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Health Plan Sales Executive Jobs

Health & Welfare Plan Delivery Lead
By GE HealthCare At Illinois, United States

Job Description Summary In this role, you will be responsible for the overseeing the delivery of Health and Welfare benefits to GE HealthCare participants, ensuring they are properly ...

Sales Executive - Evernorth Behavioral Health
By The Cigna Group At , Hartford, 06152, Ct $113,300 - $188,800 a year

This position supports primary sales and servicing accountability across the Evernorth Behavioral Health portfolio, including cultivating new business for Evernorth Care Solutions. The Evernorth ...

Case Management Assistant - The Health Plan
By Texas Children's Hospital At , Houston, 77001, Tx
Two years of experience in Case management, community outreach, healthcare, and/or health insurance experience OR
Provides Support for Case Management Services.
Documents in current case management system.
Completes all eligibility and benefit data available on members before routing to Case Manager or Transition Specialist.
Three years of general administrative experience required
Two years of call/contact center experience preferred
Vp, Health Plan Operations (Remote In Indiana)
By Molina Healthcare At , Indianapolis, 46240, In

To all current Molina employees:

Contracts Specialist - The Health Plan **Full Remote**
By Texas Children's Hospital At , Houston, 77001, Tx
Provides ongoing support to network management department and other internal customers as needed
Answers network management's main provider phone line and triage/resolve provider issues
Submits required reports, ad hoc reports, and completed projects to management in a timely manner
Two years' health care or managed healthcare experience required
Manages LOI process, prepares service forms for provider information and contract changes, works service flow queues for contract/application process
Bachelor degree may be substituted for the required experience
Project Coordinator (Health Plan Operations)
By Better Health Group At Tampa, FL, United States
Excellent organizational, time-management, and multi-tasking skills with strong attention to detail
Attend and participate in Core Operations team meetings, 1:1 meetings with Manager of Core Operations, and interdepartmental market meetings as required
At least 3 years of experience in a healthcare-related environment
Demonstrated resourcefulness, initiative, and results-oriented capabilities
Excellent written and verbal communication skills.
Are you looking for a career opportunity that will help you grow personally and professionally?
Student Health Insurance Plan Billing Manager
By Wellfleet At United States
Experience in health insurance billing preferred.
Advanced Microsoft Office skills, specifically Excel and Access.
Coordinate billing and collections efforts for Wellfleet Student Health Insurance Plan (SHIP) business.
Create invoices and statements of account for SHIP customers using data from the enrollment system.
Create and maintain premium accounts receivable summaries and documentation and reconcile to general ledger.
Organize and lead frequent inter-departmental meetings and communications regarding specific details and action plans for individual accounts.
Coordinator, Health Plan Marketing
By Denver Health At , Denver, 80204, Co $50,600 - $73,300 a year
Develop and assist with regular review and maintenance of protocols and procedures related to position’s responsibilities. (5%)
1-3 years 1+ years of customer service, marketing or communications experience Required and
Previous association experience and/or working with healthcare providers and their teams preferred but not required.
Strong attention to detail, ability to demonstrate accuracy, efficiency, and follow-through, while working. Possess strong organizational and interpersonal skills.
Sound administrative strategies and tactics that promote excellence in responsibilities.
Act as a communications concierge to all Members and Providers. (10%)
Case Management Assistant - The Health Plan
By Texas Children's Hospital At Houston, TX, United States
Two years of experience in Case management, community outreach, healthcare, and/or health insurance experience OR
Provides Support for Case Management Services.
Documents in current case management system.
Completes all eligibility and benefit data available on members before routing to Case Manager or Transition Specialist.
Three years of general administrative experience required
Two years of call/contact center experience preferred
Senior Customer Success Executive, Health Plan Partnerships
By Carrot Fertility At United States
Acts as a strategic business partner to position and promote adoption of the Carrot benefit
Detail-oriented with strong analytical, writing, and communication skills
Process-oriented with an automation/efficiency mindset; experience developing best practices, creating scalable systems, and automating routine processes
Experience with Salesforce or other CRM
Familiarity with Carrot’s buyers (HR benefits leaders)
Ability to work Eastern Standard Time
Customer Service - Health Plan, Austin, Texas
By TotalMed, Inc. At Austin, TX, United States

Job Description We are seeking a Health Plan Customer Service for an assignment in Austin Texas. Customer Service Representative handles customer calls by answering questions, finding ...

