all required documentation in a complete, clear, concise and timely fashion insuring that the information presented is readily understood and actionable by team members. * Must show aptitude in software platforms used within the program within 3 months of initial training and/or 6 months of hire, whichever comes first. * Completes all necessary assessments to include a comprehensive assessment as required by the Health Home hub, Health Home authorization, HML assessment within regulatory time frames, and any other documentation requirements as defined by each Health Home hub. * Documentation of a Person-Centered Care Plan, in collaboration with the client and providers * Review and update of assessments, as mandated by regulations. * Maintains documentation that is thorough, clearly written, and reflective of members' plan of care activities. Documentation needs to be completed at minimum 1x/month and more often as contacts and actions occur in the members' case and/or as needed for specific program requirements. * Documents in electronic record regarding care management/coaching activities and termination as appropriate. 15% Collaboration * Participates as a member of multi-disciplinary Care Management team. * Initiates and facilitates member focused meetings to include the member, community providers and significant others, as identified by member for the purpose of care coordination and establishment of a natural support group. * Participates in inter-agency teams to enhance the work environment and provision of services for members. * Participate effectively as a team member within the Monroe Plan team by fostering a positive working relationship with members, providers, and Monroe Plan staff; working effectively with others to coordinate member and access care support services; supporting team members for cross coverage as workload dictates. * Collaborate with other members of Health Home staff related to member needs, barriers to care and outcome enhancement strategies. * Manages conflict to support a positive outcome. * Participate in community activities to promote health and public awareness using Monroe Plan specified materials. * Assists in locating members in the community through home visits and collaboration with known providers. * Attend and participate in in-service training. 10% Communication * Presents in a professional and articulate manner that supports the development of a therapeutic relationship with the member and community providers. * Provide feedback to providers regarding the progress made and barriers encountered by their patients. * Demonstrates listening skills to support member engagement and development of a person-centered plan of care. * Provide program information to members and providers, and other organizations as requested to introduce and support program participation. OTHER FUNCTIONS AND RESPONSIBILITIES Position Limitations: * Cannot perform any tasks which are governed by license or registration (i.e. cannot answer questions or make recommendations RE diagnosis, medications or treatment). * Cannot transport active Monroe Plan members at any time. * Cannot perform hands on care. MINIMUM REQUIREMENTS/LICENSES/CERTIFICATIONS * Master's degree in Social Work, Psychology, Nursing, Rehabilitation, Education, OT, PT, Recreation, Counseling, Community Mental Health, Child & Family Studies, Sociology, Speech & Hearing or other Human Services field AND 1 year of experience providing direct services to people with Serious Mental Illness, developmental disabilities, alcoholism or substance abuse and/or children with SED; or linking individuals with Serious Mental Illness, children with SED, developmental disabilities and/or alcoholism or substance abuse to a broad range of services essential to successful living in a community setting. * Bachelor's degree in Social Work, Psychology, Nursing, Rehabilitation, Education, OT, PT, Recreation, Counseling, Community Mental Health, Child & Family Studies, Sociology, Speech & Hearing or other Human Services field AND 2 years of experience providing direct services to people with Serious Mental Illness, developmental disabilities, alcoholism or substance abuse and/or children with SED; or linking individuals with Serious Mental Illness, children with SED, developmental disabilities and/or alcoholism or substance abuse to a broad range of services essential to successful living in a community setting. * Credentialed Alcoholism and Substance Abuse Counselor (CASAC) AND 2 years of experience providing direct services to people with Serious Mental Illness, developmental disabilities, alcoholism or substance abuse and/or children with SED; or linking individuals with Serious Mental Illness, children with SED, developmental disabilities and/or alcoholism or substance abuse to a broad range of services essential to successful living in a community setting. * Bachelor's degree or higher in ANY field with either 3 years of experience providing direct services to people with Serious Mental Illness, developmental disabilities, alcoholism or substance abuse and/or children with SED; or linking individuals with Serious Mental Illness, children with SED, developmental disabilities and/or alcoholism or substance abuse to a broad range of services essential to successful living in a community setting OR 2 years of experience as a Health Home Care Manager serving the SMI or SED population. * Demonstrates ability to respect individual/family diversity and maintain confidentiality. * Demonstrates ability to work as a team member. * Knowledge of and ability to work collaboratively with providers and county/community health and human services. * Ability to demonstrate excellent communication skills both oral and written as well as strong interpersonal skills. * Proven ability to work independently and to manage time appropriately * Strong organizational skills. * Computer literate. * Candidates will need a NYS driver's license and to own or have access to reliable transportation that enables them to fulfill travel requirements of the job including but not limited to, daily visits to members' homes. Preferred Qualifications * Previous experience working as a Health Home Care Manager PHI MINIMUM NECESSARY USE: This staff position PHI access will be determined based on Minimum Necessary standards. The Minimum Necessary Grid can be found on the Human Resources and Compliance Web pages. This job description is only a summary of the typical functions of the job, not an exhaustive or comprehensive list of all possible job responsibilities, tasks and duties. Additional responsibilities, tasks and duties may be assigned as necessary. Monroe Plan for Medical Care is an Equal Opportunity Employer

