skip to main content

Important Notice

It appears you are using an older version of your browser. While some functions will be available, Delaware JobLink works best with a modern browser such as the ones provided by:

Please download and install the latest version of the browser of your choice. We apologize for any inconvenience.



Job Search

Enter your search criteria into the boxes below, then click the search icon or press Enter. In the What box, enter the job title, keywords, or job posting number. In the Where box, enter a city, state or zip code. In the Within box enter the number of miles around the location entered. If either the Where or Within boxes are going to be used, then both boxes are required. To narrow your search results, use the “Refine Search” filters on the left by selecting a category. The number next to each filter indicates the number of results currently in the system using that filter, plus your current search criteria. If zero jobs meet the criteria, the filter will not display for selection. Results do not include indeed.com jobs. Filters can be removed by selecting the link you want to remove in the “Filtered By” section. Searches can be saved by entering a unique name in the Label field and selecting the “Save search as” button.

1 - 10 of 28 matches in 0.007 seconds
Medicaid Compliance Officer (Director) - Delaware (JC134184042)
Last Updated: 2019-06-24
Employer: Highmark Health
Location: Wilmington, DE

Company :

Highmark Inc

Job Description :

JOB SUMMARY

This job oversees the Government Compliance Medicaid Team. Government Compliance is responsible for the implementation of the Medicaid Compliance program. The incumbent ensures the business is properly following the growing number of laws, regulations and other requirements set for by the…

Actuary - Commercial Markets (JC136765881)
Last Updated: 2019-06-24
Employer: Highmark Health
Location: Wilmington, DE

Company :

Highmark Inc

Job Description :

General Overview:

This job is an ASA Certified actuary position that initiates and leads the development of actuarial studies and analyses. Gives direction to less experienced staff and will represent the department’s perspectives and needs in cross disciplinary settings. The incumbent applies actuarial…

Director Care Management (RN - Delaware) (JC142942509)
Last Updated: 2019-06-24
Employer: Highmark Health
Location: Wilmington, DE

Company :

Gateway Health Plan

Job Description :

I. GENERAL OVERVIEW:

Director of Care Management will develop and ensure execution of the strategic and operational plans for care management and special needs program development, delivery and evaluation. Accountable for all aspects related to care delivery, member outcomes, and financial…

VP, Executive Medical Director (GHP Clinical Services) (JC141613448)
Last Updated: 2019-06-24
Employer: Highmark Health
Location: Wilmington, DE

Company :

Gateway Health Plan

Job Description :

JOB SUMMARY

This job is accountable for the strategic direction, implementation and effective execution of physician-led functions within Clinical Services including, but not limited to, Utilization Review, Medical Policy, Member and Provider Appeals and Retrospective Review. In addition this leader will have…

Medical Case Manager - RN or MSW (Delaware) (JC143371752)
Last Updated: 2019-06-24
Employer: Highmark Health
Location: Home, DE

Company :

Gateway Health Plan

Job Description :

This job assures that members with complex medical and/or psychosocial needs have access to high quality, cost-effective health care. Assists in the holistic assessment, planning, arranging, coordinating, monitoring, evaluation of outcomes and activities necessary to facilitate member access to healthcare services. Advocates…

Mgr Quality Improvement (JC142568288)
Last Updated: 2019-06-24
Employer: Highmark Health
Location: Wilmington, DE

Company :

Gateway Health Plan

Job Description :

JOB SUMMARY

This job, with oversight from the Director, is responsible for leading the strategic planning, development, implementation and monitoring of the quality portion of the Quality Improvement/Utilization Management Program and Work Plan Initiate (within all Gateway Health Plan SM Departments) collaborative…

Clinical Quality Management Analyst (JC142568307)
Last Updated: 2019-06-24
Employer: Highmark Health
Location: Wilmington, DE

Company :

Gateway Health Plan

Job Description :

JOB SUMMARY

This job works with appropriate departments in the areas of compliance, process improvement and member/provider satisfaction for all product lines. Reviews, researches and responds to customer complaints relating to quality of medical care and service. Recommends and/or implements process improvements…

Director, Clinical & Service Quality (JC138969058)
Last Updated: 2019-06-24
Employer: Highmark Health
Location: Wilmington, DE

Company :

Gateway Health Plan

Job Description :

I. GENERAL OVERVIEW:

The Director, Clinical Outcomes will focus on ensuring enterprise-wide compliance with clinical and service quality requirements for mandatory quality accreditation and federal and multi-state regulations. Primary responsibility is to directly lead, professional consultant staff in the development, implementation…

Medical Director - Gateway Health Plan (Delaware) (JC140987462)
Last Updated: 2019-06-24
Employer: Highmark Health
Location: Wilmington, DE

Company :

Gateway Health Plan

Job Description :

JOB SUMMARY

This job plays a crucial role in the corporation’s success and works closely with all divisions and departments within the corporate structure to provide clinical consultation and support with regard to program development, compliance with accepted medical standards, and practitioner/provider…

Medical Case Manager - GHP (JC140709348)
Last Updated: 2019-06-24
Employer: Highmark Health
Location: Wilmington, DE

Company :

Gateway Health Plan

Job Description :

I. GENERAL OVERVIEW:

Assure that members with complex medical and/or psycho social needs have access to high quality, cost-effective health care. Assist in the holistic assessment, planning, arranging, coordinating, monitoring, evaluation of outcomes and activities necessary to facilitate member access to…

Legend

  • Registered Apprenticeship