Pennsylvania or Maryland or Washington or North Carolina or Louisiana or Kentucky or Kansas or Indiana or Illinois or Georgia or Iowa or Florida or Colorado or California or Delaware or Connecticut or Arkansas or Arizona or Alabama or Alaska or Nevada or Vermont or Tennessee or Idaho or Oklahoma or Hawaii or Mississippi or Utah or New Hampshire or New Mexico or Wyoming or North Dakota or South Dakota or Rhode Island or West Virginia or Montana or Texas or District of Columbia or Ohio or New Jersey or Oregon or South Carolina or Missouri or Virginia or Massachusetts or Nebraska or Minnesota or Michigan or Wisconsin or New York or Maine
$34-$54/hrRemoteFull Time
Highmark Health: Provides health insurance and integrated medical care services.
Associate's degree in finance/accounting/business or related required; experience in finance, contracting, or data analysis; Microsoft Office and Epic experience; strong analytical and communication skills.
Microsoft Office, Microsoft Excel, Microsoft PowerPoint, Epic, R, Python
GBMC HealthCare: Provides hospital, primary care, and hospice medical services.
2+ YOEBachelor of Science in Nursing required, with at least 2 years of diversified progressive acute care or related experience. Requires clinical assessment, education, communication, problem-solving, analytical, and computer skills.
EMR, e-mail, Internet, word processing, spreadsheets, presentation, database
MedStar Health: Providing comprehensive healthcare services and patient care.
3+ YOERegistered Nurse licensed in Maryland, ADN required (BSN preferred), 3+ years experience including ≥1 year case management, CCM preferred, valid in-state driver\u0000s license, EMR and Microsoft Word/Excel proficiency, strong communication and analytical skills.
Manager, Medicaid Market Research and Competitive Analysis
Virginia or Idaho or Arkansas or Vermont or Georgia or Texas or Minnesota or New Mexico or Iowa or Michigan or Maine or New York or Kansas or New Jersey or Nebraska or Connecticut or Louisiana or Tennessee or Kentucky or Ohio or Oklahoma or Maryland or Alabama or Utah or Arizona or Illinois or South Dakota or North Carolina or Florida or Pennsylvania or Wyoming or Delaware
$60k-$133k/yrRemoteFull Time
CVS HealthNYSE: CVS: Provides retail pharmacy, health insurance, and pharmacy benefit management services.
5+ YOE5+ years in Medicaid managed care and 5+ years in market research/competitive intelligence; strong PowerPoint and analytic skills; proficiency with Microsoft Word, Excel, SharePoint; willingness to travel up to 25%.
Microsoft Word, Microsoft Excel, Microsoft SharePoint, Microsoft PowerPoint
Alabama or Arkansas or Connecticut or Delaware or Florida or Georgia or Illinois or Indiana or Iowa or Kansas or Kentucky or Louisiana or Maine or Maryland or Massachusetts or Michigan or Minnesota or Mississippi or Missouri or Nebraska or New Hampshire or New Jersey or New York or North Carolina or North Dakota or Ohio or Oklahoma or Pennsylvania or Rhode Island or South Carolina or South Dakota or Tennessee or Texas or Vermont or Virginia or District of Columbia or West Virginia or Wisconsin
$56k-$81k/yrRemoteFull Time
Genworth FinancialNYSE: GNW: Provides insurance products for aging care and mortgage protection.
5+ YOE5+ years relevant experience (social worker or RN) with geriatric case management, knowledge of Medicaid/Medicare, Area Agency on Aging resources, discharge planning, strong communication and analytic skills.
University of Maryland Medical System: Operates hospitals and clinics providing comprehensive medical healthcare services.
Active Maryland RN license required; knowledge of managed care, discharge planning, utilization management, strong communication and analytical skills, ability to use hospital case management software.
Alabama or Arkansas or Connecticut or Delaware or Florida or Georgia or Illinois or Indiana or Iowa or Kansas or Kentucky or Louisiana or Maine or Maryland or Massachusetts or Michigan or Minnesota or Mississippi or Missouri or Nebraska or New Hampshire or New Jersey or New York or North Carolina or North Dakota or Ohio or Oklahoma or Pennsylvania or Rhode Island or South Carolina or South Dakota or Tennessee or Texas or Vermont or Virginia or District of Columbia or West Virginia or Wisconsin
$56k-$81k/yrRemoteFull Time
CareScout: A startup subsidiary redesigning the long-term care experience to make aging and caregiving simpler and more dignified.
5+ YOE5+ years geriatric case management or related experience; social worker or RN background; knowledge of Medicaid/Medicare, Area Agency on Aging resources, discharge planning; strong communication and analytic skills.
Winchester or Alabama or Delaware or Florida or Georgia or Idaho or Indiana or Kansas or Louisiana or Maine or Maryland or Minnesota or Nebraska or Nevada or New Hampshire or North Carolina or North Dakota or Ohio or Oklahoma or Pennsylvania or South Carolina or South Dakota or Tennessee or Texas or Utah or Virginia or Washington or West Virginia or Wisconsin or Wyoming
RemoteFull Time
Sentara Health: Operates hospitals and provides health insurance and medical services
3+ YOEActive RN license, 3+ years nursing experience, case management/managed care/discharge planning preferred, Associates required (Bachelors preferred), strong communication and analytical skills.
