Health Plan Jobs

BME Strategies seeks an Emergency Preparedness Associate Consultant to support public health preparedness plans, exercises, data analysis, and stakeholder coordination in a remote consulting role requiring MA or Southern NH residency.

Lead enterprise payor partnerships and a high-performing Customer Success team to deliver measurable impact from Hippocratic AI’s healthcare LLM within payer organizations.

CenterWell Home Health is hiring an RN Clinical Manager to lead clinical operations, quality assurance, and staff supervision for its Bangor, ME home health branch.

Lead Gravie’s claims operations optimization efforts by building a strategic, data-driven roadmap and managing a small team to improve efficiency, timeliness, and quality across claims processing.

Join AdvisaCare as a licensed Occupational Therapist delivering in-home care across Michigan, with flexible scheduling, strong team support, and competitive compensation.

PointClickCare is hiring a strategic VP of Solution Design & Strategy to lead clinical and technical teams that accelerate revenue, drive adoption, and shape customer-facing solutions across Acute & Payer and Senior Care markets.

CenterWell Home Health (a Humana company) is hiring a Clinical Manager to oversee clinical staff, patient care delivery, and quality operations for its Birmingham home health location.

Lead clinical operations and a multidisciplinary home health team at CenterWell Home Health’s Vancouver branch, ensuring high-quality, compliant patient care while supporting staff development and branch performance.

HealthAxis is hiring a part-time Medical Director (Utilization Management) in Tampa to lead clinical review, medical necessity determinations, and UM program improvements for payer clients.

Conduit Health is hiring a Payor Development Lead to build and execute national health plan strategy and partnerships across Medicaid and Medicare markets.

HealthAxis is hiring a Medical Director of Utilization Management to lead clinical review decisions, ensure regulatory-compliant UM programs, and drive process improvements across payer-facing operations.

CenterWell Home Health (a Humana company) seeks an experienced RN Case Manager in Hickory, NC to deliver skilled, in-home nursing care and coordinate multidisciplinary care plans for patients.

Provide in-home occupational therapy with CenterWell Home Health to help patients regain independence through personalized assessment, treatment planning and community reintegration.

CenterWell Home Health, part of Humana, seeks a Registered Nurse to deliver skilled, one-on-one home health care and manage patient care plans in Kent, WA.

Provide skilled, patient-centered home health nursing for CenterWell Home Health patients in Palm Bay, coordinating care and supporting recovery under Clinical Manager oversight.

Allegheny Health Network seeks an RN to deliver specialized inpatient acute rehab nursing at Allegheny Valley Hospital’s 17-bed unit, working closely with an interdisciplinary team to optimize patient recovery.

HealthAxis is hiring a detail-oriented Configuration Analyst in Tampa to configure, test, and maintain health plan systems that support claims, eligibility, and benefits administration.

Affect seeks Ohio-licensed mental health therapists to deliver evidence-based telehealth psychotherapy and assessments as part of a growing remote clinical team.

Experienced healthcare network performance professional needed to drive post-acute strategy, vendor engagement, training, and analytics across Central Pennsylvania for Highmark's Home and Community Services division.

Lead the global regulatory strategy and submissions for a growing clinical-stage biotech developing innovative autoimmune therapies, serving as the regulatory lead for the MMN program (remote, U.S.).

Provide patient-centered, in-home physical therapy across Los Angeles and Ventura counties with a therapist-owned company that offers flexible scheduling and strong clinical support.

St. Mary's General Hospital is hiring a compassionate Residence Counselor to support and supervise adolescents in its residential behavioral health program in Passaic, NJ.

Provide skilled weekend in-home nursing and care coordination for patients as a Weekend Baylor Registered Nurse with CenterWell Home Health (a Humana company).

Phoenix Home Health is hiring PRN Speech‑Language Pathologists to provide in‑home speech, language, cognitive and swallowing services with flexible scheduling and AI-supported documentation.

CenterWell Home Health (a Humana company) is seeking an experienced RN Clinical Manager in Grand Junction to lead clinical operations, supervise clinicians, and ensure high-quality, compliant home health care.

