Remote Healthcare administration Jobs • Communication

This role will be instrumental driving our education and training initiatives as well as managing the Quality Management function. The ideal candidate will have expert level coding and auditing skills, be adept at project management, and have strong communication and collaborations skills to drive initiatives across the organization.

Joining AbbVie means you will be part of a team of outstanding professionals dedicated to making a remarkable impact on patients' lives. As the Health Education Manager, you will identify HCPs health education needs and develop multiple health education initiatives customized to address them. You will lead the planning and development of a strategic health education plan, design forward-thinking strategies, and oversee the plan’s timeline and budget. Conduct HCP needs assessment nationally and contribute to identifying educational gaps in partnership with cross-functional colleagues.

The intern will help with all aspects of the Alliance focusing on general Alliance activities including the communications and programmatic components. The Alliance has a variety of grant funded projects ranging from building the capacity of health departments to collaborate with CBOs and cross sectoral partners, to a workforce development project with Public Health AmeriCorps.

This role is for a strategic and operational leader responsible for delivering high-quality, efficient, and compliant care coordination services. The Senior Director oversees all aspects of Porter’s Care Coordination services, while leading the Care Guide Team to ensure exceptional member and client outcomes.

Bring your strengths to Wellmark as a Medical Policy Analyst! You will be responsible for the research, analysis, development, maintenance, coordination and documentation of medical policies for all products of Wellmark Inc. You will do this through evidence-based research and analysis of emerging and existing medical technologies and will contribute to ensuring Wellmark's members receive appropriate evidence-based health care services.

The purpose of this position is to ensure that the utilization process is thorough, organized and streamlined to provide the best possible length of stays for our patients. Given the complex nature of insurance these days, it is crucial to have timely communication with these payors so that families can focus on what’s important, getting their loved ones the care they need.

The ECM Clinical Manager is responsible for Clinical Oversight and Management of ECM Lead Care Managers to address the client's medical and behavioral health needs and social determinants of health, communicating wth ECM Lead Care Managers and occasionally with patients to discuss medication management. They will guide any crises encountered by ECM Lead Care Managers, collaborate with the client’s broader care team, provide client advocacy, ensure that the clients receive needed services.

The Market Director of Acute Care Coordination spearheads Care Coordination initiatives across multiple markets within the assigned region, ensuring seamless implementation and effectiveness of care coordination processes. This role focuses on aligning models, enhancing processes, and providing targeted education, driving tangible results at the region, market, and facility levels.

The Sr. Health Plan Performance (HPP) Analyst serves as a subject matter expert on contractual terms for assigned contracts, payer-specific data sets, current performance, and key opportunities for performance improvement. You will conduct data analysis to identify trends and strategic opportunities for quality improvement across Aledade’s value-based care portfolio within assigned Line(s) of Business.

The Health Plan Performance (HPP) Analyst plays a key role in conducting data analysis, tracking key performance indicators, and delivering detailed operational support to ensure contract success of our practices across their assigned Line(s) of Business. Primary duties include conducting data analysis to identify trends and strategic opportunities for quality improvement. The position will also prepare and deliver monthly KPI reports to field teams.