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Security Health Plan Jobs (NOW HIRING)

LHH US

Senior Health Plan Analyst

Sparks, NV · Hybrid

$79K - $99K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

An established organization is seeking a Senior Health Plan Analyst to oversee employee health and ... and/or security clearance requirements. Pay Details: $79,000.00 to $99,000.00 per year Search ...

LHH US

Senior Health Plan Analyst

Sparks, NV · Hybrid

$79K - $99K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

An established organization is seeking a Senior Health Plan Analyst to oversee employee health and ... and/or security clearance requirements. Pay Details: $79,000.00 to $99,000.00 per year Search ...

Aspirus, Inc

WI · On-site

$130 - $180/hr

  • Medical

  • Retirement

  • PTO

Director - Compliance - Aspirus Health Plan Compassion. Accountability. Collaboration. Foresight ... The position is also responsible for overseeing HIPAA compliance and corporate information security ...

Parkland Health

PCHP- Parkland Community Health Plan Primary Purpose Parkland Community Health Plans (PCHPs ... Sound understanding of computer systems, networks, security, databases, and reporting * Proficiency ...

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How much do security health plan jobs pay per hour?

As of Aug 12, 2026, the average hourly pay for security health plan in the United States is $19.03, according to ZipRecruiter salary data. Most workers in this role earn between $15.38 and $18.75 per hour, depending on experience, location, and employer.

What are the main challenges faced by professionals working at a Security Health Plan, and how can new hires best prepare for them?

Professionals at a Security Health Plan often navigate the complexities of healthcare regulations, data privacy requirements, and delivering excellent customer service in a fast-paced environment. New hires should be prepared to quickly learn industry-specific compliance protocols and adapt to frequent changes in policies or technology. Collaborating across departments—such as with claims, medical management, and IT teams—is essential to ensure efficient operations and positive member experiences. Developing strong communication skills and staying current with healthcare industry trends will help new hires thrive in this dynamic setting.

What is the difference between Security Health Plan vs Security Guard?

AspectSecurity Health PlanSecurity Guard
CredentialsHealth insurance licensing, certifications in healthcare securitySecurity officer license, basic security training
Work EnvironmentHealthcare facilities, hospitals, clinicsPublic/private properties, malls, events
Employer & IndustryHealth insurance providers, healthcare industrySecurity companies, private security industry

Security Health Plan primarily involves managing health insurance services within healthcare settings, focusing on policy administration and customer support. In contrast, a Security Guard provides physical security at various locations, ensuring safety and order. While both roles require security-related credentials, their work environments and industry applications differ significantly.

What is a Security Health Plan?

A Security Health Plan is a type of health insurance plan offered by Security Health Plan, an insurance company based in Wisconsin. These plans provide coverage for medical services such as doctor visits, hospital stays, preventive care, and prescription drugs. Security Health Plan offers a range of options including individual, family, Medicare, and employer-sponsored plans. Their goal is to help members manage healthcare costs while receiving quality care. Members typically have access to a network of providers and resources to support their health and wellness.

What are the key skills and qualifications needed to thrive as a Security Health Plan professional?

To thrive in a Security Health Plan role, you need a solid background in health insurance, regulatory compliance, and healthcare administration, often supported by a degree in healthcare management or a related field. Familiarity with claims processing systems, HIPAA regulations, and industry-standard software such as Microsoft Office and healthcare management platforms is crucial. Strong analytical skills, attention to detail, and effective communication help professionals address member concerns and collaborate with healthcare providers. These competencies ensure accurate plan administration, regulatory compliance, and high member satisfaction within a complex healthcare environment.
More about Security Health Plan jobs
What cities are hiring for Security Health Plan jobs? Cities with the most Security Health Plan job openings:
What states have the most Security Health Plan jobs? States with the most job openings for Security Health Plan jobs include:
What job categories do people searching Security Health Plan jobs look for? The top searched job categories for Security Health Plan jobs are:
Security Health Plan jobs near you
Infographic showing various Security Health Plan job openings in the United States as of August 2026, with employment types broken down into 60% Full Time, 30% Part Time, and 10% Nights. Highlights an 90% In-person, and 10% Hybrid job distribution, with an average salary of $39,591 per year, or $19 per hour.

Health Plan Member Services Analyst

Abilis Health Plan

Louisville, KY • On-site, Remote

Full-time

Medical

Re-posted 25 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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