Experienced Managed Health Care plans required. Why MediGold? MediGold is a not-for-profit Medicare Advantage insurance plan serving seniors and other Medicare beneficiaries across the United States.
Experienced Managed Health Care plans required. Why MediGold? MediGold is a not-for-profit Medicare Advantage insurance plan serving seniors and other Medicare beneficiaries across the United States.
... not simply healthcare. What if it invested dollars more efficiently and effectively to pay for ... Job Purpose The Senior Director - Health Plans is a key member of the THI Leadership Team and is ...
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... not simply healthcare. What if it invested dollars more efficiently and effectively to pay for ... Job Purpose The Senior Director - Health Plans is a key member of the THI Leadership Team and is ...
Healthcare Facility Plans Reviewer
Bismarck, ND · On-site
$58K - $68K/yr
The ND Department of Health and Human Services is seeking a Healthcare Facility (HCF) Plans Reviewer for the Public Health - Life Safety and Construction Unit. This position will provide an ...
New
Healthcare Facility Plans Reviewer
Bismarck, ND · On-site
$58K - $68K/yr
The ND Department of Health and Human Services is seeking a Healthcare Facility (HCF) Plans Reviewer for the Public Health - Life Safety and Construction Unit. This position will provide an ...
New
The ND Department of Health and Human Services is seeking a Healthcare Facility (HCF) Plans Reviewer for the Public Health - Life Safety and Construction Unit. This position will provide an ...
New
The ND Department of Health and Human Services is seeking a Healthcare Facility (HCF) Plans Reviewer for the Public Health - Life Safety and Construction Unit. This position will provide an ...
New
Healthcare Advocate
New York, NY · Remote
Create individualized care plans that integrate medical, social, and behavioral supports. * Support ... Empathy, patience, and strong communication skills-- you can explain complex things simply.
Quick apply
Healthcare Advocate
New York, NY · Remote
Create individualized care plans that integrate medical, social, and behavioral supports. * Support ... Empathy, patience, and strong communication skills-- you can explain complex things simply.
Sales Development Representative
San Francisco, CA · On-site
$90K - $120K/yr
Masters both active listening and articulating complex solutions simply. * Healthcare AI Passion: Excited about transforming patient care through technology. * Organization: Maintains meticulous ...
Sales Development Representative
San Francisco, CA · On-site
$90K - $120K/yr
Masters both active listening and articulating complex solutions simply. * Healthcare AI Passion: Excited about transforming patient care through technology. * Organization: Maintains meticulous ...
Through our highly personalized, digital platform, we guide more than 3 million members-including those in employer-sponsored health plans, regional and national Medicaid managed care organizations ...
Through our highly personalized, digital platform, we guide more than 3 million members-including those in employer-sponsored health plans, regional and national Medicaid managed care organizations ...
Senior Account Manager - Healthcare / Health Plans
OR · Remote
$110K - $130K/yr
Through our highly personalized, digital platform, we guide more than 3 million members--including those in employer-sponsored health plans, regional and national Medicaid managed care organizations ...
Quick apply
Senior Account Manager - Healthcare / Health Plans
OR · Remote
$110K - $130K/yr
Through our highly personalized, digital platform, we guide more than 3 million members--including those in employer-sponsored health plans, regional and national Medicaid managed care organizations ...
As a Member Services Representative, you'll help members understand their healthcare benefits, access care, and feel confident knowing someone is there to support them. What You'll Do * Answer ...
As a Member Services Representative, you'll help members understand their healthcare benefits, access care, and feel confident knowing someone is there to support them. What You'll Do * Answer ...
Healthcare Marketer
NJ · 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 ...
Healthcare Marketer
NJ · 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 ...
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 ...
$15.50 - $18.25/hr
Simply Health Care Cash Plan * WeCare - 24/7 online GP, mental health support and virtual wellbeing covering a whole host of topics to do with health, mental health, wellbeing & healthy living and ...
$15.50 - $18.25/hr
Simply Health Care Cash Plan * WeCare - 24/7 online GP, mental health support and virtual wellbeing covering a whole host of topics to do with health, mental health, wellbeing & healthy living and ...
Consultant, Health Care
Manhattan, NY · On-site +1
The Health Care Consultant will work closely with firm management to lead complex internal and ... We offer comprehensive, affordable insurance plans for our team and their families, and a host of ...
Quick apply
Consultant, Health Care
Manhattan, NY · On-site +1
The Health Care Consultant will work closely with firm management to lead complex internal and ... We offer comprehensive, affordable insurance plans for our team and their families, and a host of ...
Consultant, Health Care
New York, NY · 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 ...
Consultant, Health Care
New York, NY · 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 ...
Consultant, Health Care
New York, NY · On-site
$80K - $90K/yr
Description The Health Care Consultant will work closely with firm management to lead complex ... We offer comprehensive, affordable insurance plans for our team and their families, and a host of ...
Consultant, Health Care
New York, NY · On-site
$80K - $90K/yr
Description The Health Care Consultant will work closely with firm management to lead complex ... We offer comprehensive, affordable insurance plans for our team and their families, and a host of ...
Consultant, Health Care
Manhattan, NY · On-site +1
$80K - $90K/yr
The Health Care Consultant will work closely with firm management to lead complex internal and ... We offer comprehensive, affordable insurance plans for our team and their families, and a host of ...
Consultant, Health Care
Manhattan, NY · On-site +1
$80K - $90K/yr
The Health Care Consultant will work closely with firm management to lead complex internal and ... We offer comprehensive, affordable insurance plans for our team and their families, and a host of ...
Collaborate in the development and ongoing maintenance of member-centered shared care plans * Coordinate referrals for behavioral health treatment, substance use treatment, housing, transportation ...