Smith & NephewLondon Stock Exchange: SN: Develops medical equipment for tissue repair, regeneration, and replacement.
2+ YOEBachelor's degree or equivalent experience, 2+ years of B2B, direct selling, or medical sales experience, strong analytical and presentation skills, and complex sales process experience.
15+ YOE15+ years leading digital customer experience, commerce, product, or customer care; proven cross-functional leadership; expertise in digital platforms, personalization, analytics, and service transformation.
Prescott or Alabama or Alaska or Arkansas or Arizona or Colorado or Florida or Georgia or Iowa or Idaho or Illinois or Indiana or Kansas or Louisiana or Maryland or Minnesota or Missouri or Mississippi or North Carolina or North Dakota or Nebraska or New Mexico or Ohio or Oklahoma or Oregon or Pennsylvania or South Carolina or Tennessee or Texas or Utah
RemoteFull Time
Cable OneNYSE: CABO: Provides broadband internet, cable television, and digital phone services.
2+ YOEHigh school diploma or GED required; two years of customer service, retention, sales, or supervisory experience preferred, with leadership, coaching, communication, analytical, and problem-solving skills.
Director of Value-Based Care and Clinical Transformation (674240)
Hanover, Maryland, United States
$49-$78/hrHybridFull Time
Johns Hopkins Health System: Provides clinical care, medical research, and health education services.
10+ YOEBachelor's degree in business, finance, healthcare administration, or a clinical field; 10+ years of progressive healthcare experience, including value-based care models and strong financial and analytical skills.
Alabama or Alaska or Arizona or Arkansas or Connecticut or Florida or Georgia or Idaho or Indiana or Iowa or Kansas or Kentucky or Louisiana or Maryland or Michigan or Mississippi or Missouri or Montana or Nebraska or Nevada or New Hampshire or New Mexico or North Carolina or Oklahoma or Rhode Island or South Carolina or South Dakota or Tennessee or Texas or Utah or Virginia or West Virginia or Wisconsin
RemoteFull Time
Samaritan Health Services: Operates a regional network of non-profit hospitals and clinics.
4+ YOEBachelor\u0002s or equivalent, 4 years payer/ACO/value-based care experience, advanced Excel and Power BI/Tableau, knowledge of Medicare Advantage/Medicaid/NCQA, strong analytical and communication skills.
Senior Clinical Customer Success Manager, iQueue for Inpatient Flow
Alaska or Arizona or California or Colorado or Connecticut or District of Columbia or Florida or Georgia or Iowa or Illinois or Indiana or Kansas or Louisiana or Massachusetts or Maryland or Maine or Michigan or Missouri or Montana or North Carolina or New Hampshire or New Jersey or Nevada or New York or Ohio or Oregon or Pennsylvania or South Carolina or Tennessee or Texas or Utah or Virginia or Washington or Wisconsin or West Virginia or Illinois or Santa Clara or Charlotte
$120k-$150k/yrRemoteFull Time
LeanTaaS: AI-powered hospital operations and capacity management software.
7+ YOERN with BSN, 7+ years clinical (inpatient preferred), experience with acute care workflows, analytics mindset, EHR (Epic/Cerner) experience, strong communication and change management skills; willingness to travel 25–50%.
Salt Lake City or Alabama or Arizona or California or Colorado or Connecticut or District of Columbia or Florida or Georgia or Idaho or Indiana or Maine or Maryland or Massachusetts or Nevada or New Jersey or New York or North Carolina or Ohio or Oregon or Tennessee or Texas or Utah or Washington
RemoteFull Time
Tava Health: Virtual mental health platform connecting employees with licensed therapists.
6+ YOEBachelor's degree,6+ years lifecycle/CRM/email marketing experience,expertise with marketing automation platforms,event tracking and data infrastructure,HTML/CSS and templating,analytical and copywriting skills,care for HIPAA compliance.
Lead Charges and Claims Specialist (Chesapeake Specialty Care)
Annapolis, Maryland, United States
$44k-$66k/yrOnsiteFull Time
University of Maryland Faculty Physicians: Manages clinical and administrative operations for university faculty physicians.
4+ YOE1+ MgmtHigh school diploma required; 4–5 years medical billing and claims experience; 1–2 years leadership preferred. Requires payer, coding, denial management, EHR, analytical, communication, and organizational skills.
CPT, HCPCS, ICD-10, practice management systems, clearinghouses, EHR, Microsoft Word, Microsoft Excel, Microsoft Outlook
Arizona or California or Florida or Georgia or Illinois or Indiana or Iowa or Maryland or Massachusetts or Michigan or Minnesota or New Hampshire or New Jersey or New York or North Carolina or Pennsylvania or Rhode Island or South Carolina or Tennessee or Texas or Virginia or Washington
$120k-$145k/yrHybridFull Time
Cinqcare: Providing in-home medical and social care to underserved communities.
5+ YOERequires 5+ years in practice-facing, account management, or provider relations within value-based, managed, or provider care organizations; contract performance analysis, leadership relationship ownership, and value-based care knowledge.
Microsoft Excel, payer portals, analytics platforms
AstraZenecaLondon Stock Exchange: AZN: Researches and develops medicines to treat major diseases globally.
5+ YOEBachelor's degree; 5+ years pharma/healthcare marketing/brand/sales/analytics; oncology or specialty care experience preferred; leadership experience.
Digital Marketing Platform, Marketing Analytics, CRM, Content Management System