Superior HealthPlan
Superior HealthPlan

60 Superior Healthplan Network Operations Analyst Jobs Hiring Near You

Hi, We do have a Contract opportunity for Network Operations Analyst with our implementation partner. Please share your updated resume ASAP. Here goes the Job Title Network Operations Analyst Job ...

Under direct supervision, the Network Operations Analyst I sets up, configures, monitors, and supports network services and infrastructure. Responsibilities: * Research, diagnose and resolve Tier II ...

Under direct supervision, the Network Operations Analyst I sets up, configures, monitors, and supports network services and infrastructure. Responsibilities: * Research, diagnose and resolve Tier II ...

Network Operations Analyst Company: Triple-S Salud Job Location (Short): Guaynabo, PR Posting Start Date: 6/2/26 JOB SUMMARY Responsible for analyzing and translating complex provider network and ...

Network Operations Analyst Company: Triple-S Salud Job Location (Short): Guaynabo, PR Posting Start Date: 7/31/26 At Triple-S, we are committed to providing meaningful job experiences for Valuable ...

Network Operations Analyst IV

Barrie, ON · On-site

CA$69K - CA$98K/yr

Work Location 740 Progress Ave, Scarborough, Ontario M1H 2X3 /Accountabilities An IT Operations Analyst IV within Network Operations Support Group is responsible for providing senior level support of ...

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Full-time

Re-posted 12 days ago


Job description

Company Description

Superior HealthPlan (Superior) is a managed health care company that provides health care for many Texans. Superior works with the State of Texas Health and Human Services Commission (HHSC) to bring you STAR (Medicaid), Children's Health Insurance Program (CHIP), CHIP Perinatal Care, and STAR+PLUS in many cities and counties across Texas. Our sister company, Superior HealthPlan Network, manages the STAR Health program on a statewide basis. Below is information on the programs offered by Superior HealthPlan in partnership with the State of Texas.

Job Description

Description

 Position Purpose: Collaborate with medical, behavioral, and social support staff in conducting screening and risk assessment interventions based on program guidelines 


Position Responsibilities: 

  • Identify special needs members through the completion of health screens and other resources, and advise, assist and authorize appropriate services
  • Review and evaluate all requests for specialized and private care including nursing services
  • Act as a clinical resource to complex medical cases and individual service plans
  • Act as a liaison between members, providers and pharmacies and review and follow-up on medical referral calls
  • Coordinate with the Discharge Planning teams, Case Management, and providers for difficult member placements, post hospital discharge
  • Ensure follow up on care and service coordination on various services
  • Assess service needs and determine support available to members
  • Oversee the development and modify service plans in conjunction with members and other interdisciplinary team members
  • Serve as clinical consultant for the Service Coordination team
  •  
Qualifications
  • RN License
  • LTC or Home Health experience
  • Experience working with the Aged, Blind and Disabled population (SSI patients on disability
  •  Experience coordinating services and knowledge of community/government-funded services in the area
Additional Information

URGENT JOB!! Please reach out to me ASAP at 321-574-6539


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About Healthcare Support

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HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!Healthcare Support Staffing, Inc. is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.

Industry

Recruiting and staffing services

Company size

201 - 500 Employees

Headquarters location

Maitland, FL, US

Year founded

2003

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