Lead client-facing wellness strategy and engagement initiatives to grow and optimize employer wellness programs while acting as a key strategic partner across internal teams and external stakeholders.

Humana seeks a bilingual RN Care Manager based in Puerto Rico to provide telephonic chronic care management, care coordination, and member education to improve health outcomes.

Experienced Registered Nurse needed to manage home health cases, deliver skilled nursing visits, coordinate care teams, and support patient recovery for CenterWell Home Health in Rocky Hill, CT.

Lantern is hiring a Sr. Director of Health Plan Partnerships to lead strategic partnerships with health plans, drive ASO expansion, and oversee account management and integration strategy.

Support NYC's environmental health mission by performing water system inspections, sample collection, and compliance reviews to reduce waterborne risks across the five boroughs.

CenterWell Home Health seeks a dedicated Registered Nurse in Hot Springs, AR to deliver skilled in-home nursing care, manage patient care plans, and coordinate interdisciplinary services as part of a Humana-affiliated care team.

Provide technical leadership on indoor air quality, ventilation guidance, and window fall prevention reviews for the NYC Health Department's Division of Environmental Health.

Experienced licensed nurse needed to lead clinical care, regulatory compliance, staff development, and clinical budgeting for an Assisted Living community.

The NYC Health Department is hiring a Senior Planning Analyst to lead community engagement, research, and planning activities for the Division of Mental Hygiene’s Office of the Executive Deputy Commissioner.

Humana/Inclusive seeks an RN Case Manager based in Montello to perform field-based health assessments, develop and coordinate individualized care plans, and support Family Care members through ongoing education and provider collaboration.

Work with the Oregon Department of Agriculture as a Natural Resource Specialist 3 conducting food establishment inspections, sample collection, lab result interpretation, and compliance review to protect consumer and agricultural health.

Hippocratic AI seeks a Customer Success Executive with payer expertise to lead implementations and ensure measurable outcomes for health plan clients using its healthcare AI solutions.

Centene is hiring a Senior LTSS Service Care Manager RN to coordinate and manage person-centered long-term care plans and services for complex members across Dallas-area counties while working hybrid with regular field visits.

AdvisaCare seeks a compassionate Michigan-licensed RN to perform start-of-care and re-visit home health visits for patients across Macomb County.

Licensed Practical Nurse needed to provide skilled in-home nursing care and collaborate with interdisciplinary teams across Springfield, MO and surrounding areas.

Great Strides Rehab is seeking a compassionate Pediatric Occupational Therapist to provide individualized outpatient services and family-centered care in Jacksonville, FL.

Lead high-value provider contracting, network adequacy, and strategic network growth for Presbyterian’s health plan, blending negotiation, analytics, and executive-level partnership building.

AdvisaCare invites licensed Occupational Therapists in Michigan to join its home health team on a flexible PRN schedule, delivering patient-centered care in the community.

Senior Quality Improvement Specialist needed to lead multi-faceted quality, accreditation, and performance improvement initiatives for a large national healthcare organization.

Presbyterian Healthcare Services is hiring a Care Coordinator IV to oversee interdisciplinary care planning and coordinate services for members with complex health, behavioral, and social needs across New Mexico.

Lead clinical operations and staff at CenterWell Home Health in Lebanon, KY, ensuring high-quality, compliant home care and strong clinical outcomes.

Provide compassionate, efficient patient support for Presbyterian Healthcare Services' Health Plan members as a remote Call Center Representative based in the Albuquerque metro area.

Vitality Group seeks a Strategic Implementation Manager to lead high-profile client implementations, improve operational processes, and mentor the implementation team to deliver excellent outcomes.

CareSource is hiring a Health Plan Data Analyst II to lead provider data analysis and reporting using SQL, Cognizant Facets, and Power BI to support network operations and quality improvements.

Enhabit seeks a compassionate RN to deliver skilled, home-based hospice care in the Texarkana area, providing clinical assessment, symptom management, and family support.