Health Plan Operations Partner
$120K - $140K/yr
About the role The Health Plan Operations Partner helps Evio strengthen relationships with our investor/customer health plans, driving coordinated and effective relationships. You'll be a strategic ...
$120K - $140K/yr
About the role The Health Plan Operations Partner helps Evio strengthen relationships with our investor/customer health plans, driving coordinated and effective relationships. You'll be a strategic ...
$120K - $140K/yr
About the role The Health Plan Operations Partner helps Evio strengthen relationships with our investor/customer health plans, driving coordinated and effective relationships. You'll be a strategic ...
Denver, CO · On-site
About the role The Health Plan Operations Partner helps Evio strengthen relationships with our investor/customer health plans, driving coordinated and effective relationships. You'll be a strategic ...
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Denver, CO · On-site
About the role The Health Plan Operations Partner helps Evio strengthen relationships with our investor/customer health plans, driving coordinated and effective relationships. You'll be a strategic ...
Under the leadership of the health plan president, directs and coordinates state health plan operations. Accountable for ensuring health plan operating metrics consistently meet and/or exceed all ...
Under the leadership of the health plan president, directs and coordinates state health plan operations. Accountable for ensuring health plan operating metrics consistently meet and/or exceed all ...
Under the leadership of the health plan president, directs and coordinates state health plan operations. Accountable for ensuring health plan operating metrics consistently meet and/or exceed all ...
Under the leadership of the health plan president, directs and coordinates state health plan operations. Accountable for ensuring health plan operating metrics consistently meet and/or exceed all ...
Omaha, NE · On-site
$161K - $315K/yr
Job Summary Provides executive level strategy and leadership to team responsible for the development and administration of state health plan operational functions, programs and services - ensuring ...
Omaha, NE · On-site
$161K - $315K/yr
Job Summary Provides executive level strategy and leadership to team responsible for the development and administration of state health plan operational functions, programs and services - ensuring ...
$66K - $79K/yr
The Sr. Analyst, Health Plan Performance (HPP) Ops is responsible for extracting, analyzing, and ... Day-to-Day Operations * Source, clean, and organize data from multiple streams (payer portals, Rx ...
$66K - $79K/yr
The Sr. Analyst, Health Plan Performance (HPP) Ops is responsible for extracting, analyzing, and ... Day-to-Day Operations * Source, clean, and organize data from multiple streams (payer portals, Rx ...
Ontario, CA · On-site
$150K - $250K/yr
The Vice President of Health Plan Operations and Claims is responsible for the development and execution of Claim Operations strategies, end-to-end Claim process automation, optimization and ...
Ontario, CA · On-site
$150K - $250K/yr
The Vice President of Health Plan Operations and Claims is responsible for the development and execution of Claim Operations strategies, end-to-end Claim process automation, optimization and ...
$150K - $250K/yr
The Vice President of Health Plan Operations and Claims is responsible for the development and execution of Claim Operations strategies, end-to-end Claim process automation, optimization and ...
$150K - $250K/yr
The Vice President of Health Plan Operations and Claims is responsible for the development and execution of Claim Operations strategies, end-to-end Claim process automation, optimization and ...
Overview of the Health Plan Operations Administrative Fellowship 12-month program: July 2027 - July 2028. Location: Salt Lake City, UT, with potential opportunity to rotate or visit other areas ...
Overview of the Health Plan Operations Administrative Fellowship 12-month program: July 2027 - July 2028. Location: Salt Lake City, UT, with potential opportunity to rotate or visit other areas ...
Senior Manager of Quality Assurance and Compliance - Health Plan Operations The Senior Manager of Quality Assurance and Compliance - Health Plan Operations is responsible for establishing and ...
Senior Manager of Quality Assurance and Compliance - Health Plan Operations The Senior Manager of Quality Assurance and Compliance - Health Plan Operations is responsible for establishing and ...
Long Beach, CA · On-site
The role combines strong health plan operations knowledge with data science methods and AI-enabled analytics tooling (GenAI, agentic workflows) to surface and size opportunities from claims, clinical ...
Long Beach, CA · On-site
The role combines strong health plan operations knowledge with data science methods and AI-enabled analytics tooling (GenAI, agentic workflows) to surface and size opportunities from claims, clinical ...
Miami, FL · On-site
This position involves conducting thorough reviews and audits of health plan policies, procedures, and operations to identify compliance risks and recommend corrective actions. The analyst ...
Miami, FL · On-site
This position involves conducting thorough reviews and audits of health plan policies, procedures, and operations to identify compliance risks and recommend corrective actions. The analyst ...
Long Beach, CA · On-site
The role combines strong health plan operations knowledge with data science methods and AI-enabled analytics tooling (GenAI, agentic workflows) to surface and size opportunities from claims, clinical ...
Long Beach, CA · On-site
The role combines strong health plan operations knowledge with data science methods and AI-enabled analytics tooling (GenAI, agentic workflows) to surface and size opportunities from claims, clinical ...
... health insurance plan providing benefits to active employees, retirees, and eligible dependent of ... The incumbent provides leadership and oversight of Plan operations; coordinates relationships with ...
... health insurance plan providing benefits to active employees, retirees, and eligible dependent of ... The incumbent provides leadership and oversight of Plan operations; coordinates relationships with ...
