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Simply Healthcare Plans Jobs (NOW HIRING)

Healthcare Marketer

NJ ยท On-site

$20 - $25/hr

... plans to achieve desired outcomes Team player and ability to be proactive in finding and initiating marketing opportunities Ability to commute to our Office in Union NJ Consent to and pass State ...

Developing others through identifying learning requirements and gaps and formulating plans to ... Simply Health Care Cash Plan * WeCare - 24/7 online GP, mental health support and virtual wellbeing ...

Health Care Assistant

Morgantown, WV ยท On-site

$17.50 - $22/hr

Employee will ensure that personal care, change in clients health status and hygiene of all clients ... Implement treatment/behavior plans in compliance with Valleys and State guidelines. * Employee will ...

Consultant, Health Care

New York, NY ยท On-site +1

$80K - $90K/yr

The Health Care Consultant will work closely withfirm management to lead complex internal and ... We offer comprehensive, affordable insurance plans for our team and their families, and a host of ...

Healthcare Recruiter

Willow Beach, AZ ยท Remote

$30 - $50/hr

Health, Dental, and Vision plans. * 15 days of paid time off (including PTO, holidays, sick). What You Will Need: * Previous healthcare recruiting experience. * Desire to work full-time (no part-time ...

Healthcare Recruiter

Las Vegas, NV ยท On-site

$30 - $50/hr

Health, Dental, and Vision plans. * 15 days of paid time off (including PTO, holidays, sick). What You Will Need: * Previous healthcare recruiting experience. * Desire to work full-time (no part-time ...

Home Healthcare Aide

Oxford, MI

$13 - $16.75/hr

Whether you are recovering from injury or illness, or simply want to reinvigorate your mobility and health, HOPE At Home Health Care has a solution for you. We are an equal opportunity employer and ...

Health Care Specialist

Jersey City, NJ ยท On-site

$24K - $30K/yr

They monitor patients' progress, adjust treatment plans as necessary, and educate patients on managing their health conditions. * Preventive Care: Promoting wellness and preventive care by conducting ...

Health Care Specialist

Bloomfield, NJ ยท On-site

$24K - $36K/yr

They monitor patients' progress, adjust treatment plans as necessary, and educate patients on managing their health conditions. * Preventive Care: Promoting wellness and preventive care by conducting ...

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Simply Healthcare Plans information

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How much do simply healthcare plans jobs pay per hour?

As of Aug 9, 2026, the average hourly pay for simply healthcare plans in the United States is $40.47, according to ZipRecruiter salary data. Most workers in this role earn between $18.03 and $50.96 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a Healthcare Plan Manager at Simply Healthcare Plans, and why are they important?

To thrive as a Healthcare Plan Manager, you need a solid understanding of health insurance regulations, plan administration, and managed care principles, usually supported by a relevant degree and healthcare industry experience. Familiarity with claims processing systems, electronic health records, and compliance software is important, as are certifications such as Certified Professional in Healthcare Quality (CPHQ). Strong analytical skills, leadership, and effective communication help manage teams and liaise with providers and members. These skills ensure efficient plan operations, regulatory compliance, and high-quality service delivery to members.

What is Simply Healthcare Plans?

Simply Healthcare Plans is a health insurance company that provides Medicare and Medicaid managed care plans to individuals and families in Florida. They offer a range of services including medical, dental, vision, and prescription drug coverage. Simply Healthcare focuses on improving access to quality healthcare for its members, often with additional benefits like wellness programs and care coordination. The company is a subsidiary of Elevance Health, formerly known as Anthem, Inc.

What is the difference between Simply Healthcare Plans vs Medical Billing Specialist?

AspectSimply Healthcare PlansMedical Billing Specialist
CredentialsHealth insurance licenses, certifications in healthcare administrationMedical billing certifications, coding certifications (CPC, CPC-H)
Work EnvironmentHealthcare insurance companies, customer service, administrative officesMedical offices, hospitals, billing companies
Industry UsageHealth insurance providers, managed care organizationsHealthcare providers, billing departments

Simply Healthcare Plans primarily focuses on managing health insurance plans, customer service, and policy administration. In contrast, Medical Billing Specialists handle coding, billing, and claims processing for healthcare providers. While both roles require healthcare knowledge, Simply Healthcare Plans emphasizes insurance management, whereas Medical Billing Specialists focus on billing accuracy and reimbursement processes.

