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Health Plan Contracts Consultant Jobs in Union, Arkansas

Health Plan Communications Specialist - Remote - Va Only
By Molina Healthcare At United States
1+ years’ experience assisting with the management of communications projects
Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Edits, proofs, and reviews all communications to meet the Molina tone, voice, and style requirements
Ensures all state/federal regulatory and accreditation requirements are met in materials
Ensures regulatory approval of materials as required by state and federal requirements
2+ years marketing or communications experience
Health Plan Specialist (Remote, 9/5 Start Date)
By Medica At United States
10:00am CST- 6:30pm CST (shift differential incentives are offered for this later shift)
10:30am CST- 7:00pm CST (shift differential incentives are offered for this later shift)
11:30am CST - 8:00pm CST (shift differential incentives are offered for this later shift)
12:00pm CST - 9:00pm CST (shift differential incentives are offered for this later shift)
Minimum requirement is HS diploma, or equivalent
2 years of related Customer Service experience
Plan Document Consultant Jobs
By Voya Financial At United States
Successfully manage and execute plan document restatements from start to finish.
Offer plan design consultations with plan sponsors during the onboarding process.
Offer plan design consultations with plan sponsors during the amendment process.
Assist in the development workflows, tools and procedures to enhance the client experience around Voya’s plan document services.
5+ years’ experience with retirement plans and related rules/regulations.
Strong verbal, written and interpersonal skills.
It Contracts Consultant Jobs
By Sage Therapeutics At United States
Education, Experience and Specialized Knowledge and Skills
5+ years’ experience working in contracts management.
Must be organized and have excellent oral and written communication skills.
Experience with Novatus contracts system and Oracle preferred.
Experience working in-house at a pharmaceutical or biotech company.
Intermediate to advanced computer skills, including Microsoft Office (i.e., Word, Excel, PowerPoint, and Outlook) and online research.
Federal Health Plan Specialists - National Remote ($67800.00 - $133100.00 / Year)
By Talentify.io At United States
Manage special projects on an as needed basis.
Associate Degree (or higher) OR experience working with FEHB plans
3+ years of customer service experience
Exceptional public speaking skills - must demonstrate a history of public speaking to small and large audiences
Strong verbal and written communication skills.
Physical Requirements And Work Environment
Retirement Plan Consultant Jobs
By CPS, Inc. At United States
Experience in Defined Contribution and/or Defined Benefit plans will be considered.
Allocations, Reconciliations and Terminations of plan experience is necessary.
Knowledge of Relius, Datair, Pension Pro, ASC or similar system is preferred
At least 2+ years of retirement plan administration experience
Experience with around 100 plans.
Strong organizational skills and the ability to work independently.
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.
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.
Health Plan Operations Associate
By Firefly Health At Watertown, MA, United States
Have successfully proven remote-work time management skills
Assist members with questions regarding the Firefly Health Plan; Provider network, medications, prior authorizations, and Care-Pass requirements
Furnish benefits, claim status, eligibility checks, etc. to Providers on an Inbound and Outbound call basis.
Execute courteous, accurate, and prompt follow-up with customers by utilizing worklists to successfully manage daily tasks
Have excellent communication skills and love delivering great service to people, often at stressful moments in their health journey
Have experience using digital technology to improve service delivery
Information Technology - Health Plan, Remote - 50 Miles From Richardson, Texas
By TotalMed, Inc. At Richardson, TX, United States

Job Description We are seeking a Health Plan Information Technology for an assignment in Remote 50 miles from Richardson Texas. IT Specialists maintain and improve the technical systems of a ...

Coordinator - Health Plan, Remote- Fl, Florida
By TotalMed, Inc. At Florida, United States

Job Description We are seeking a Health Plan Coordinator for an assignment in Remote FL Florida. Administrative Coordinators perform clerical tasks including typing documents, compiling and ...

Coordinator - Health Plan, Remote- Tx, Texas
By TotalMed, Inc. At Texas, United States

Job Description We are seeking a Health Plan Coordinator for an assignment in Remote TX Texas. Administrative Coordinators perform clerical tasks including typing documents, compiling and filing ...

Customer Service Representative - Health Plan
By Morgan Stephens At Long Beach, CA, United States

Minimum Of 1-2 Years Customer Service Experience

Morgan Stephens ofrecemos reclutadores que hablan Espanol

Health Plan Liaison (Hybrid)
By Better Health Group At Tampa, FL, United States
Excellent organizational, time-management, and multi-tasking skills with strong attention to detail
Demonstrate ability to manage time and organize meetings effectively
Demonstrate knowledge of Health Plan specific policies, procedures, and resources
All action items are completed by the due dates set forth by the Health Plan and Manager of Core Operations
At least 3 years of experience in a healthcare-related environment
Demonstrated resourcefulness, initiative, and results-oriented capabilities
Health Plan Liaison Manager (Hybrid)
By Better Health Group At Tampa, FL, United States
Excellent organizational, time-management, and multi-tasking skills with strong attention to detail
Maintain tasks in the project management system to reflect any updates or changes to Core Operations processes
Review tasks for accuracy that require manual data entry
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?
Contracts Specialist/Manager Consultant
By TB Alliance At , New York, 10005 $85 - $105 an hour

Department: Admin/Operations Contracts Specialist/Manager Consultant Summary: TB ...

