CHPW Jobs in United States

Works with and supports members with various chronic conditions in achieving an optimal state of health. · ...

This position is available fully remote in Washington state. · The Level I Utilization Management Clinician performs utilization review for medical or behavioral health requests using utilization review criteria, technologies, and tools. · The job requires a bachelor's degree in ...

This position is responsible for sustaining processes and executing process improvement and quality monitoring within Claims Operations and the business processes impacted by Operations data and systems. · ...

This position is available remotely in Washington State. · Who we are · Community Health Plan of Washington is an equal opportunity employer committed to a diverse and inclusive workforce. All qualified applicants will receive consideration for employment without regard to any a ...

Job Summary · This role involves performing telephonic case management services for members with acute chronic complex needs. · Key Responsibilities: · ...

This position is a hybrid location. It is remote from home with quarterly in-person meetings in our Seattle office. · The Senior Healthcare Actuary will be responsible for developing and monitoring risk and rating assumptions and will lead required state and federal documentation ...

Who we are · Community Health Plan of Washington is an equal opportunity employer committed to a diverse and inclusive workforce. All qualified applicants will receive consideration for employment without regard to any actual or perceived protected characteristic or other unlawfu ...

Senior Director, Quality Ratings & Network Performance · Community Health Plan of Washington is an equal opportunity employer committed to a diverse and inclusive workforce. All qualified applicants will receive consideration for employment without regard to any actual or perceiv ...

Job Title: Community Health Worker · This position requires traveling on behalf of the company and working in the field at least 75% of the time. · The community health worker serves as liaison between health and social services and community facilitating access to services and i ...

We are targeting an individual who lives in the Seattle area and is knowledgeable of the area and its available resources. This is essential in being able to assist our Medicare and Dual Plan members by providing education coordination with care teams and connecting to community- ...

The Senior Director Quality Ratings leads strategic initiatives to improve health plan quality ratings and provider performance. · Lead strategy and execution for Health Plan ratings strategies (e.g., NCQA, VBP, P4P, EQRO) and D-SNP Stars ratings. · Monitor and analyze performanc ...

This position is a hybrid of remote from home and field work. The candidate will need to reside in and travel throughout the North Sound region (Snohomish, Skagit, Whatcom, San Juan and Island counties). · Who we are · Community Health Plan of Washington is an equal opportunity ...

Job Summary: · The Senior Healthcare Actuary will develop and monitor risk and rating assumptions, leading state and federal documentation. · ...

+Job summary · The Community Health Worker serves as a liaison between health and social services and the community to facilitate access to services and improve the quality and cultural competence of service delivery. · +Responsibilities · Responsible for engaging prospective car ...

This is a hybrid position at Community Health Plan of Washington. Quarterly travel to our Seattle headquarters may be required. · Provides project coordination, administrative support contributing to efficient effective achievement of CHPW's Compliance department. · ...

To be successful in this role, you:Have minimum 7 years' experience in healthcare, preferably in the Health Plan business processes and business/systems analysis. · Possess the capability to convert business requirements into effective solutions and collaborate with technical tea ...

This position is available fully remote in Washington state. · Who we are · Community Health Plan of Washington is an equal opportunity employer committed to a diverse and inclusive workforce. All qualified applicants will receive consideration for employment without regard to a ...

State Programs Contract Specialist · This role supports State Programs contract management activities across Community Health Plan of Washington. · Responsibilities include project coordination, administrative support, facilitating stakeholder questions, maintaining documentation ...

This position works under the general direction of the Supervisor of Care Management and is responsible for providing care management services for CHPW members in the assigned region. · Engages with members, providers, and agencies in the assigned region. · ...

State Programs Contract Specialist · This role provides project coordination and administrative support to ensure efficient achievement of Compliance department goals. · The State Programs Contract Specialist will manage contract activities across the organization, focusing on Wa ...