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Care 1St Health Plan Jobs (NOW HIRING)

Impresiv Health

Health Plan Pharmacist

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 ...

Actalent

Health Plan Nurse Coordinator

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 ...

WelbeHealth

Health Plan Specialist

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 ...

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 ...

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 ...

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 ...

Evio

Health Plan Operations Partner

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.

divvyDOSE

Health Plan Clinical Pharmacist

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 ...

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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 Advisor

Hawaii Medical Service Association

Honolulu, HI • On-site

Full-time

Medical

Re-posted 7 hours ago

Job description

  1. Conduct open enrollment benefit presentations (second sale), handle current and prospective member inquiries, and support benefit/health fairs at employer sites on Oahu and the Neighbor Island (in-person and/or
    virtual).
  2. Strategically plan, staff, coordinate, and organize seminars/workshops to drive awareness of HMSA's value proposition.
  3. Employ exceptional selling skills to promote, educate, and implement HMSA's ancillary products/services to existing and prospective members on group specific plans offering, health and well being, disease management, preventive care programs, and other programs in accordance with the strategic marketing goals of HMSA.
  4. Respond to members' questions regarding plan benefits and provisions, as well as general questions relating to HMSA. Questions are standard and of non-sensitive nature.
  5. Resolve member complaints, as necessary.
  6. Meet marketing plan established goals and contribute to meeting annual sales revenue and membership growth objectives.
  7. Work in a cross functional team of Strategic Account Manager/Account Relationship Consultant/Account Service Representative/HPA/Well-Being Consultant.
  8. Participate in the account planning process to help strategize and prioritize open enrollment support.
  9. Schedule sessions for the account ahead of time.
  10. Use existing or lightly customized materials/communication or agendas for seminars
  11. Learn and understand the content of Open Enrollment materials, including health and well-being resources, and may assist with material updates. Obtains materials from internal sources and distributes to groups in a timely manner.
  12. Assist in conducting training and/ or seminars for employer groups' Human Resource administrators and/or group decision makers at workshops and/or seminar sessions and conducts other presentations/trainings based on business needs.
  13. Educates and advises administrators regarding their group health plan benefits and provisions, HMSA programs, the enrollment, billing and payment policies and procedures, and health care regulations such as the Hawaii Prepaid Health Care Act, COBRA, USERRA, HIPAA, QMCSO, TEFRA. Responds to group leaders' questions regarding these subjects, as well as general questions relating to HMSA.
  14. Assists with the development of new presentations to support business objectives, including health and well-being resources and support as needed.
  15. Performs all other miscellaneous responsibilities and duties as assigned or directed.

#LI-Hybrid
  1. Associate's degree and one (1) year of related work experience; or equivalent combination of education and work experience.
  2. Strong verbal and written communication skills
    Intermediate working knowledge of Microsoft Office applications including but not limited to Word, Excel, Outlook/Email and PowerPoint.
  3. Active license with the state of Hawaii Department of Commerce and Consumer Affairs or pass all four sections of the state licensing examination within three months of hire date. Having an active license to sell Health, Life and Group Insurance products in the state of Hawaii is a condition of employment.
  4. Driving required (50% or more of the essential duties in the job description requires traveling offsite) for business travel for meetings with employer groups.
  5. Must possess a valid driver's license, with access to an automobile with current license, registration, and no-fault insurance.

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