Health Plan Jobs

Point32Health is hiring a detail-oriented Business Analyst to translate stakeholder needs into actionable requirements, improve business processes, and support data-driven decision making for a mission-focused health plan.

LifeStance Health is hiring a fully licensed LMFT/LPC/LCSW to deliver outpatient and telehealth therapy in Port Washington, providing evidence-based care for children, adolescents, and adults.

Phoenix Home Health is hiring an RN or LPN to deliver skilled home health nursing, conduct assessments, and implement individualized care plans across the Ozark/Branson region.

Provide skilled, compassionate weekend on-call home health nursing for Phoenix Home Care & Hospice, conducting admissions, assessments, and care planning across Springfield and Branson, MO.

Lead Aledade's Health Plan Performance efforts to convert contract and performance data into strategic initiatives that deliver quality improvements and shared savings across payer contracts.

Humana is hiring a Care Coach to coordinate member care, address social and clinical needs, and support members in achieving optimal health while working remotely within the Waynesboro, VA region.

AdvisaCare is hiring a licensed Michigan Physical Therapist to provide in-home assessments and personalized therapeutic care that empowers patients to improve mobility and quality of life.

Humana is seeking a field-based Care Coach in Orlando to perform home and facility visits, assess member needs, develop care plans, and coordinate services to improve health outcomes.

Lead network gap analysis, provider contracting support, and operational coordination to strengthen USC’s health plan network and advance value-based care initiatives.

Provide patient-centered psychosocial assessment, crisis intervention, and case management within a multidisciplinary outpatient behavioral health team at Saint Mary of Nazareth Hospital.

Lead AHF’s health plan claims unit as the Claims Department Manager, overseeing claims adjudication, denials and appeals, team performance, and operational improvements to ensure accurate, timely reimbursement.

Lead clinical operations and supervise care teams for CenterWell Home Health in Natchitoches, ensuring quality home health services, regulatory compliance, and strong team performance.

Elara Caring is hiring a licensed Physical Therapist in Harker Heights to deliver in-home evaluations, therapy plans, and hands-on treatment while supporting team growth and patient-centered care.

Children's Hospital New Orleans is hiring a Case Manager Associate to coordinate pediatric home and community-based care, develop care plans, and support families across outpatient settings.

Provide home-based occupational therapy to older adults with FOX Rehabilitation, delivering personalized, clinically-driven care across Crofton and nearby Maryland communities.

FOX Rehabilitation is looking for a licensed Physical Therapist to deliver in-home geriatric physical therapy in Fair Oaks and surrounding communities, providing autonomous, patient-centered care.

Aledade seeks an experienced Manager, Network Contracting to negotiate and manage payer network participation agreements and drive contract lifecycle processes while working remotely across the U.S.

Provide remote, evidence-based SUD and mental health counseling for PursueCare’s telehealth patient population as a licensed therapist.

Lead Centene's Pennsylvania plan as President & CEO, directing operations, strategy, contracting, and stakeholder relations to advance member health and organizational performance.

Field-based Pharmaceutical Territory Sales Representative needed to promote clinically proven therapies, develop provider relationships, and drive territory growth across assigned markets.

Lead multi-product care management implementations at CVS Health, driving client success and cross-functional coordination to deliver timely, high-quality program launches.

Eminence Home Care is hiring per-diem Field Registered Nurses to provide compassionate, in-home clinical care, assessments, and care planning across their service regions.

Otterbein SeniorLife is looking for a dedicated Registered Nurse (RN) Case Manager to deliver high-quality, personalized home health care to older adults in the Middletown community.

Provide outpatient counseling, assessments, and treatment planning at Damar Health Services as a licensed clinician supporting children, families, and community clients.

Serve as the Medicaid Division’s hearing representative—researching complex medical records, applying statutes and case precedent, and making coverage determinations with a focus on equity and regulatory compliance.

Provide outpatient and telehealth psychotherapy as a licensed clinician within a supportive practice offering flexible schedules, competitive compensation, and full benefits.

Be part of LifeStance Health’s clinical team as a licensed mental health therapist providing evidence-based outpatient care in a flexible, hybrid role serving adults and/or children in Mt. Pleasant, SC.

AdvisaCare Hospice is hiring compassionate hospice RNs in the Alpena area to provide home-based end-of-life care, clinical assessments, and on-call support.

AdvisaCare seeks a skilled Hospice Registered Nurse in Michigan to deliver dignified, home-based end-of-life care, supervise team members, and provide on-call support.

GRAIL is hiring an Enterprise Inside Sales Representative to prospect, engage, and schedule meetings with employers, payers, life insurers and first responder organizations to drive new account opportunities.

Tivity Health is hiring a remote Associate Account Executive to manage health plan client relationships, drive renewals and upsell opportunities, and ensure strong service delivery and reporting.

Mass General Brigham seeks an RN Supervisor, Utilization Management to lead and coach a clinical team conducting inpatient and outpatient utilization reviews while driving quality, productivity, and system improvements.

Protective Life is hiring a remote Inside Sales Consultant to drive PFML growth by developing broker relationships, qualifying opportunities, and supporting competitive quoting.

Provide compassionate, evidence-based med-surgical nursing care on the night shift at UMMC Midtown Campus as a Registered Nurse I on 3 North.

Remedy Home Health Care is hiring a licensed California Physical Therapist to provide skilled, in-home therapy focused on improving mobility, balance, and independence.

Lead a high-performing integration team at Centivo to architect, implement, and optimize EDI/data interfaces that drive reliable data exchange and operational efficiency.

Geode Health seeks licensed Mental Health Therapists in East Dallas to deliver outpatient psychotherapy and collaborate with a supportive clinical team across in-person and virtual care settings.

Inclusive & Diverse

Growth & Learning

Mission Driven

Diversity of Opinions

Lead technical deal strategy and client-facing solutioning for Included Health’s Health Plan accounts to ensure strong product-market fit and drive growth across commercial, Medicare, and Medicaid lines.

Provide patient evaluations, develop and implement individualized treatment plans, and deliver high-quality physical therapy services at Baptist Health Walker Hospital in Jasper, AL.

Experienced fiscal analyst needed at the Oregon Health Authority to develop payment rates and methodologies, analyze care coordination costs, and support statewide implementation of HRSN services.

Hazel Health is seeking a California-licensed Mental Health Therapist to provide part-time evening virtual therapy to K-12 students across partner school districts.

LifeStance Health is hiring an independently licensed LPC or LCSW to deliver outpatient therapy to children and adolescents across its Houston clinics in a hybrid practice setting.

Mission Healthcare is hiring a dedicated RN to deliver skilled home health nursing and individualized care plans for patients across Mission Valley and greater San Diego.

Experienced Registered Nurse needed for a PRN swing position at Willard Hospital to provide MedSurg, ICU and ED patient care across all shifts.

Health Connect America is hiring a Mental Health Outpatient Therapist I to provide trauma-informed assessments, individualized treatment, and community-focused care for children, families, and adults in the Moore Haven area.

Remedy Home Health is looking for a licensed Occupational Therapist to provide customized, in-home rehabilitation services and support patient independence across Palos Verdes Estates and nearby communities.

Senior physician executive needed to serve as Presbyterian Health Plan's Chief Medical Officer to lead clinical strategy, quality, pharmacy and population health initiatives across New Mexico.

Wellmark Blue Cross and Blue Shield seeks a Network Program Manager in Des Moines to lead network contracting and compliance initiatives for Medicare Advantage, QHP and provider network programs in a hybrid role.

Lead high-impact payer partnerships at Headway to expand insured access to mental healthcare by managing strategic health plan relationships, negotiating contracts, and translating data into actionable growth opportunities.

Wellmark is looking for a detail-oriented Utilization Management Nurse to conduct prior authorizations, utilization reviews, and care coordination for members while supporting timely discharge planning and medical necessity determinations.