HealthPlus Staffing is assisting one of our prestigious clients with their search for a PCP for their clinics in Charlottesville, VA Call: No Support: Full support staff Patient Load: 2-2.5 patients per hour EMR: eClinical Works Credentialing: 4-6 weeks. Requirements: BC in FM or IM and Peds certification, active VA license Compensation: up to $265k Benefits: Full Benefits If interested in this opportunity, please submit an application immediately. The HealthPlus Team

div itemprop="description"section class="job-section" id="st-company Description"divp class="googlejobs-paragraph--empty"/ph2 class="title"Company Description/h2/divdiv class="wysiwyg"pVirginia Premier Health Plan is a managed care organization owned by the Virginia Commonwealth University Medical Center, meets the needs of underserved and vulnerable populations in Virginia by delivering quality driven, culturally sensitive and financially viable healthcare. br/ br/We are committed to recruiting, employing and retaining individuals who will live our philosophy of providing the best service to our members, providers, vendors and internal customers. br/ br/With locations all across the state of Virginia, we are proud of our track record of developing and promoting our employees. We encourage our employees to take advantage of our multiple ways to continue their education, including our generous Tuition Reimbursement Program. We are committed to the continuous growth and development of our most valuable asset, our employees. br/ br/We hope you will take the time to explore the opportunities to join our team. Our commitment to our employees continues to bring us great recognition as a company that truly makes a difference in the community. br/br/We are an organization that is continuously growing. Come grow with us. /p/div/sectionsection class="job-section" id="st-"divp class="googlejobs-paragraph--empty"/ph2 class="title"Job Description/h2/divdiv class="wysiwyg" itemprop="responsibilities"pPOSITION OVERVIEW /ppspan Responsible for leadership and management of case management staff, including operational decisions, daily clinical decisions, process improvement, staff development, and compliance with VPHP policies and procedures. /spanbr//ppspan POSITION DUTIES AND RESPONSIBILITIES /spanspan /span/pp•Supervises Case/Care Management (CM), Social Work (SW) and other support staff according to VPHP's policy and procedures to assure that CM reviews and SW activities are accurate, consistent, and performed in a timely manner. /pp•Assists with the development of CM and SW staff onboarding and training programs. /pp•Coaches staff and supports healthy team dynamics. /pp•Serves in an advisory capacity for problem solving, reviewing reports being sent to internal and external customers, reviewing problematic cases, and monitor case management activities. /pp•Review specialized reports to identify trends and opportunities for improvement to enhance relationships with the provider network and service to members. /pp•Ensure requirements for auditing CM decisions, documentation and quality are being met. /pp•Assists Director of CM with ongoing Quality Improvement Program by assisting with various quality review tasks such as collecting and analyzing data as outlined in the program. /pp•Assists in the ongoing development of programs and medical management projects to enhance/expand the medical management department. /pp•Maintains confidentiality of patient information, and VPHP proprietary operational information. /pp•Maintains current knowledge of VPHP policies and procedures. /pp•Participates in continuing education activities as appropriate. /pp•Participates in community programs (which may occur outside of normal business hours). /pp•This position provides services and demonstrates the knowledge and ability to meet the specific needs of the following age groups: All Infant Adult Child Geriatric /pp•Other duties as assigned. /ppbr//p/div/sectionsection class="job-section" id="st-qualifications"divp class="googlejobs-paragraph--empty"/ph2 class="title"Qualifications/h2/divdiv class="wysiwyg" itemprop="qualifications"pSPECIAL KNOWLEDGE AND/OR SKILLS/pp•Excellent problem solving skills /pp•Patient assessment skills /pp•Knowledge of community resources and vendor options, and experience in making appropriate referrals /pp•Ability to negotiate with providers and vendors /pp•Demonstrates excellent verbal and written communications /pp•Demonstrates working knowledge of computers and word processing programs /pp•Ability to build and support successful work teams /pp•Possess knowledge of ICD-9 and CPT4 coding /pp•Knowledge of Six Sigma Lean methodology or other Performance Improvement methodology /ppbr//pp WORK BACKGROUND/EXPERIENCE /pp•Case management experience, preferably in a managed care environment /pp•Management experience /pp•Experience in clinical nursing /pp•Experience working with low income disadvantaged populations. /ppbr//pp REQUIREMENTS: /pp•Registered Nurse licensed to practice nursing in Virginia /pp•Bachelor's degree /pp•Certified Case Manager (CCM), preferred /pp•Management experience /ppbr//pp PHYSICAL REQUIREMENTS /ppbr//pp Physical health sufficient to meet the ergonomic standards and demands of the position. /ppbr//p/div/sectionsection class="job-section" id="st-additional Information"divp class="googlejobs-paragraph--empty"/ph2 class="title"Additional Information/h2/divdiv class="wysiwyg" itemprop="incentives"pQualified candidates please apply online at ************ appone. com/MainInfoReq. asp?R_ID=942449/ppbr//pp EOE/p/div/section/div

