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Open roles in Payers & Health Plans

Showing 656 oncology jobs

Sep 13, 2026

Overview Job Description As a Principal, you will actively participate in the growth and development of the Management Consulting practice at Publicis Sapient. Your role will focus on shaping ambitious Digital Business Transformations for our clients within the healthcare payer industry, delivering strateg...

Job Description This role is responsible for providing advanced analytical and modeling expertise supporting value-based care performance measurement and population risk normalization. The Sr. Population Risk Performance Analyst applies population risk models to attributed member populations to ensure accurate,...

Senior Executive Director Of Behavioral Health Organization

Beautiful Hearts And Minds Health S · Woodlawn, MD

Sep 13, 2026

Benefits: - 401(k) - Employee discounts - Paid time off - Bonus based on performance - Dental insurance - Flexible schedule - Health insurance - Opportunity for advancement - Vision insurance - Wellness resources About Us Beautiful Hearts and Minds Health Services is a growing behavioral health organizat...

Utilization Review RN

Prime Healthcare · Aliso Viejo, CA

Sep 13, 2026

Description Utilization Review RN - REMOTE position. This position is Part time and will work 8- hour, Day shifts. Provide prospective, retrospective, and concurrent utilization reviews for our Southern CA ministries. Conduct clinical reviews and review medical records daily during admission for all payers, as r...

Director, Managed Care Analytics

University Health · San Antonio, TX

Sep 13, 2026

POSITION SUMMARY/RESPONSIBILITIES The Director, Managed Care Analytics serves as the enterprise leader for payer analytics, contract modeling, and contract performance optimization. This role is responsible for developing advanced financial, statistical, and predictive models to support managed care contracting st...

Life & Health Insurance Professional

Gpac · Walkerton, IN

Sep 11, 2026

Life & Health Insurance Agent (Medicare Focus) - Job Description Position Summary We are seeking a knowledgeable and client-focused Life & Health Insurance Agent with experience or background knowledge in Medicare products and senior market solutions. This individual will assist clients in evaluating insur...

RN-Acute Care Case Manager

Baptist Memorial Health Care · Memphis, TN

Sep 11, 2026

Overview Job Summary Manages the care for a specific population; facilitates the safe transition of patients throughout the continuum of care for appropriate utilization of resources, service delivery and compliance with federal and other payer requirements. Provides early assessment of transitional needs ...

Director Of Advanced Analytics

Johns Hopkins HealthCare · Baltimore, MD

Sep 10, 2026

Requisition #:676626 Location:Johns Hopkins Health Plans, Hanover, MD 21076 Category:Leadership Schedule:Day Shift Employment Type:Full Time Job Responsibilities We are seeking a strategic and data-driven Director of Advanced Analytics to lead our internal analytics capabilities and drive our health plan's...

Public Affairs Specialist

Criminal Investigation & Law Enforcement IRS Careers · Knoxville, TN

Sep 10, 2026

WHAT IS TAXPAYER SERVICES? A description of the business units can be found at: https://www.jobs.irs.gov/about/who/business-divisions - Position(s) are to be filled in following area(s): - TS - Communications and Liaison - Communications and Liaison REVIEW THE ADDITIONAL INFORMATION BELOW FOR FURT...

Administrative Assistant 1 / Trainee 1 / Trainee 2 (NY HELPS) -78033

New York State Department of Health · Albany, NY

Sep 10, 2026

Description Duties Description The Administrative Assistant 1 is in Office of Health Insurance Programs, within the Division of Medical & Dental Directors, in the Children with Medical Complexities Bureau which provides support for four bureaus. In the Division of Medical and Dental Directors - The Bureau ...

Chief Nursing Officer - Inpatient Rehab

Select Medical · Dallas, TX

Sep 10, 2026

Baylor Scott & White Institute for Rehabilitation Joint venture with Select Medical Dallas, TX Chief Nursing Officer - Bonus incentives - Extensive onboarding and training program - Customizable health insurance packages Who We Are Our inpatient rehabilitation hospital is committ...

