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Health Plan Manager Jobs in Fremont, Iowa

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.
Hr Administrator (Wellsense Health Plan)
By Boston Medical Center At , Remote
Demonstrates sound time management and is well-organized.
Conducts HRIS systems trainings for new hires and new managers.
At least 3 years of HR administrative support experience required. Experience in a fast-paced, rapidly growing organization preferred.
Experience in the healthcare/health insurance industry preferred, not required.
Some knowledge of Federal and multi-State employment laws.
Conducts all job responsibilities with the highest degree of confidentiality.
Sales Executive (Health Plan Sales) - Remote Opportunity
By Tivity Health, Inc. At , Remote
Develop a solid understanding of the organizational strategies, solutions and services to help benefit targeted health plans by implementing our solutions.
Bachelor's degree in Business or Marketing preferred, or relevant experience.
Demonstrated experience exceeding sales activity, revenue, and profit goals
Relevant experience in “solution” vs. “product” sales, including ROI selling techniques
Engage as a key team member in the health plan account development strategy.
Ensure CRM database contains current information on revenue potential, close probability, etc. for all prospects.
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
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.
Care Coordinator - Health Plan Member Services
By Included Health At , Remote
Proficiency with technology; experience with Google apps, Apple products, and customer relationship management software a plus
Bachelor’s degree or 5 years relevant experience in healthcare or benefits/insurance organization is highly preferred
Help members understand the benefits available to them and how to access them to best meet their healthcare needs
Demonstrate knowledge of proprietary software and other required technology
Indicators of high quality interactions (quality audits, member satisfaction surveys, documentation requirements)
Ability to help connect members who would benefit from clinical services to those services
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
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
100% Remote - Project Manager (Health Plan Pmo)
By Beacon Hill Staffing Group At Norfolk, VA, United States
A minimum 5 years of experience in a Project Management role
Must have a five-year track record of success in project and or program management. Should need limited training.
Enthusiastic project managers, been doing PM for at least 4-5 yrs.
Certifications - PMI/PMP. Not required but gold standards.
A minimum 3 years of experience in the Health Insurance Industry (Payer)
NOTE: This is a 100% remote position. Candidates need to be from the following states.
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?
Health Plan Nurse Coordinator I - Behavioral Health
By CenCal Health At , Santa Barbara, 93110 $69,681 - $104,522 a year
Demonstrate strong multi-tasking, organizational, and time-management skills.
1-2 years of experience in crisis or risk assessment or case management
Adhere to Health Plan, Medical Management and Health Services policies and procedures.
Function as a collaborative member of Medical Management/Health Services’ multi-disciplinary medical management team
Identify and report quality of care concerns to management and as directed, to appropriate CenCal Health department for follow up.
Understand basic case and disease management concepts, principles and practices as described in the Case Management Society of America
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
Manager Behavioral Health - Health Plan
By Baylor Scott & White Health At , Temple, 76502 $36.26 an hour
Demonstrated ability to evaluate and stabilize team and separate workloads through effective time management, prioritization, and organizational skills.
Demonstrated leadership, communication, organizational and problem-solving skills.
Immediate eligibility for health and welfare benefits
EXPERIENCE - 2 Years of Experience
Our competitive benefits package includes the following
Note: Benefits may vary based on position type and/or level