The Health Plan Jobs

Under the direct supervision of the Manager of Credentialing, responsible for all delegated provider credentialing activities in accordance with established THP... Read More

Do you envision working for a company that has the expertise of a long-standing industry leader, but the spirit of an entrepreneur? Does the thought of making a real... Read More

Under the direct supervision of the Supervisor, Nurse Analyst, the Quality Medical Record Abstractor will be responsible for conducting data collection and abstraction of... Read More

This position will be responsible for the accurate and timely implementation, building and maintenance of new and existing benefit plans in the claims processing system in... Read More

Do you envision working for a company that has the expertise of a long-standing industry leader, but the spirit of an entrepreneur? Does the thought of making a real... Read More

To assist with administration of the UMWA 1985 Construction Workers Pension Plan and the 1978 Retired Construction Workers Benefit Trust. Required High School graduate or... Read More

The Employer Service Representative is responsible for answering telephone calls from client contacts in a prompt and courteous manner, resolving any client issues... Read More

Under the direction of the Director, Implementation Eligibility, Document Specialist is to develop and maintain all Summary Plan Documents (SPD) for all Self Funded... Read More

Medical Professional(s) responsible for direction and oversight of healthcare services provided to Plan members to ensure the delivery of cost-effective, quality services.... Read More

The Accounts Receivable Representative's primary responsibility is producing accurate billings statements, maintaining accurate accounts receivable records, and assuring... Read More

Under the leadership of the Vice President Quality Improvement, the Clinical Quality Stars Program Manager will coordinate the clinical operations for Medicare Star... Read More

The Stop Loss Analyst works with Reinsurance Carriers in filing for reimbursement for groups that have claimants that have gone over the Specific Stop Loss deductible. The... Read More

Under the direction of the Manager, Configuration Specialist, the Provider Pricing Specialist will assist with the daily operations of provider pricing configuration for... Read More

The Behavioral Health Medical Director position at The Health Plan (THP) involves providing clinical guidance to the Behavioral Health Care Coordination and Utilization... Read More

The Senior Vice President, Provider Delivery Services is accountable for provider contract development, provider education and provider network operations for The Health... Read More

Responsible to conduct systematic admission, concurrent, and retrospective hospital reviews for severity of illness and length of stay, to manage an inpatient admission,... Read More

This position requires you to be on site three days a week. Senior Clinical Data Analyst position will be responsible for analyzing healthcare data of the population from... Read More

Under the direction of the Director, Quality Improvement, is responsible for assisting with administering and monitoring plan-wide Quality Improvement Quality Management... Read More

Job Description Job Description Salary Range $70k to $110,000 annually. Location Hybrid- Atlanta, GA Primary Responsibilities Assess current health status, socioeconomic... Read More