Chief Nursing Officer - Inpatient Rehab

Select Medical · Temple, TX

Sep 10, 2026

Baylor Scott & White Institute for Rehabilitation Joint venture with Select Medical Temple, TX Now Offering $15,000 Sign-On Bonus! Chief Nursing Officer - Bonus incentives - Extensive onboarding and training program - Customizable health insurance packages Who We Are Our inp...

Patient Access Services Representative

Northwell Health · Sleepy Hollow, NY

Sep 10, 2026

195097 Job Description Performs a complete verification check on all health insurance coverage. Obtains all financial demographic information from the discharge planner for the organization, as well as outside referrals. Demonstrates and promotes service excellence at all times. Job Responsibility ...

Sr. Account Manager - Remote

UnitedHealth Group · Anywhere, IL

Sep 10, 2026

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a cul...

Vice President, Product - Oncology And Specialty

UnitedHealth Group · Eden Prairie, MN

Sep 10, 2026

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a cul...

Oncology Educator, Learning & Development

Daymark Health · New York, NY

Sep 10, 2026

Daymark Health is a value-based oncology company redefining the cancer care experience for patients, providers, and health plans. Daymark’s comprehensive, personalized cancer care platform empowers patients with dedicated care navigation, symptom-focused support, behavioral health care, and social resources. Combine...

Advanced Practice Provider Full Time

American Family Care · Durham, NC

Sep 10, 2026

Benefits/Perks - Great small business work environment - Flexible scheduling - Paid time off, health insurance, vision and dental insurance, retirement benefit, CME, and more! Company Overview American Family Care (AFC) is one of the largest primary and urgent care companies in the U.S. providi...

Oncology Educator, Learning & Development

Daymark Health · Los Ángeles, CA

Sep 9, 2026

Daymark Health is a value-based oncology company redefining the cancer care experience for patients, providers, and health plans. Daymark's comprehensive, personalized cancer care platform empowers patients with dedicated care navigation, symptom-focused support, behavioral health care, and social resources. Combine...

Patient Order Management Associate

Robert Half · Minneapolis–Saint Paul, WI

Sep 9, 2026

The Patient Order Management Associate is responsible for reviewing medical records and determining if they meet payer policy guidelines. Responsibilities - Ensure timely processing of orders. - Review clinician documentation for specific criteria to satisfy payer medical policy requirements. - Build str...

Oncology Educator, Learning & Development

Daymark Health · Boston, MA

Sep 9, 2026

Daymark Health is a value-based oncology company redefining the cancer care experience for patients, providers, and health plans. Daymark’s comprehensive, personalized cancer care platform empowers patients with dedicated care navigation, symptom-focused support, behavioral health care, and social resources. Combine...

Oncology Educator, Learning & Development

Daymark Health · Detroit, MI

Sep 9, 2026

Daymark Health is a value-based oncology company redefining the cancer care experience for patients, providers, and health plans. Daymark’s comprehensive, personalized cancer care platform empowers patients with dedicated care navigation, symptom-focused support, behavioral health care, and social resources. Combine...

CMO, Utilization Management And Medical Policy

UPMC Health Plan · Pittsburgh, PA

Sep 9, 2026

Purpose: Under the administrative direction of the UPMC Insurance Services Division Chief Medical Officer, this senior leader will serve as a strategic, collaborative business partner and is responsible for medical leadership in the clinical and quality strategies and operations for the ISD's medical management, i...

Health Benefit Rep

Fidelis Care · Bronx, NY

Sep 9, 2026

Position Purpose: The Health Benefit Representative (HBR) is responsible for educating and assisting individuals with enrolling in affordable health insurance coverage through the NY State of Health Marketplace. This includes Medicaid (NYM), Child Health Plus (CHP), Essential Plan (EP), Qualified Health Plans (QHP),...

Vice President, Enterprise Infrastructure, Cloud Transformation

Brighton Health Plan Solutions · Westbury, NY

Sep 9, 2026

Vice President, Enterprise Infrastructure, Cloud Transformation Brighton Health Plan Solutions WESTBURY,NY HYBRID FULL TIME About The Role The Vice President of Enterprise Infrastructure, Cloud Transformation is a senior technology executive who leads the enterprise infrastructure strategy, cloud m...

Sep 9, 2026

Purpose: UPMC Health Plan is hiring a full-time Clinical Care Manager (RN) - Oncology Nurse Navigator to work as part of a multidisciplinary care team providing Oncology discharge planning and case management support. This role is Hybrid and will work Monday-Friday, standard daylight hours with a minimum of 2 ...

Senior Cobra Benefits Admin – TPA

Medical Mutual · Cleveland, OH

Sep 9, 2026

Medical Mutual employees must submit their applications through MySource. Note: This is a remote position however, candidates must reside in the Cleveland/Brooklyn, Ohio area. Founded in 1934, Medical Mutual is the oldest and one of the largest health insurance companies based in Ohio. We provide peace o...

Clinical Pharmacist

Hearst Health · South San Francisco, CA

Sep 9, 2026

Job Description In Some Jobs You Take Orders. In This One, You Write History. Join the healthcare information technology team that’s turning drug and medical device data into knowledge used by thousands of hospitals; the majority of U.S. health plans, retail pharmacies, and pharmacy benefit managers; and m...

REMOTE LTSS Nurse (NY License) - 257198

Medix™ · New York metropolitan area, PA

Sep 9, 2026

LTSS Utilization Review Nurse Job Summary We are seeking a self-motivated and clinically focused LTSS Utilization Review Nurse to join our Managed Care Organization. This role is responsible for evaluating member care plans, services, and medical requests to determine medical necessity, appropriateness, and cov...

IT Data Scientist III

Medical Mutual · Cleveland, OH

Sep 9, 2026

Medical Mutual employees must submit their applications through MySource. Note: This is a hybrid role based in Brooklyn, OH, requiring three days per week on-site. Founded in 1934, Medical Mutual is the oldest and one of the largest health insurance companies based in Ohio. We provide peace of mind to ...

Chief Financial Officer

SF Health Plan · San Francisco, CA

Sep 9, 2026

The Chief Financial Officer defines the enterprise financial strategy of San Francisco Health Plan (SFHP) and ensures the organization's long-term financial viability across its Medi-Cal and Medicare lines of business. As SFHP's most senior finance executive, you will translate organizational vision into multi-year ...

Sep 9, 2026

Welcome to Veradigm, where our Mission is transforming health, insightfully. Join the Veradigm team and help solve many of today’s healthcare challenges being addressed by biopharma, health plans, healthcare providers, health technology partners, and the patients they serve. At Veradigm, our primary focus is on harn...

Quality Care Member Advocate - Clinical

Health Net Health Plan of Oregon, Inc. · Dallas, TX

Sep 9, 2026

- Business Area: Quality - Job Type: Full time - Date Posted: Sep 08 2026 - Job Number: 1649735 This job is available in 1 locations - Dallas, TX Keywords Quality Care Member Advocate - Clinical Apply Now Share Description Physical Work Location: must be based in the D...

Senior Consultant, Healtchare

West Monroe · NY

Sep 9, 2026

Are you ready to make an impact? West Monroe is seeking a Senior Consultant to join the Healthcare Practice team. Our team partners with health plans and dental plans to uncover opportunities, develop clear roadmaps, and deliver measurable improvements in outcomes. As a Senior Consultant, you will play a key ...

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find talen...

Clinical Pharmacist

First Databank · Indianapolis, IN

Sep 9, 2026

Job Description In Some Jobs You Take Orders. In This One, You Write History. Join the healthcare information technology team that’s turning drug and medical device data into knowledge used by thousands of hospitals; the majority of U.S. health plans, retail pharmacies, and pharmacy benefit managers; and m...

