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Plan Associate Jobs (NOW HIRING)

Steuben County

Plan Director

Angola, IN

Plan Director DEPARTMENT: Planning WORK SCHEDULE: 8:00 a.m. - 4:30 p.m., M-F JOB CATEGORY: EXE ... Associates degree or Bachelor's degree in urban-regional planning, public and environmental affairs ...

Nova 401

Entry Level Associate Account Manager

Houston, TX · On-site

$55K - $60K/yr

Nova 401(k) Associates is seeking motivated professionals to join our team as Associate Account ... Consult with clients regarding plan operation, design, and upgrading platforms * Follow-up by phone ...

Cameron County

PLAN EXAMINER

San Benito, TX · On-site

$37K/yr

Associates degree, diploma or equivalent from a college, technical, business, vocational, or ... Plan Examiner within six (6) months of employment. ADA Compliance Physical Ability: Tasks require ...

Cameron County

PLAN EXAMINER

San Benito, TX · On-site

$37K/yr

PLAN EXAMINERSalary: 112 - $37,678.00 minimum salary.Purpose of ClassificationPerforms professional ... Associates degree, diploma or equivalent from a college, technical, business, vocational, or ...

Compass Group

PAYROLL ASSOCIATE (FULL TIME)

Lenexa, KS · On-site

$20/hr

Retirement Plan, Associate Shopping Program, Health and Wellness Programs, Discount Marketplace, Identity Theft Protection, Pet Insurance, Voluntary Benefits, including Critical Illness Insurance ...

New

Compass Group

PAYROLL ASSOCIATE (FULL TIME)

Renton, WA · On-site

$25/hr

Retirement Plan, Associate Shopping Program, Health and Wellness Programs, Discount Marketplace, Identity Theft Protection, Pet Insurance, Voluntary Benefits, including Critical Illness Insurance ...

New

Citizen Advocates, Inc.

PLAN WRITER

Malone, NY

$18.50 - $23/hr

Attend Life Plan/admission discharge, Special ITT meetings and create meeting minutes from these ... Or * An associate degree in related field preferred with one year of experience working with ...

Citizen Advocates LLC

PLAN WRITER

Malone, NY · On-site

$18.50 - $23/hr

Attend Life Plan/admission discharge, Special ITT meetings and create meeting minutes from these ... Or * An associate degree in related field preferred with one year of experience working with ...

Compass Group

ACCOUNTING ASSOCIATE

Minneapolis, MN · On-site

Retirement Plan, Associate Shopping Program, Health and Wellness Programs, Discount Marketplace, Identity Theft Protection, Pet Insurance, Voluntary Benefits, including Critical Illness Insurance ...

Compass Group

CASHROOM ASSOCIATE

Hanover, MD · On-site

Retirement Plan, Associate Shopping Program, Health and Wellness Programs, Discount Marketplace, Identity Theft Protection, Pet Insurance, Voluntary Benefits, including Critical Illness Insurance ...

Citizen Advocates LLC

PLAN WRITER

Malone, NY · On-site

$18.50 - $23/hr

Attend Life Plan/admission discharge, Special ITT meetings and create meeting minutes from these ... Or * An associate degree in related field preferred with one year of experience working with ...

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Plan Associate information

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How much do plan associate jobs pay per hour?

As of Aug 19, 2026, the average hourly pay for plan associate in the United States is $19.87, according to ZipRecruiter salary data. Most workers in this role earn between $14.90 and $20.67 per hour, depending on experience, location, and employer.