Quality Specialist - The Health Plan
By Texas Children's Hospital At , Houston, 77001, Tx
Works on projects, including preparation for health plan wide audits, as delegated by the Quality Management leadership, meeting assigned time frames
3 years' experience in performance improvement or quality required
Experience in a clinical environment preferred
Produces reports for quality improvement, guidelines, utilization, and outcomes, error-free and on time
Works with information systems and departmental representatives to evaluate, strategize and ensure data elements are available for collection and reporting
Coordinates agenda, meeting minutes and meeting requests for committee meetings, error free
Senior Specialist, Health Strategy Plan Manager
By American Airlines At Dallas, TX, United States
Experience in health and well-being plans and program management
Additionally, the position is responsible for the strategic, financial and contractual management of health and well-being vendors plans and programs
Manages vendor relationships, contracts, and works collaboratively to ensure plan provisions and contractual requirements are implemented, interpreted, and administered correctly
Oversees vendor compliance and ensures all government regulatory requirements are managed within the plan policies and procedures
Ability to influence all levels of management and vendors
This job is a member of the Benefits Strategy and Planning Team within the People/HR Division
Dir, Health Plan Management
By Teladoc Health At , Remote $115,000 - $150,000 a year
8+ years combined experience in sales and account management/client management in the health care or PBM space
PBM account management and/or sales experience is a plus
Coordinating successful client hand off/management activities.
Provide internal management information to assist in the updating of monthly forecasts and billing.
Manage all client touchpoints and maintain historical retention targets, including annual renewals, key relationship changes, upsells, and fee renegotiation
Develop deep knowledge and actively seek current information about plans’ organizational structure, products, services, and markets
Associate Health Plan Operations
By Imagine Pediatrics At United States
Demonstrates excellent project management skills, such as ability to develop high-quality materials, work on concrete deadlines, and deliver results independently.
Manage new market and partnership launch activities as opportunities progress through the business development pipeline.
Track and manage ongoing/post-implementation payer partnership milestones and delivery dates.
Develop / manage internal department SOPs, processes, and procedures.
2-3 years of experience managing complex projects
Experience in a healthcare environment, including health plans, medical groups, providers, clinics, or healthcare delivery organizations.
Student Health Insurance Plan Billing Manager
By WELLFLEET At , Remote
Experience in health insurance billing preferred.
Advanced Microsoft Office skills, specifically Excel and Access.
Coordinate billing and collections efforts for Wellfleet Student Health Insurance Plan (SHIP) business.
Create invoices and statements of account for SHIP customers using data from the enrollment system.
Create and maintain premium accounts receivable summaries and documentation and reconcile to general ledger.
Organize and lead frequent inter-departmental meetings and communications regarding specific details and action plans for individual accounts.
Health Data Analyst - Osu Health Plan
By The Ohio State University Wexner Medical Center At , Columbus, 43202, Oh
Bachelor's degree, or equivalent combination of education and experience required
2 years experience working with health plan administration and/or systems preferred
Analytical experience, including working with medical claims information preferred
Experience working with OSU medical plans and associated business rules preferred
Our Comprehensive Employee Benefits Include
An array of retirement plan options, each with a generous employer contribution.
Care Manager, Health Plan, Bh - Remote
By Magellan Health At , From $64,285 a year
Oversees and effectively manages work assigned and conducted by assigned care support team
License and Certifications - Required
License and Certifications - Preferred
Provides telephone triage, crisis intervention and prior authorizations as assigned for select members stratified as high and moderate member need.
Implements, coordinates, and monitors strategies for members and families to improve health and quality of life outcomes.
Acts as an advocate for members' care needs by identifying and addressing gaps in care.
Health Plan Management Consultant
By DataNet Systems Corp. At Washington, DC, United States

Sr. Consultant needed to support the DC Health Benefits Exchange in its Plan Management annual recertification process.

Strong verbal and written communication, critical thinking, and problem-solving skills.

Health Plan Nurse Coordinator I
By CenCal Health At , Santa Barbara, 93110, Ca $69,681 - $104,522 a year
Function as a collaborative member of Health Services' multi-disciplinary medical management team.
Identify and report quality of care concerns to management and, as directed, to the appropriate CenCal Health department for follow-up.
Support and work collaboratively with the Health Services management team in the implementation and management of the assigned unit's activities.
Depending on unit assignment: Prior UM, CM, DM, or QI experience in a managed care setting
Be abreast of clinical knowledge related to disease processes.
As required, actively participate in the implementation, assessment, and evaluation of quality improvement activities as it relates to job duties.