Health Plan Advisor
Honolulu, HI · On-site
... care programs, and other programs in accordance with the strategic marketing goals of HMSA ... Educates and advises administrators regarding their group health plan benefits and provisions, HMSA ...
Honolulu, HI · On-site
... care programs, and other programs in accordance with the strategic marketing goals of HMSA ... Educates and advises administrators regarding their group health plan benefits and provisions, HMSA ...
Honolulu, HI · On-site
... care programs, and other programs in accordance with the strategic marketing goals of HMSA ... Educates and advises administrators regarding their group health plan benefits and provisions, HMSA ...
Huntington Beach, CA · On-site
$61.50 - $74/hr
The ideal candidate has deep managed care or Medicare Advantage experience and is passionate about ... First, think and act like the customers who need us, and most importantly, deliver what larger ...
Huntington Beach, CA · On-site
$61.50 - $74/hr
The ideal candidate has deep managed care or Medicare Advantage experience and is passionate about ... First, think and act like the customers who need us, and most importantly, deliver what larger ...
The Health Plan Partnership Specialist serves as the primary liaison between the Health Center (CBWCHC) and managed care healthplans, including provider relations, sales, and marketing teams. This ...
The Health Plan Partnership Specialist serves as the primary liaison between the Health Center (CBWCHC) and managed care healthplans, including provider relations, sales, and marketing teams. This ...
Join Martin's Point Health Care - an innovative, not-for-profit health care organization offering ... relevant plan. In addition to base compensation, we offer a comprehensive benefits package ...
New
Join Martin's Point Health Care - an innovative, not-for-profit health care organization offering ... relevant plan. In addition to base compensation, we offer a comprehensive benefits package ...
New
Salem, OR · On-site
Health Plan Nurse Coordinator The Health Plan Nurse Coordinator is a Registered Nurse who supports ... Participate in care coordination and care transition activities to support safe and effective ...
Salem, OR · On-site
Health Plan Nurse Coordinator The Health Plan Nurse Coordinator is a Registered Nurse who supports ... Participate in care coordination and care transition activities to support safe and effective ...
Louisville, KY · On-site +1
Our Company Abilis Health Plan Overview The Member Services Analyst for the Institutional and ... This position collaborates closely with Interdisciplinary Care Teams (ICTs), facility staff ...
Louisville, KY · On-site +1
Our Company Abilis Health Plan Overview The Member Services Analyst for the Institutional and ... This position collaborates closely with Interdisciplinary Care Teams (ICTs), facility staff ...
San Jose, CA · On-site
$75K/yr
Through our innovative PACE model of care, we serve as both the health plan and the provider ... Community-first approach - You'll engage with the community at events, local organizations, and ...
Quick apply
San Jose, CA · On-site
$75K/yr
Through our innovative PACE model of care, we serve as both the health plan and the provider ... Community-first approach - You'll engage with the community at events, local organizations, and ...
$59.50 - $71.75/hr
As a Health Plan Pharmacist with the BCBSWY Pharmacy Team, you will play an essential role in ... Masters of Healthcare Administration; Masters of Business Administration; work experience with ...
$59.50 - $71.75/hr
As a Health Plan Pharmacist with the BCBSWY Pharmacy Team, you will play an essential role in ... Masters of Healthcare Administration; Masters of Business Administration; work experience with ...
This role monitors members'/patients' treatment plans, educates them about resources available to support compliance with the plan of care, connects them with healthcare providers, and evaluates ...
This role monitors members'/patients' treatment plans, educates them about resources available to support compliance with the plan of care, connects them with healthcare providers, and evaluates ...
Hondo, TX · On-site
This Professional RN will assist Community First Health Plan (CFHP) members regain optimum health or improved functional capacity by ensuring that members have access to all of the health care ...
Hondo, TX · On-site
This Professional RN will assist Community First Health Plan (CFHP) members regain optimum health or improved functional capacity by ensuring that members have access to all of the health care ...
... care operations. * Knowledge of CMS, HIPAA, NCQA, and utilization management regulatory requirements. * Experience working with authorization platforms, electronic medical records, or health plan ...
... care operations. * Knowledge of CMS, HIPAA, NCQA, and utilization management regulatory requirements. * Experience working with authorization platforms, electronic medical records, or health plan ...