Wausau, WI · On-site
Minimum of seven to 10 years of executive-level leadership experience in managed care, health insurance, and health plan operations. * Demonstrates strong leadership capabilities with proven ability ...
Wausau, WI · On-site
Minimum of seven to 10 years of executive-level leadership experience in managed care, health insurance, and health plan operations. * Demonstrates strong leadership capabilities with proven ability ...
The Job The Senior Manager of Quality Assurance and Compliance - Health Plan Operations is responsible for establishing and maturing an effective quality and compliance program across Operational ...
The Job The Senior Manager of Quality Assurance and Compliance - Health Plan Operations is responsible for establishing and maturing an effective quality and compliance program across Operational ...
The Job The Senior Manager of Quality Assurance and Compliance - Health Plan Operations is responsible for establishing and maturing an effective quality and compliance program across Operational ...
The Job The Senior Manager of Quality Assurance and Compliance - Health Plan Operations is responsible for establishing and maturing an effective quality and compliance program across Operational ...
Bowling Green, KY · On-site +1
Our Company Abilis Health Plan Overview The Member Services Analyst for the Institutional and ... operations. This role is responsible for delivering exceptional, person centered service to a ...
Bowling Green, KY · On-site +1
Our Company Abilis Health Plan Overview The Member Services Analyst for the Institutional and ... operations. This role is responsible for delivering exceptional, person centered service to a ...
Louisville, KY · On-site +1
Our Company Abilis Health Plan Overview The Member Services Analyst for the Institutional and ... operations. This role is responsible for delivering exceptional, person centered service to a ...
Louisville, KY · On-site +1
Our Company Abilis Health Plan Overview The Member Services Analyst for the Institutional and ... operations. This role is responsible for delivering exceptional, person centered service to a ...
Louisville, KY · On-site +1
Our Company Abilis Health Plan Overview The Member Services Analyst for the Institutional and ... operations. This role is responsible for delivering exceptional, person centered service to a ...
Louisville, KY · On-site +1
Our Company Abilis Health Plan Overview The Member Services Analyst for the Institutional and ... operations. This role is responsible for delivering exceptional, person centered service to a ...
$9.86 - $13.44
2% of jobs
$15.49 is the 25th percentile. Wages below this are outliers.
$13.44 - $17.02
40% of jobs
The median wage is $18.52 / hr.
$17.02 - $20.61
19% of jobs
$23.77 is the 75th percentile. Wages above this are outliers.
$20.61 - $24.19
16% of jobs
$24.19 - $27.78
4% of jobs
$27.78 - $31.36
4% of jobs
$31.36 - $34.94
1% of jobs
$34.94 - $38.53
2% of jobs
$38.53 - $42.11
3% of jobs
$42.11 - $45.69
4% of jobs
$45.69 - $49.28
4% of jobs
$9
$24
$49
| Aspect | Health Plan Operations | Claims Processor |
|---|---|---|
| Primary Role | Oversees overall health plan functions, including member services, provider relations, and compliance | Reviews and processes individual insurance claims for payment |
| Required Credentials | Typically requires knowledge of healthcare regulations, insurance policies, and sometimes certifications in health administration | Often requires familiarity with claims processing systems and basic insurance knowledge |
| Work Environment | Office-based, collaborative teams, health insurance companies or managed care organizations | Office or call center, focused on claims review and data entry |
Health Plan Operations professionals manage the broader functions of health insurance plans, ensuring compliance and member satisfaction, while Claims Processors focus specifically on evaluating and processing insurance claims. Both roles are essential in the healthcare insurance industry but differ in scope and responsibilities.
States with the most job openings for Health Plan Operations jobs include:
Remote
$120K - $140K/yr
Full-time
Medical, Dental, Vision, Retirement, PTO
Posted 24 days ago
About the role
The Health Plan Operations Partner helps Evio strengthen relationships with our investor/customer health plans, driving coordinated and effective relationships. You'll be a strategic and operational partner to the Chief Customer Officer, helping Evio engage customers in a consistent, thoughtful way that continues to establish Evio as a partner that delivers essential value.
A major focus of this role is serving as the operational steward of Evio's Customer Advisory Committee (CAC), our senior forum for investor/customer collaboration. You'll also coordinate customer engagement across different parts of Evio, surface and synthesize insights on product adoption and value, and support annual customer business and financial planning/budgeting.
This is a high-ownership role for someone comfortable moving between strategy and hands-on execution-from shaping an executive narrative and building strong communications materials to coordinating complex work across teammates and customers. It is also a key steppingstone role to other parts of Evio's business.
What you'll do
Your skills and experience
Salary considerations
Anticipated annual base pay range: $120,000-$140,000 plus additional variable compensation.
At Evio, we're committed to building a competitive compensation package to honor the value our teammates bring as well as attract and retain top talent that is aligned with our culture, mission, and values. Compensation includes base pay (range shown) and could include other variable compensation opportunitiesdepending on job seniority, location, and date of hire.  Â
Please note that the base pay information shown is a general guideline for the job responsibilities and qualifications listed. Salary decisions are based on candidate experience, and market and business considerations.
Evio Benefits: