
Health Plans, Inc.
Remote Jobs
20 Jobs
• Assist Director of Finance in reconciling and preparing supporting schedules for month end close • AR Reconciliations • Monthly Bank Reconciliations • Monthly Reconciliation of various general ledger accounts • Cross training on critical duties to provide back up for Director of Finance when needed • Assist Director of Finance with budgeting and forecasting • Assist Director of Finance with preparing financial information requests • Update and develop various schedules as necessary during year-end auditing period • Assist Director of Finance with accounting related functions as they arise and as necessary
• Supervise, mentor, and train billing team members. • Foster a collaborative and positive work environment. • Assign tasks and monitor performance to ensure targets are met. • Oversee daily billing activities, including billing coordination, billing, and reconciliation. • Ensure timely and accurate submission of invoices to clients. • Review and resolve billing discrepancies or errors. • Maintain up-to-date knowledge of industry regulations and payer requirements. • Ensure billing practices comply with HIPAA and other relevant standards. • Conduct regular audits to identify and correct issues. • Address escalated billing inquiries from clients. • Provide clear explanations of billing procedures and resolve concerns promptly. • Identify opportunities to streamline billing workflows. • Implement best practices and new technologies to enhance efficiency. • Generate and analyze billing reports to track performance metrics. • Present findings and recommendations to management. • Monitor key indicators such as billing accuracy and invoice punctuality. • Lead prior experience in leading the Billing department in software migrations. • Ability to successfully lead the migration of the Medcost clients from the PowerStepp system to the Javelina system.
• Review incoming compliance inquiries and requests, and assist with routing and handling as directed by the Assistant General Counsel • Establish and identify key players within the company for compliance and legal process initiatives • Coordinate compliance and legal process initiatives by tracking progress, scheduling meetings, and facilitating interdepartmental and intradepartmental communication with key players • Keep internal stakeholders informed regarding deadlines, turnaround targets, and status updates • Assist in managing the contract management system for the Compliance department • Provide additional coordination for other Compliance related tasks as requested, including certain licensure and regulatory filings • Coordinate the integration of company affiliate compliance related policies and procedures, as well as with the creation of new policies and procedures as directed by the Assistant General Counsel.
• Serve as a subject matter expert and strategic partner responsible for the end-to-end development, drafting, and management of client Administrative Services Agreements (ASAs) and related contract documents. • Exercise a high degree of independent judgment in ensuring that ASAs and related contract documents are issued in a timely and accurate fashion. • Collaborate closely with Compliance leadership and cross-functional partners to deliver high-quality, compliant, and scalable contract solutions. • Lead the end-to-end lifecycle of client contracts, including drafting, revision, execution, and ongoing management of ASAs. • Establish and maintain contract governance standards, ensuring consistency, compliance, and alignment with organizational objectives. • Mentor and provide guidance to less experienced team members. • Identify opportunities to improve operational efficiency, reduce cycle times, and strengthen compliance controls. • Provide guidance and consultative support to internal stakeholders on contract terms. • Partner with Client Services, Sales, Compliance, and other departments to resolve contract-related issues and ensure alignment on client deliverables. • Oversee tracking and reporting of ASA contract status, ensuring timely distribution of ASA contracts to internal stakeholders.
• The Senior Account Executive (SAE) plays a strategic leadership role in managing the implementation of new client plans and overseeing the ongoing service and renewal processes for existing clients. • In addition to coordinating benefit meetings, educational materials, and plan design communications, the SAE serves as a trusted advisor to group representatives and brokers. • This role requires close collaboration with internal teams to resolve complex service issues, guide plan design, and ensure seamless operations. • The SAE is also responsible for mentoring junior team members, leading high-level client engagements, and driving retention strategies. • This position involves significant travel to conduct in-person service meetings and foster long-term client relationships. • Provide strategic oversight and consultation to key broker partners, guiding plan development and evolution to align with business objectives. • Mentor and support junior account executives, fostering professional development. • Drive high-level client relationship management and retention strategies. • Collaborate with cross-functional teams to deliver integrated solutions. • Oversee the implementation of new groups and manage service delivery for existing clients and brokers. • Conduct benefit meetings, produce educational materials, and resolve complex claims/service issues. • Communicate plan design and renewal changes to internal teams to ensure smooth execution. • Develop and present customized employee/employer materials and performance reports. • Advise clients and brokers on compliance and reporting requirements related to benefit plans and federal mandates.
• The Account Manager (AM) is responsible for coordinating and managing the plan implementation for new clients, as well as managing the overall servicing of account issues for existing clients. • Coordinate the implementation of new groups and overall servicing of account issues for existing clients and brokers. • Conduct benefit meetings, producing educational materials, resolving claims/service issues. • Communicate with internal staff on any plan design changes, renewal changes, or other relevant information to ensure the plan runs smoothly for each client. • Develop all employee/employer materials. • Prepare reports requested by employers/brokers. • Assist clients/brokers with analysis of reports. • Notify and assist clients/brokers with compliance and reporting requirements with respect to benefit plans federal mandates etc.
• Provide strategic program leadership by overseeing governance, prioritization, and resource allocation across multiple project portfolios to ensure alignment with organizational goals, budgets, and schedules. • Identify synergies and interdependencies across projects and business areas by researching, investigating, and conducting deep discovery and analysis to surface connections, manage cross-project risks, and guide teams toward integrated, enterprise-wide solutions. • Act as an architect of the program’s delivery approach by mapping how projects interrelate, identifying cross-functional impacts and dependencies, and proactively driving resolution when intersections create conflicts, risks, or competing priorities. • Develop, maintain, and communicate program roadmaps, including program-level plans, schedules, budgets, and documentation that support transparency, alignment, and long-term planning. • Leverage data-driven insights to support decision-making, establish meaningful metrics, and monitor value realization, ensuring the program delivers expected business benefits and supports continuous improvement. • Foster a culture of accountability, innovation, and excellence by collaborating with project managers, cross-functional teams, and leaders to improve processes, enhance delivery practices, and support organizational maturity. • Influences without authority, effectively guiding internal teams, external partners, and technical resources to ensure successful delivery across all program initiatives. • Builds strong relationships and navigates organizational dynamics to drive alignment and outcomes. • Champions robust change management practices to support stakeholder readiness, adoption, and sustained use of program outcomes—ensuring the program delivers its intended value and measurable business benefits. • Develops and maintains comprehensive program reporting, including dashboards, status reports, and analytics that provide transparent visibility into progress, risks, and value delivery. • Applies standardized project and program management tools, frameworks, and methodologies in partnership with project managers, project teams, and leadership to ensure consistent execution across the portfolio. • Delivers concise, executive-ready communications, synthesizing complex information into clear insights for senior leadership, governance forums, and key stakeholders.
Supervisor, Claims Full Time RegularManagement Remote, US Requisition ID: 1830 Salary Range:$75,000.00 To $85,000.00 Annually 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 impact motivate and energize you? If so, Health Plans, Inc. is the place for you. Join a team that values integrity, flexibility, loyalty, compassion and dedication—we can’t wait to meet you. What we do HPI is unique. A respected industry leader that’s been serving customers for over 40 years, we’re known for our innovation and growth. Our experience has given us our expertise, but our forward-thinking, entrepreneurial spirit has given us our strong reputation. As a third-party administrator, we offer a suite of health and benefit solutions to employers. By joining HPI, you’ll contribute to ideas that make a real difference for employers and employees nationwide. There isn’t a challenge we won’t accept and we’re looking for people who have a passion to take it on. Not just a job—a mission. What you’ll do The Claims Supervisor will oversee a dedicated unit of Claim Examiners and Claim Seniors. The Supervisor will oversee the daily team operations and plan for future workflow and scheduling. The Supervisor will mentor Claims Seniors and staff to better coordinate the daily production, turnaround time and work quality of claims processing while meeting company goals. The Supervisor will coordinate new business group implementation and testing on new business. The Supervisor will set policy & procedures and work with the auditing team on audit appeals. The Supervisor will also oversee work setup queues working with the Technical Resource Unit. In this role, you’ll also: - Work with Senior Claims Examiners to create and manage department work schedules - Complete weekly turnaround time reports - Attend new business implementation meetings - Assist in supervisor level phone calls - Review and maintain department policies and procedures - Partner with department manager to identify team inefficiencies and solutions - In conjunction with department manager, hire, train, and manage staff within the claims teams - Monitor employee performance; write and/or deliver annual reviews - Work with department manager regarding staff performance, development and training functions - Advise department manager of issues raised by staff; suggest actions to improve processing or resolve issues - Work with appropriate subject matter experts to provide necessary training within the team - Work with Account Services to implement and test new business and support renewing business within the team - Work with Technical Resource Unit to audit claim system build - Manage relationships with internal and external business associates - Process threshold claims to a maximum dollar level of $100,000 - Process Medicare demand payments - Handle special projects as assigned by the Manager What you bring - High school diploma or equivalent education - Three to five years’ of claims processing experience - Proficient in Microsoft Office, including Word, Excel, Outlook and PowerPoint Why choose us? - Our space is a reflection of who we are—innovative, open and collaborative. - Love to get creative? We do too. Brainstorm in one of our team break-out rooms. - We think feeling your best is an important factor in producing great work, so we embrace a “smart casual” dress code and work at ergonomic desks. - Need to reenergize? Take a break to chat in the onsite café, go for a walk on one of the beautiful trails in our office park, or get in a quick workout at one of the campus gyms. - We offer our employees flexible work arrangements including remote and hybrid options (depending on the position) - We’re a people-first company and value giving back to our community. Ask us about our RISE Committee & and volunteer opportunities. Benefits We care about you and believe the greatest gift you can give yourself, your family, and the world is a healthy you! We offer a comprehensive and competitive benefits package to help you lead a happy, healthy life. Check out some of the benefits we offer to our employees: - Medical, Dental and Vision Coverage - Prescription Drug Coverage - Fitness Reimbursement Benefit - Tobacco Cessation Program - Employee Assistance Program - Flexible Spending Account & Health Savings Account - 401(k) and Profit-Sharing Plan - Quarterly Bonuses - Generous Paid-Time Off - Volunteer Days - Education Assistance & Professional Development Opportunities - ….and much much more! So, think you want to join the HPI team? We hope to hear from you!
• The Account Coordinator is responsible for assisting the Vice President of Client Services, Account Manager and Client Service Representative with the plan implementation for new clients. • Assisting with the handling of the overall servicing of account issues for existing clients. • For new clients, the Account Coordinator will assist the Account Manager and Client Service Representative in the coordination of the plan implementation by producing and compiling educational materials. • The Account Coordinator works closely with internal staff to communicate service issues and resolve claim payment issues. • Serves as the in-house client contact when the Account Manager and Client Service Representative are unavailable. • Assist with the coordination of implementing new groups and overall servicing of account issues for existing clients and brokers. • Produce educational materials and help resolve claims/service issues. • Provide administrative support to the Client Services department. • Notify internal staff of any plan design changes, renewal changes, or other relevant information to ensure the plan runs smoothly for each client.
• Lead project planning, strategy, and execution for enterprise initiatives • Develop and maintain integrated project plans, track milestones and deliverables • Build and maintain RAID logs (Risks, Assumptions, Issues, Dependencies) • Identify and manage resource needs and clarify team roles and responsibilities • Provide concise status updates and executive-ready communications • Facilitate effective meetings and workshops • Serve as the conduit between business stakeholders and technical teams • Facilitate change requests with impact analysis; maintain version-controlled baselines • Develop and maintain project schedules, dashboards, and status reports
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