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Collaborate in the development and ongoing maintenance of member-centered shared care plans * Coordinate referrals for behavioral health treatment, substance use treatment, housing, transportation ...
Healthcare Recruiter
Las Vegas, NV · 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 ...
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Healthcare Recruiter
Las Vegas, NV · 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 ...
Healthcare Recruiter
Manhattan, NY · 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 ...
Quick apply
Healthcare Recruiter
Manhattan, NY · 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 ...
Healthcare Recruiter
Dallas, TX · On-site +1
$70K - $80K/yr
If you're passionate about connecting top healthcare talent with meaningful career opportunities ... Comprehensive insurance plans - medical, dental, and vision * Generous paid time off - Up to 30 ...
Healthcare Recruiter
Dallas, TX · On-site +1
$70K - $80K/yr
If you're passionate about connecting top healthcare talent with meaningful career opportunities ... Comprehensive insurance plans - medical, dental, and vision * Generous paid time off - Up to 30 ...
Simply Healthcare Plans information
See salary details
$17.60 is the 25th percentile. Wages below this are outliers.
$9.62 - $18.27
27% of jobs
The median wage is $26.55 / hr.
$18.27 - $26.92
24% of jobs
$26.92 - $35.58
14% of jobs
$44.23 is the 75th percentile. Wages above this are outliers.
$35.58 - $44.23
10% of jobs
$44.23 - $52.88
7% of jobs
$52.88 - $61.54
4% of jobs
$61.54 - $70.19
2% of jobs
$70.19 - $78.85
1% of jobs
$78.85 - $87.50
2% of jobs
$87.50 - $96.15
7% of jobs
$96.15 - $104.81
1% of jobs
$9
$40
$104
How much do simply healthcare plans jobs pay per hour?
What are the key skills and qualifications needed to thrive as a Healthcare Plan Manager at Simply Healthcare Plans, and why are they important?
What is Simply Healthcare Plans?
What is the difference between Simply Healthcare Plans vs Medical Billing Specialist?
| Aspect | Simply Healthcare Plans | Medical Billing Specialist |
|---|---|---|
| Credentials | Health insurance licenses, certifications in healthcare administration | Medical billing certifications, coding certifications (CPC, CPC-H) |
| Work Environment | Healthcare insurance companies, customer service, administrative offices | Medical offices, hospitals, billing companies |
| Industry Usage | Health insurance providers, managed care organizations | Healthcare 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?

$124K - $164K/yr
Full-time
Medical, Dental, Vision, Retirement, PTO
Re-posted 7 days ago
Mount Carmel Health System rating
7.9
Based on 18 frontline employees who took The Breakroom Quiz
Job description
Experienced Managed Health Care plans required.
Why MediGold?
MediGold is a not-for-profit Medicare Advantage insurance plan serving seniors and other Medicare beneficiaries across the United States. We’re dedicated to providing excellent customer service, cost-effective care, and exceptional healthcare coverage. We rely on talented colleagues in a wide variety of professional roles including information technology, financial analysis, audit, provider relations and more.
We know that exceptional patient care starts with taking care of our colleagues, so we invest in great people and all that we ask in return is that you come to work ready to make a difference and do the right thing.
What we offer:
- Competitive compensation and benefits packages including medical, dental, and vision coverage
- Retirement savings account with employer match starting on day one
- Generous paid time off programs
- Employee recognition incentive program
- Tuition/professional development reimbursement
- Relocation assistance (geographic restrictions apply)
- Discounted tuition and enrollment opportunities at the Mount Carmel College of Nursing
Why Columbus?
The nation's 14th largest city, Columbus, Ohio is one of the fastest growing major metropolitan areas in the Midwest – ranked #1 for population growth, #1 for job growth, #1 for wage growth, and #1 real estate market. And with a vibrant blend of professional sports, world-class attractions, creative cuisines, and a flourishing music and arts scene, you'll never be found wanting for entertainment and experiences to call your own in Columbus. Learn more at www.experiencecolumbus.com
About the job:
The Director Pharmacy leads all aspects of reporting and analysis of health plan drug utilization, and coordinates all contracted pharmacy related vendors including The Pharmacy Benefit Director. The Director Pharmacy will serve as member liaison for pharmaceutical issues and will be responsible for recommendations on formulary adjustments, oversight and for the pharmacy component of the annual bid process with CMS.
What you'll do:
- Be knowledge of pharmaceutical industry terminology, program compliance, pharmacy pricing methodologies for both Part B and Part D agents, Effective Communication and Presentation Skills.
- Ability to establish and maintain relationship with providers, members, and MCHS leadership.
- Knowledgeable on current treatment practices, with the ability to demonstrate continual learning related to new product and pharmaceutical developments, if degree is in pharmacy.
What we're looking for:
- Education: Doctor of Pharmacy is preferred. Relevant Post-grad or comparable years of experience desired. *** Prior experience in Managed Health Care Planning in lieu of Pharm D. with MBA , BSN or related education.
- Experience: 5+ years of experience in a health plan environment; population health practice &/or policy experience desirable. A minimum of 3 years health plan management experience is desired.
- Valid pharmacist License in the state of Ohio (or capacity to complete within 3 months).
Mount Carmel and all its affiliates are proud to be equal opportunity employers. We do not discriminate on the basis of race, gender, religion, physical disability or any other classification protected under local, state or federal law
Our Commitment to Diversity and Inclusion
Trinity Health is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians across 25 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.
Our dedication to diversity includes a unified workforce (through training and education, recruitment, retention, and development), commitment and accountability, communication, community partnerships, and supplier diversity.
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