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Care 1St Health Plan Jobs (NOW HIRING)

Welbehealth

Health Plan Specialist

San Jose, CA

$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 ...

Blue Cross Blue Shield of Wyoming

Health Plan Pharmacist

$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 ...

Sutter Health

Actuary, Sutter Health Plan

$126K - $189K/yr

... and our health plan members to access care when, where, and how they want it. Partners with ... Thorough knowledge of healthcare delivery systems, integrated delivery systems and medical group ...

Community Health System

Sr. Auditor, Health Plan

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 ...

cbi

Health Plan Contract Manager

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 ...

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Care 1St Health Plan information

What is Care 1st Health Plan?

Care 1st Health Plan is a managed care health insurance provider that offers a range of health coverage options, primarily for Medicaid and Medicare beneficiaries. It works with networks of doctors, hospitals, and other healthcare providers to deliver comprehensive healthcare services to its members. The plan typically covers medical, preventive, and sometimes behavioral health services, depending on the specific program and location. Members benefit from coordinated care, access to health resources, and customer support services.

How does working at Care 1st Health Plan foster professional development for its employees?

Care 1st Health Plan places a strong emphasis on continuous learning and career advancement. Employees often benefit from regular training sessions, mentorship opportunities, and support for pursuing industry certifications. The collaborative work environment encourages cross-departmental exposure, which helps staff broaden their skill sets and advance within the organization. Many team members find clear pathways to take on increased responsibilities or move into leadership roles as they gain experience.

What are the key skills and qualifications needed to thrive at Care 1st Health Plan, and why are they important?

To thrive at Care 1st Health Plan, you generally need a background in healthcare administration, health insurance, or case management, often supported by a relevant degree or professional certification. Familiarity with health plan management systems, claims processing software, and regulatory compliance tools is typically required. Strong interpersonal communication, organizational skills, and a customer-focused mindset help employees excel in delivering member services and coordinating care. These skills and qualifications are essential for ensuring efficient operations, regulatory compliance, and high-quality support for members.

What is the difference between Care 1St Health Plan vs Care Coordinator?

AspectCare 1St Health PlanCare Coordinator
CredentialsVaries; often requires health insurance knowledge, certifications like CPC or CHC helpfulTypically requires healthcare or social work certifications, such as LPN, RN, or social work license
Work EnvironmentInsurance company offices, healthcare settingsHospitals, clinics, community health organizations
Employer & IndustryHealth insurance providers, healthcare industryHospitals, 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.

More about Care 1St Health Plan jobs

What states have the most Care 1St Health Plan jobs?

States with the most job openings for Care 1St Health Plan jobs include:

What job categories do people searching Care 1St Health Plan jobs look for?

The top searched job categories for Care 1St Health Plan jobs are:

Care 1St Health Plan jobs near you
Infographic showing various Care 1St Health Plan job openings in the United States as of August 2026, with employment types broken down into 2% As Needed, 76% Full Time, 16% Part Time, and 6% Contract. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution.

Health Plan Partnership Specialist

Charles B. Wang Community Health Center

Queens, NY

Full-time

Re-posted 2 days ago

Job description

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 role isresponsible for building and maintaining strong, collaborative relationshipswith health plan partners through orientations on CBWCHC's health services,regular meetings, membership reviews, patient growth monitoring, and marketinginitiatives. The specialist will lead efforts to enhance CBWCHC's visibilitywithin health plans and implement data-driven strategies to maximize patientacquisition and retention.

Responsibilities:

  • Lead relationship management with managed care health plans, focusing on membership growth, strategic marketing, and joint co-marketing initiatives
  • Provide orientation and guidance on CBWCHC health services to health plan representatives
  • Plan and execute collaborative marketing campaigns with health plan partners to increase awareness, engagement, and patient volume
  • Conduct high-level meetings with health plan partners to review membership performance, trends, patient growth opportunities, and quality incentive programs
  • Analyze patient, membership, and utilization data to inform strategic initiatives and optimize network engagement
  • Develop and implement strategies to enhance patient acquisition, retention, and overall access to care
  • Serve as a trusted advisor to internal leadership and cross-functional teams regarding health plan collaborations, co-marketing efforts, and quality improvement programs
  • Track, evaluate, and report key performance metrics, providing actionable insights to support continuous improvement and strategic decision-making
  • Strong skills in community building, communication, and stakeholder management skills
  • Maintain a flexible schedule, including availability for some evenings and weekends
  • Perform other duties as assigned

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