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Flex Prominence Health Plan Jobs in Delaware (NOW HIRING)

Vivian Health

Operating Room RN II in Newark, DE

Newark, DE · On-site

$41.28 - $66.05/hr

... Flex - 72 hours bi-weekly Schedule: Day/Evening -1100-2330/ 3 (12hr) weekly 1-2 Spring/Summer ... Tuition Assistance & Pre-Paid Nursing Programs * 403(b) Retirement Plan + Defined Contribution Plan

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Flex Prominence Health Plan information

What is the difference between Flex Prominence Health Plan vs Flex Medical Coder?

AspectFlex Prominence Health PlanFlex Medical Coder
Primary RoleHealth insurance provider offering coverage plansAssigns medical codes for billing and documentation
Work EnvironmentOffice-based, insurance industry settingHealthcare facilities, clinics, or remote
Required CredentialsHealth insurance knowledge, certifications varyMedical coding certification (e.g., CPC)
Industry UsageInsurance companies, healthcare providersHospitals, clinics, billing companies

Flex Prominence Health Plan focuses on providing health coverage options, while Flex Medical Coder specializes in translating medical procedures into codes for billing. Both roles are essential in healthcare but serve different functions within the industry.

What are popular job titles related to Flex Prominence Health Plan jobs in Delaware?

For Flex Prominence Health Plan jobs in Delaware, the most frequently searched job titles are:

What job categories do people searching Flex Prominence Health Plan jobs in Delaware look for?

The top searched job categories for Flex Prominence Health Plan jobs in Delaware are:

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Cities in Delaware with the most Flex Prominence Health Plan job openings:

Flex Prominence Health Plan jobs near you
Infographic showing various Flex Prominence Health Plan job openings in Delaware as of August 2026, with employment types broken down into 1% As Needed, 76% Full Time, 18% Part Time, and 5% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution.

Population Health Clinical Pharmacy Specialist

Dover, DE • On-site

Bayhealth

7.3

Company rating: 7.3 out of 10

Based on 55 frontline employees who took The Breakroom Quiz

303rd of 896 rated healthcare providers

People enjoy working here

Good employer

Recommended by parents

Learn more about Bayhealthexternal

$125K - $146K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 23 days ago

Job description

If you care about the opportunity to grow, to make a difference, to build a future and a life, then we just might have the career for you. Care to talk?
Bayhealth Medical Center is Central and Southern Delaware's healthcare leader with hospitals in Dover and Milford, as well as stand-alone Emergency Department in Smyrna and a hybrid Emergency Department and Urgent Care in Milton. We offer various practice settings throughout Kent and Sussex Counties. Bayhealth Medical Center Kent Campus is 90 minutes from Philadelphia, Washington, DC and Baltimore. Our Sussex Campus is 30 minutes to the Delaware beaches and relaxation in the sand!
Bayhealth Medical Center offers a competitive salary and comprehensive benefits package (for eligible positions) including:
  • Generous Paid Time Off and Paid Holidays
  • Matching 401(k)/403(b) Plans
  • Excellent Health, Dental, and Vision
  • Disability and Life Insurance options
  • On Site Child Care
  • Educational Reimbursement
  • Health Care and Dependent Care Flex Spending Accounts
  • Plus, an array of Voluntary Benefits to include Critical Care Coverage and more!

Location: Kent Campus Hospital
Status: Full Time 80 Hours
Shift: Days
SALARY RANGE: 136,406.40 - 211,411.20 YEARLY
General Summary:
The Population Health Pharmacist is a licensed pharmacist that will provide support for clinical pharmacy services to participating health plans. Responsibilities will be focused on improving the health of Delaware residents by improving quality of pharmacy-related care (STAR measures) and cost containment strategies through provider collaboration with providers engaged in value-based arrangements at Bayhealth. The Population Health Pharmacist is responsible for providing clinical pharmacy support to Medicare and Commercial providers.
Responsibilities:
1. Support Bayhealth providers by analyzing reports and EMR data extraction to identify opportunities that will improve outcomes based on medication usage (utilizing STAR and HEDIS) and reduce pharmacy costs to health plan members.
2. Assess health plan members with pre-determined medical conditions to identify barriers to care, perform self-management education, recommend screening, perform MTM services, and develop and implement personalized health improvement plans and goals as well as provide support for the members to achieve and maintain these goals. The Pharmacist will use evidence-based guidelines and health strategies in collaboration with the health care team to achieve overall health goals of members
3. Collaborate with Bayhealth providers to implement clinical quality data initiatives as determined by Bayhealth and participating health plans. Must maintain a 5-STAR rating of 90 % or greater for members on an annual basis
4. Participate in various committees, meetings, and audits as determined by Bayhealth and the health plan. Develop and maintain policies and procedures that supports Bayhealth's initiatives and meets State and Federal legal requirements and standards.
5. Inform providers and health plan members of the health plan's formulary changes on an annual basis through educational programs.
6. Assists in the identification of health plan members needs and intervene as appropriate to prevent avoidable hospital admissions or readmissions. Document these interventions to assess success of program.
7. Act as a subject matter expert in pharmacy-related clinical measure for value-based care agreements.
8. All other duties as assigned, within the scope and range of job responsibilities.
Required Education, Credential(s) and Experience:
  • Education: Bachelor Degree Pharmacy
  • Credential(s): Licensed Pharmacist, Board of Pharmacy Specialties (BPS) Certified in a specialty, Board of Pharmacy Specialties (BPS) Certified in Pharmacotherapy, Ambulatory Care, Cardiology, Geriatrics, or related area.
  • Experience: Required: One year of hospital pharmacist experience as a clinical pharmacist or completion of ASHP accredited PGY-1 residency program.
    Successful completion of Bayhealth credentialing process if applicable.

Preferred Education, Credential(s) and Experience:
  • Education: Doctorate Degree Pharmacy
  • Credential(s): Board Certification with one year of clinical pharmacy experience or PharmD with Board Certification in Pharmacotherapy or advanced degree (ex. MPH or MBA)
  • Experience: Preferred: Two years of hospital pharmacist experience as a clinical pharmacist or completion of ASHP accredited PGY-2 residency ambulatory program.

To view a full list of all open position at Bayhealth, please visit:
https://apply.bayhealth.org/join/

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