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Plan Associate jobs near you

Health Plan Member Services Analyst

Abilis Health Plan

Louisville, KY • On-site, Remote

Full-time

Medical

Re-posted 2 days ago

Job description

Our Company
Abilis Health Plan
Overview
The Member Services Analyst for the Institutional and Institutional Equivalent Special Needs Plan (I/IE-SNP) serves as the primary point of contact for membership operations. This role is responsible for delivering exceptional, person centered service to a uniquely vulnerable population by addressing inquiries related to benefits, authorizations, enrollments, claims, grievances, and appeals in full compliance with CMS regulations and the plan's Model of Care (MOC).
This position collaborates closely with Interdisciplinary Care Teams (ICTs), facility staff, authorized representatives, family members, and internal teams to ensure members concerns are resolved timely.
Responsibilities
Member Inquiry & Benefits Navigation
  • Provide accurate, timely, and empathetic information on Medicare Advantage benefits
  • Assist members and representatives in understanding the plan's benefits and services.
  • Facilitate enrollment, disenrollment, and plan change processes.
  • Serve as a liaison between members, authorized representatives, facility nursing and social work staff, and the plan's Interdisciplinary Care Team (ICT) to support care coordination activities.
  • Communicate relevant member service issues, unmet needs, or quality concerns to assigned Care Managers or Case Managers for clinical follow-up.
  • Assist members and facility staff in understanding prior authorization requirements and status for institutional and ancillary services.
  • Route authorization requests to the appropriate Utilization Management team and communicate status updates to requesting parties.
  • Maintain complete and accurate records of all member interactions in the plan's CRM or member management system in accordance with CMS and internal documentation standards.
  • Adhere to all HIPAA privacy and security regulations in handling Protected Health Information (PHI).
  • Complete all required CMS and plan-mandated training on an ongoing basis, including Annual Compliance Training, SNP-specific training, and Medicare Advantage regulations.
  • Support audit readiness by ensuring documentation quality and accuracy consistent with plan policies.

Grievances, Appeals & Coverage Determinations
  • Intake, document, and process member grievances and appeals in accordance with CMS regulatory timeframes (standard and expedited).
  • Explain member rights under the Medicare Advantage Appeals and Grievance process, including the right to request an Independent Review Entity (IRE) review.
  • Coordinate with the Medical Management, Claims, and Compliance teams to ensure timely resolution and member notification.
  • Track and monitor open cases to ensure adherence to required CMS timelines; escalate as needed.

Member Outreach & Education
  • Educate members and facility staff on how to access plan services, how to request care, and how to use the plan's provider network.
  • Assist with Annual Notice of Change (ANOC) and Evidence of Coverage (EOC) distribution and answering related questions during open enrollment periods.
  • Coordinate and host facility and community member engagement events.

Qualifications
  • High school diploma or GED required; Associate's or Bachelor's degree in Healthcare Administration, Social Work, Business, or related field preferred.
  • Minimum of 2 years of experience in a healthcare member services, customer service, or health plan operations role.
  • Prior experience in a Medicare Advantage, managed care, or long-term care/post-acute environment strongly preferred.
  • Strong verbal and written communication skills with the ability to communicate complex benefit information in plain language.
  • Demonstrated empathy and person centered communication skills, particularly with vulnerable elderly or disabled populations.
  • Proficiency with CRM systems, member management platforms, and Microsoft Office Suite (Word, Excel, Outlook).
  • Ability to manage a high volume of contacts while maintaining quality and regulatory compliance.
  • Strong attention to detail and organizational skills, with the ability to prioritize and meet strict regulatory deadlines.
  • Ability to work collaboratively within a multidisciplinary team environment.

About our Line of Business
Abilis Health Plan, an affiliate of BrightSpring Health Services, is a Medicare Advantage Plan covering all the benefits of Original Medicare (Parts A and B) with prescription drug coverage (Part D). The Abilis Health Plan is a unique plan allowing members to enroll year-round. The plan focuses on members who meet residential requirements in participating nursing facilities. An interdisciplinary team of clinicians and innovative services allow us to meet each member's clinical needs and provide preventive, coordinated, and quality healthcare. With a dedicated nurse practitioner leading a personalized care plan, we strive to improve the health of the communities in which we serve. For more information, please visit www.abilishealth.com. Follow us on LinkedIn.

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