Harbor Health

Clinical Triage RN

Harbor Health · Full Time · 11 days ago

Harbor Health

🌎 United States ⭐ 2-5 yrs exp 💼 Healthcare

The role involves conducting clinical assessments and triage for members via remote queues to determine appropriate care dispositions. Responsibilities include providing patient education, documenting encounters in Athena, and escalating urgent safety concerns.

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Human Resources Business Partner

Harbor Health · Full Time · 13 days ago

Harbor Health

🌎 United States ⭐ 5-10 yrs exp 💼 Recruitment

Serve as the primary HR resource for a Texas region, managing complex employee relations and conducting workplace investigations. Partner with clinical and operational leaders to build manager capability and reinforce organizational culture.

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Health Plan Benefit Director

Harbor Health · Full Time · 13 days ago

Harbor Health

🌎 United States ⭐ 5-10 yrs exp 💼 Healthcare

Lead the end-to-end design and operationalization of health plan products for Individual and Family Plans and employer lines of business. Act as the primary liaison between internal teams and external vendors to align product intent with operational execution.

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Delegate Oversight Specialist

Harbor Health · Full Time · 18 days ago

Harbor Health

🌎 United States ⭐ 2-5 yrs exp 💼 Others

Responsible for end-to-end oversight of delegated entities across Medicare Advantage, Medicaid, and commercial lines of business. This includes conducting pre-delegation assessments, annual audits, and managing corrective action plans to ensure regulatory compliance.

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Pharmacy Refill Specialist

Harbor Health · Full Time · 18 days ago

Harbor Health

🌎 United States ⭐ 5-10 yrs exp 💼 Healthcare

Monitor and improve member adherence to medication by interviewing patients and analyzing adherence data. Collaborate with clinical and IT staff to develop efficient workflows and metrics to demonstrate health outcomes.

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Contact Center Quality Analyst

Harbor Health · Full Time · 2 months ago

Harbor Health

🌎 United States ⭐ 2-5 yrs exp 💼 Support

The role involves auditing member and provider interactions across multiple channels to ensure adherence to quality standards and regulatory requirements. The analyst will identify performance trends and provide actionable feedback to drive continuous improvement across contact center teams.

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Escalation Specialist

Harbor Health · Full Time · 2 months ago

Harbor Health

🌎 United States ⭐ 0-2 yrs exp 💼 Support

Investigate and resolve complex member and provider complaints while documenting root causes and corrective actions. Collaborate with Legal, QA, and Operations teams to address systemic issues and ensure regulatory compliance.

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Healthcare Data Architect & Manager - Harbor Data Systems (HDS)

Harbor Health · Full Time · 2 months ago

Harbor Health

🌎 United States ⭐ 5-10 yrs exp 💼 Software Development

You will architect foundational data structures and master indexes to power patient care, risk adjustment, and financial decision-making. Additionally, you will act as the strategic interface between clinical operations and engineering to translate business needs into precise architectural specifications.

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Product Manager - Benefits

Harbor Health · Full Time · 4 months ago

Harbor Health

🌎 United States ⭐ 2-5 yrs exp 💼 Product

The Product Manager will own the product definition and ongoing evolution of Harbor's benefit structures, including adjudication frameworks and member financial incentives. This involves translating benefit design decisions into detailed product requirements across the benefits stack to ensure accurate implementation.

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