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?
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
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.
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
Health & Welfare Plan Delivery Lead
By GE HealthCare At Schenectady, NY, 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 ...

Senior Manager, Partnerships -Health & Wellness
By Babylist At United States
Proven experience working health & wellness brands to leverage publisher & platform capabilities to drive brand awareness, consideration, intent and purchase
We believe in exceptional management
At least 10 years of experience with a majority of that time focused on advertising, strategic partnerships, and/or media sales roles
Deep, proven experience in the health space
An experienced business developer, capable of adapting your pitch based on the client’s needs
Bring your knowledge of the health space and health advertiser needs to inform our strategy, approach and programming to health advertisers
Vp, Health Plan Systems
By Health Partners Plans At Philadelphia, PA, United States
Benefits & Wellness Program including generous Time Off
Develop and manage technology budgets for the health plan, ensuring that resources are allocated effectively to meet the organization's needs.
Excellent leadership, interpersonal, and communication skills.
Ability to effectively manage budgets and resources to meet the needs of the organization
Strong problem-solving skills and the ability to think creatively to solve complex technical problems.
Competitive Compensation Packages, including 401(k) Savings Plan with Company Match and Profit Sharing
Senior Manager, Health Plan Partnerships
By Maven Clinic At New York, NY, United States
Experience working with health plans, benefits consultants, benefits administrator and/or pharmacy benefit managers a plus
7+ years of experience, with a strong background in healthcare and/or benefits
Drive productive client meetings while proactively anticipating client needs and milestones specific to the employer benefits and health plan industry
Demonstrated ability to manage complex cross-functional projects
Experience building and improving processes for high growth company
Excellent oral and written communications skills; expert listening skills

Are you looking for an exciting opportunity to make a real impact in the health care industry? We are seeking a Health Plan Partnerships Manager to join our team and help us build strong relationships with health plans and other key stakeholders. You will be responsible for developing and executing strategies to increase our presence in the health plan market. If you are a motivated self-starter with a passion for health care, this is the perfect job for you!

Overview:

The Health Plan Partnerships Manager is responsible for developing and managing relationships with health plans, health systems, and other healthcare organizations. This role is responsible for identifying and pursuing new business opportunities, negotiating contracts, and ensuring that all contractual obligations are met.

Detailed Job Description:

The Health Plan Partnerships Manager is responsible for developing and managing relationships with health plans, health systems, and other healthcare organizations. This role is responsible for identifying and pursuing new business opportunities, negotiating contracts, and ensuring that all contractual obligations are met. The Health Plan Partnerships Manager will also be responsible for developing and executing strategies to increase revenue and market share. This role will also be responsible for providing customer service to existing and potential partners, as well as providing support to internal stakeholders.

What is Health Plan Partnerships Manager Job Skills Required?

• Excellent communication and interpersonal skills
• Strong negotiation and problem-solving skills
• Ability to build and maintain relationships with key stakeholders
• Knowledge of healthcare industry trends and regulations
• Ability to analyze data and develop strategies
• Proficiency in Microsoft Office Suite

What is Health Plan Partnerships Manager Job Qualifications?

• Bachelor’s degree in Business Administration, Healthcare Administration, or related field
• 5+ years of experience in healthcare, business development, or related field
• Experience in contract negotiation and management
• Knowledge of healthcare industry trends and regulations

What is Health Plan Partnerships Manager Job Knowledge?

• Knowledge of healthcare industry trends and regulations
• Understanding of healthcare reimbursement models
• Knowledge of healthcare technology and systems
• Understanding of healthcare policy and regulations

What is Health Plan Partnerships Manager Job Experience?

• 5+ years of experience in healthcare, business development, or related field
• Experience in contract negotiation and management
• Experience in developing and executing strategies to increase revenue and market share

What is Health Plan Partnerships Manager Job Responsibilities?

• Develop and manage relationships with health plans, health systems, and other healthcare organizations
• Identify and pursue new business opportunities
• Negotiate contracts and ensure contractual obligations are met
• Develop and execute strategies to increase revenue and market share
• Provide customer service to existing and potential partners
• Provide support to internal stakeholders