What types of roles and team structures are common at Simply Healthcare Plans, and how do employees typically collaborate across departments?

At Simply Healthcare Plans, employees work in a range of roles including care management, member services, provider relations, and claims processing. Teams are often structured to support specific programs or regions, and collaboration across departments is crucial to ensure members receive coordinated, high-quality care. Employees regularly participate in cross-functional meetings and utilize digital communication tools to share information and solve problems together. This collaborative environment not only enhances service delivery but also provides opportunities for professional development and internal mobility.
More about Simply Healthcare Plans jobs
What cities are hiring for Simply Healthcare Plans jobs? Cities with the most Simply Healthcare Plans job openings:
What states have the most Simply Healthcare Plans jobs? States with the most job openings for Simply Healthcare Plans jobs include:
Infographic showing various Simply Healthcare Plans job openings in the United States as of August 2026, with employment types broken down into 56% Full Time, and 44% Part Time. Highlights an 100% In-person job distribution, with an average salary of $84,176 per year, or $40.5 per hour.

The Health Initiative Senior Director, Health Plans

Positively Partners

Attleboro, MA โ€ข On-site, Remote

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 2 days ago


Job description

THE HEALTH INITIATIVE
SENIOR DIRECTOR, HEALTH PLANS
The Context
It is well-established that 80% of a person's health isdeterminedby factorsoutsidethe doctor's office - healthy food, safehousingand a decent income.Yet our healthcare system is built backwards, with more than 99% of US healthcare dollars spent on medical care alone. The amount of money going toward healthcare is huge - with public and private payers spending over $11B on healthcareevery day. This is projected to grow 6% annually through the next decade.
But what exactly do we get for all this healthcare spending? Right now, the US has some of the worst health outcomes across all high-income countries,including forpreventable heart disease and obesity, which cost the systemnearly $500B each year.This is inefficientandleaves people behind, especially low-income children and families.
Imagine a system designed to pay for health, not simply healthcare. What if it invested dollars more efficiently and effectively to pay for access to nutritious food or safe housing as key levers to prevent and manage disease and lower healthcare costs?
The result would be a win-win-win:Children and adults would have better access to healthy food and safe housing and, as a result, have better health outcomes.When healthier patients use less care, the government saves money-and insurancecompanies' revenues increase -incentivizing both to pay for these basics.
The Health Initiative Approach & Impact to Date
The Health Initiative (THI) is a national organization that crosses political divides, taps market forces and activates stakeholders to shift dollars toward health.
By providing strategic guidance and technical assistance, we activate healthcare institutions to redesign their policies and invest preventatively in nutritious food and safe housing- to improve health outcomes for those most at risk and reduce overall healthcare costs. To date, these institutions have spent nearly $1B in healthcare dollars on food, housing and other basics.
For example, THI supported North Carolina to use Medicaid dollars to provide patients with groceries, rental assistance and other basics, keeping them out of the hospital and saving the state a net $1,020 per person per year. CMS incorporated aspects of NC's approach into its approval process for states to use Medicaid dollars for food and housing benefits and 22 states have enacted key elements of it.
Likewise, THI worked with CMS leadership to lay the foundation for its enacting the first-ever billing codes to pay healthcare providers to screen patients for food, housing, and other basics, and to pay community health workers to navigate patients to these resources.
Finally, with THI's guidance, three major insurance companies invested over $300M in buying health for their patients and/or their low-wage employees. For example, THI advised a Fortune 50 insurance company on how to increase healthy food and housing benefits by $80M for high-risk patients and to design an evaluation which found that those receiving higher benefits have lower healthcare costs.
Job Purpose
The Senior Director - Health Plans is a key member of the THI Leadership Team and is responsible for engaging health plans with Medicare, Medicaid, Marketplace, and/or commercial members, with the goal of unlocking existing healthcare dollars to invest in healthy food, safe housing, and other drivers of health. This role will be both creative in envisioning how plans can achieve this goal as not just the right, but also the economic thing to do, and persuasive in communicating this approach to others.
The Senior Director - Health Plans may or may not have direct reports but will be responsible for leading a cross-functional team of both THI's program staff and cross-cutting functions (including research and analytics, communications, and mobilization) to achieve these goals.
This role will also collaborate closely with their peers leading THI's work to spur federal and state healthcare institutions to invest in drivers of health and to engage philanthropic partners who invest in and champion THI's work. The position reports to the Chief Operating Officer on an interim basis, and works closely with the Co-Founders and Co-CEOs.
Key Responsibilities
  • Lead THI's work to activate health plans to invest in the drivers of health as a core part of the business, by engaging plan leaders to implement this approach, build the business case, and go on the record to build sector momentum.
  • Engage directly - and support other THI leaders to engage - the health plans' executive, product, actuarial, analytic, communications, government affairs, and drivers of health teams to achieve these goals.
  • Identify key stakeholders and the messages/content/analyses that will compel them to act, including overseeing the development and execution of high-quality deliverables.
  • Define annual and multi-year goals for THI's work with health plans; create and execute plans to achieve those goals; set and evolve priorities; and manage tradeoffs among them.
  • Direct and develop a high-performing, collaborative team to execute on these goals, including effectively using cross-cutting capabilities such as communications, mobilization, and research and analytics.
  • Support identification and recruitment of potential health plan partners for THI and, as appropriate, secure contractual agreements to enable THI to conduct its work most effectively.
  • Actively participate in the THI Leadership Team to strengthen organization-wide operations and culture.