Customer Service Representative - Health Plan
By Morgan Stephens At Cincinnati, OH, United States

Knowledge, Skills, And Abilities Required

Morgan Stephens ofrecemos reclutadores que hablan Espanol

Vp, Health Plan Sales
By RxSense At , Boston
Report sales activity to management as required.
Perform or assist with any operations, as required to maintain workflow and to meet schedules and quality requirements.
Bachelor's degree or multiple years of Technology or PBM equivalent/relevant experience is required.
Interaction with key influencers as needed which may include Brokers/Consultants as directed.
Participate in and perform analysis of opportunities, potential client needs and objectives that fit corporate goals and objectives.
Delivery of Corporate Business Model and Value Proposition to prospects via phone call, email, conferences, speaking engagements, demos, and presentations.
Manager, Health Plan Delivery Services
By Availity, LLC. At ,
Managing, assigning, and prioritizing Health Plan implementation related project and program management activities through the implementation lifecycle
Identifying the roles, skills, and knowledge required and ensure staff has the resources and skills needed to support all work initiatives
Interested in furthering your education? We offer education reimbursement!
Bachelor’s degree or the equivalent in work experience
Minimum of 5 years of healthcare and/or IT related project implementations experience
Experience in interviewing and hiring practices
Health Plan Data Analyst Iii
By CareSource At , Remote $66,700 - $106,700 a year
Project management experience is preferred
Assimilate large quantities and/or complicated data into meaningful formats for tracking and status requirements.
Serve as Project Manager for select HPLC initiatives.
Perform any other job duties as requested
Bachelor’s degree or equivalent years of relevant work experience is required.
Minimum of three (3) years of data analysis or experience in a health care setting is required.

Are you looking for an exciting opportunity to help shape the future of health plans? We are looking for a Health Plan Contracts Consultant to join our team and help us develop innovative and cost-effective health plans for our clients. As a Health Plan Contracts Consultant, you will be responsible for negotiating and drafting health plan contracts, analyzing and interpreting health plan documents, and providing guidance and advice to clients. If you have a passion for health care and a desire to make a difference, this is the job for you!

Overview:

A Health Plan Contracts Consultant is responsible for negotiating and managing contracts with health plans and other payers. They are responsible for ensuring that the contracts are compliant with applicable laws and regulations, as well as meeting the needs of the organization. The consultant must have a strong understanding of the health care industry and the ability to effectively negotiate and manage contracts.

Detailed Job Description:

The Health Plan Contracts Consultant is responsible for negotiating and managing contracts with health plans and other payers. This includes researching and analyzing the terms of the contracts, negotiating with payers, and ensuring that the contracts are compliant with applicable laws and regulations. The consultant must have a strong understanding of the health care industry and the ability to effectively negotiate and manage contracts. The consultant must also be able to develop and maintain relationships with payers and other stakeholders.

What is Health Plan Contracts Consultant Skills Required?

• Strong understanding of the health care industry
• Excellent negotiation and communication skills
• Ability to analyze and interpret contracts
• Knowledge of applicable laws and regulations
• Ability to develop and maintain relationships with payers and other stakeholders
• Excellent organizational and time management skills

What is Health Plan Contracts Consultant Qualifications?

• Bachelor’s degree in business, health care administration, or related field
• 5+ years of experience in health care contract negotiation and management
• Knowledge of applicable laws and regulations
• Ability to develop and maintain relationships with payers and other stakeholders

What is Health Plan Contracts Consultant Knowledge?

• Knowledge of the health care industry
• Knowledge of applicable laws and regulations
• Knowledge of contract negotiation and management
• Knowledge of health care reimbursement and payment models

What is Health Plan Contracts Consultant Experience?

• 5+ years of experience in health care contract negotiation and management
• Experience in developing and maintaining relationships with payers and other stakeholders
• Experience in analyzing and interpreting contracts

What is Health Plan Contracts Consultant Responsibilities?

• Negotiate and manage contracts with health plans and other payers
• Ensure that contracts are compliant with applicable laws and regulations
• Research and analyze the terms of the contracts
• Develop and maintain relationships with payers and other stakeholders
• Monitor and report on contract performance