What you can expect! Find joy in serving others with IEHP! We welcome you to join us in "healing and inspiring the human spirit" and to pivot from a "job" opportunity to an authentic experience! This position is responsible for performing actuarial analytic support to the department that helps drive company key initiatives. Commitment to Quality: The IEHP Team is committed to incorporate IEHP's Quality Program goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation. Perks IEHP is not only committed to healing and inspiring the human spirit of our Members, but we also aim to match our team members with the same energy by providing prime benefits and more. * Competitive salary * CalPERS retirement * State of the art fitness center on-site * Medical Insurance with Dental and Vision * Life, short-term, and long-term disability options * Career advancement opportunities and professional development * Wellness programs that promote a healthy work-life balance * Flexible Spending Account - Health Care/Childcare * CalPERS retirement * 457(b) option with a contribution match * Paid life insurance for employees * Pet care insurance Education & Requirements * Minimum two (2) years of actuarial experience * Healthcare and/or Medicaid experience is preferred * Bachelor's degree from an accredited institution required * Passed three (3) SOA exams - pursuing the designation of ASA (Associate) in the Society of Actuaries Key Qualifications * SQL Programming knowledge is preferred * Excellent interpersonal and communication skills (both oral & written) * Ability to identify and resolve problems, think creatively, strategically and analytical * Ability to work independently and take initiative * Extremely organized, sharp attention to detail, strong work ethic, expansive learner * Position is eligible for telecommuting/remote work location upon completing the necessary steps and receiving HR approval Start your journey towards a thriving future with IEHP and apply TODAY! Pay Range * $91,249.60 USD Annually - $120,910.40 USD Annually

First Healthcare Networks, LLC We are dedicated to the highest level of professional care to return our patients to optimal health, to enhance their quality of life and meet their social and emotional needs. We are a local Home Health agency clinician owned and operated. Job Description Caregiver for elderly man. Saturday 10am until 5pm and Sunday 10am-1pm. Qualifications CNA Additional Information Job starts 7/2/2016

Quick job details: Position: Primary Care (Full-Time) Schedule: Mon - Fri Patient population: Geriatric Patient Load: 22-24 per day EMR: DASH Designed & built for clinic allowing for 50% less dictation Compensation: 260K base Benefits: Full Benefits Requirements: Must be board certified in FM or IM On-site resources: Cardiologist, Podiatrist, Acupuncturist, Social worker Lab, X-Ray, Ultra Sound Dispensary of over 200 meds - No narcotics About Us: HealthPlus Staffing is National Leader in the Healthcare Staffing Industry. We partner up with top facilities nationwide with the focus of finding them highly qualified candidates. Our Promise: We will put you in front of the decision makers. We will provide feedback on your application. We will work on your behalf to obtain as much info as you need to make a well-informed decision. If interested in this position, please submit an application or call us at 561-291-7787 to speak with one of our highly experienced consultants. We look forward to finding your next position! The HealthPlus Team.