Key Competencies
  • Deep, first-hand understanding of health plans' business model, operating context, priorities, culture, and approach to engaging policymakers, members, investors, and other stakeholders.
  • Prior employment at a health plan or in a federal policymaking role with direct engagement of senior health plan leadership.
  • Fluency in Medicare, Medicaid, and commercial payment policy required; involvement with bid development for the Medicare Advantage and/or Medicaid markets preferred.
  • Track record of excellence in strategic planning, resource prioritization, and making tradeoffs in a fast-paced, rapidly evolving environment.
  • Best-in-class at understanding and effectively engaging with others' motivations, including the ability to know when and how to inspire, challenge, and collaborate, including at the executive level.
  • Ability to understand current constraints; think creatively about how to achieve THI's objectives within these or to alter them; and persuade others to take action consistent with this approach.
  • Ability and experience influencing outcomes through establishing credibility, building trusting relationships, and persuasive written and oral communication, rather than through formal authority.
  • Experience supporting senior executives/leaders; leading change management efforts in complex environments; and facilitating multi-stakeholder engagements.
  • Experience leading a division or team, ideally with cross-functional team members.

CORE THI ATTRIBUTES AND BEHAVIORS:
  • Commitment to THI's mission, vision, and values.
  • Continuous improvement mindset; curiosity and eagerness for learning and feedback.
  • Confident in leading with a point of view and recommendations while being open to changing position when necessary.
  • Takes full accountability for functional team goals, deliverables, and team performance amidst change.
  • Ability to navigate ambiguity, work independently and collaboratively, and know when to seek input.
  • Ability and willingness to learn and adapt to THI's approach to building transformative relationships based on humility, reliability, openness, humor, and confidence.
  • Clear, concise, and compelling communication.
  • Strong prioritization skills and ability to manage multiple projects concurrently with short, medium, and long-term deadlines.
  • Ability to manage up, down, and with peers.

COMPENSATION AND BENEFITS:
In addition to a competitive salary, THI also offers a generous, comprehensive benefits package including:
  • Full coverage of medical, dental, and vision insurance.
  • Generous 401K matching and parental leave.
  • Unlimited sustainable vacation and sick time.

This is a full-time, exempt role and is fully remote within the US. THI expects staff to work eastern time zone hours. Travel and flexible evening and weekend work expected.
EQUAL OPPORTUNITY STATEMENT:
THI is an equal opportunity employer. We welcome and encourage all qualified applicants to apply.
Department Policy & Advocacy Role Director Locations Remote (US) Remote status Fully Remote Organization The Health Initiative (THI)