Vice President Of Health Plan Operations And Claims

Prime Healthcare · Ontario, CA

Sep 9, 2026

Overview Prime Healthcare is an award-winning health system headquartered in Ontario, California. Prime Healthcare operates 54 hospitals and has more than 360 outpatient locations in 15 states providing more than 3.0million patient visits annually. It is one of the nation’s leading health systems with over 60,0...

Medical Assistant

American Family Care · Raleigh, NC

Sep 9, 2026

Benefits - Bonus based on performance - Free uniforms - Paid time off Benefits/Perks - Paid time off - Health insurance - Dental insurance - Retirement benefits - Employee referral incentives - Great small business work environment - Flexible scheduling - Additional perks! Job Summa...

Restoration Technician (Miami)

ServiceMaster DSI · Opa-locka, FL

Sep 9, 2026

Benefits: - 401(k) - 401(k) matching - Competitive salary - Dental insurance - Free uniforms - Health insurance - Opportunity for advancement - Paid time off - Training & development - Vision insurance - Wellness resources ⭐Who we are: ServiceMaster DSI provides restoration in Miami, FL and surro...

Showing 361–400 of 656 roles

We read oncology, so you don't have to.

Career Essentials is a curated library of 636 takes from the best books, podcasts, and articles for an oncology career — each distilled into one clear idea and one concrete action. Across 15 shelves: breaking in, interviewing, negotiation, leadership, the future of work, and more. No time to read 20 books this year? We already did.

Essentials · Article

A Pharma Industry Career after your PhD?

NextMinds

Moving to industry takes a shift in thinking — and the skills you think are trivial may be your biggest asset.

In a NextMinds interview, an industry leader explains that the academia-to-industry move requires a change in mindset, and that the skills PhDs consider trivial are often highly valuable in industry — and advises reaching out to people who've made the transition.

Oncology researchers often undervalue exactly the skills industry needs; a mindset shift and a few informational conversations reframe the whole transition.

One Move

Reach out to two people who've made the academia-to-industry move, and ask what their day actually looks like.

More Like This: The Importance of Networking for MSLs with Amy Misnik

Essentials · Book

Made to Stick

Chip & Dan Heath

Why some ideas stick and others vanish — and how to make yours stick.

The Heaths' formula for ideas that are simple, unexpected, concrete, credible, emotional, and story-driven.

A sticky message wins grants, aligns teams, and lands with KOLs — sticky beats thorough when people need to remember.

One Move

Boil your current project down to one concrete, surprising sentence.

More Like This: Storytelling with Data

Essentials · Episode

Effective Relationship Strategies for MSL Success with Commercial Counterparts

MSL Talk: Tom Caravela, Rob Rosti

How MSLs work effectively with commercial — without crossing compliance lines.

Rob Rosti helps Tom Caravela map the MSL-commercial relationship: the distinct roles, effective communication, and how to handle compliance challenges and non-compliant requests.

The MSL-commercial boundary is delicate and high-stakes in oncology; navigating it well protects both your impact and your compliance standing.

One Move

Clarify one boundary with a commercial counterpart before it becomes a compliance gray area.

More Like This: The Power of Commercial Leadership in Oncology

Essentials · Article

Leading and Influencing Without Authority

JPT · Society of Petroleum Engineers

Management is given; leadership is earned — and influence stays with you wherever you go.

Writing in JPT, the author distinguishes authority from influence: management positions are granted and vanish when you leave them, but true influence — built through soft skills, expertise, and trust — remains with you regardless of role, and empowering others only multiplies it.

For oncology professionals without formal authority, this reframes leadership as something you build and keep, not something a title grants.

One Move

Share one useful resource or insight with a colleague this week — influence built by empowering others.

More Like This: Career Currency: The Key to Your Success

More than a job board — we're just beginning.

Jobs are the front door. We're building a career home for oncology — Essentials, insights, and a growing community — so you can build a career, not just find a role. We believe a more connected oncology is a stronger oncology.

From Oncology Voice Network — the community behind Voices of Oncology (Forbes Books).

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