Miami, FL · On-site
ILS, along with its affiliated health plans known as Florida Community Care and Florida Complete ... The Health Plan Compliance Analyst plays a critical role in ensuring that health plans operate ...
Miami, FL · On-site
ILS, along with its affiliated health plans known as Florida Community Care and Florida Complete ... The Health Plan Compliance Analyst plays a critical role in ensuring that health plans operate ...
MHP is a Managed Care Organization dedicated to meeting the health care needs of each member. MHP ... McLaren Health Plan is accredited by the National Committee for Quality Assurance (NCQA). MHP ...
New
MHP is a Managed Care Organization dedicated to meeting the health care needs of each member. MHP ... McLaren Health Plan is accredited by the National Committee for Quality Assurance (NCQA). MHP ...
New
Boerne, TX · On-site
This Professional RN will assist Community First Health Plan (CFHP) members regain optimum health or improved functional capacity by ensuring that members have access to all of the health care ...
Boerne, TX · On-site
This Professional RN will assist Community First Health Plan (CFHP) members regain optimum health or improved functional capacity by ensuring that members have access to all of the health care ...
Bakersfield, CA · On-site
$112K - $134K/yr
Qualifying related work experience may include: health plan administrator, health plan program manager; medical office administration; negotiation of health care provider reimbursement agreements ...
Bakersfield, CA · On-site
$112K - $134K/yr
Qualifying related work experience may include: health plan administrator, health plan program manager; medical office administration; negotiation of health care provider reimbursement agreements ...
Phoenix, AZ · On-site
$88K - $118K/yr
Health Plan Contract Manager Community Bridges, Inc. (CB I) is an integrated behavioral healthcare ... CBI is the premiere non-profit fully integrated healthcare provider of substance use and behavioral ...
Phoenix, AZ · On-site
$88K - $118K/yr
Health Plan Contract Manager Community Bridges, Inc. (CB I) is an integrated behavioral healthcare ... CBI is the premiere non-profit fully integrated healthcare provider of substance use and behavioral ...
Fresno, CA · On-site +1
$80K - $98K/yr
We know that our ability to provide the highest level of care is through taking care of our ... California Health Plan experience preferred * Experience working with QNXT is a plus. Licenses and ...
Fresno, CA · On-site +1
$80K - $98K/yr
We know that our ability to provide the highest level of care is through taking care of our ... California Health Plan experience preferred * Experience working with QNXT is a plus. Licenses and ...
Empathy - The people our business serves always come first. We care for our teammates and put ourselves in the shoes of our health plan customers and the patients and clinicians our solutions benefit.
Empathy - The people our business serves always come first. We care for our teammates and put ourselves in the shoes of our health plan customers and the patients and clinicians our solutions benefit.
Pearland, TX · On-site
$105K - $126K/yr
As a multi-specialty clinic, we offer care from more than 900 medical providers in 65 medical ... Assists in scheduling of Health Plan Pharmacy Services Department personnel to ensure program ...
Pearland, TX · On-site
$105K - $126K/yr
As a multi-specialty clinic, we offer care from more than 900 medical providers in 65 medical ... Assists in scheduling of Health Plan Pharmacy Services Department personnel to ensure program ...
Experience in the health care field * Compliance related experience * Possesses a valid driver ... Generous retirement plan with match available. * Wellness program for employees and their families.
Experience in the health care field * Compliance related experience * Possesses a valid driver ... Generous retirement plan with match available. * Wellness program for employees and their families.
| Aspect | Care 1St Health Plan | Care Coordinator |
|---|---|---|
| Credentials | Varies; often requires health insurance knowledge, certifications like CPC or CHC helpful | Typically requires healthcare or social work certifications, such as LPN, RN, or social work license |
| Work Environment | Insurance company offices, healthcare settings | Hospitals, clinics, community health organizations |
| Employer & Industry | Health insurance providers, healthcare industry | Hospitals, clinics, healthcare agencies |
Care 1St Health Plan professionals focus on managing insurance plans and member benefits, while Care Coordinators directly assist patients with healthcare services and support. Both roles require healthcare knowledge but differ in daily responsibilities and work settings.
States with the most job openings for Care 1St Health Plan jobs include:
The top searched job categories for Care 1St Health Plan jobs are:

Full-time
Medical
Re-posted 7 hours ago
Sourced by ZipRecruiter
Insurance services
1,001 - 5,000 Employees
Honolulu, HI, US