Plan Liaison (Part C)

Tmf/C2C • Austin, TX

15h • Remote

About The Position

Develops, plans and implements projects and ensures required deadlines and deliverables are met. This position is located Remote United States. This position requires working weekends, and rotating holidays as needed. Please note the start date is on or after July 6, 2026.

Requirements

• Associate's degree or 60 or more credit hours towards a Bachelor’s degree from an accredited college or university in a health related discipline or other related field OR Registered Nurse (RN) with an active license
• One (1) year relevant healthcare or project management
• One (1) year process improvement, quality improvement, quality assurance, or related quality project experience (e.g., training and utilization)
• Conflict resolution directly with an unsatisfied customer/client
• Coordinating issues that occur at the plan level and trying to resolve the issues
• Resided in the United States for a minimum of three (3) years out of the last five (5) years (Per Contract Requirement)

Nice To Haves

• Additional relevant experience in healthcare, project management, or other related areas may be substituted for Associate’s degree on a year per year basis.
• Medicare Part C related appeals activities

Responsibilities

• Key point of contact or liaison on projects.
• Conflict resolution, education, and guidance directly with the plan provider.
• Develops and maintains cooperative working relationships with contractor, providers, corporations and those supporting the health care industry.
• Develops, plans, implements, supports, and monitors activities needed to meet deliverables and activities for the project, including communication strategies, communication responses, identifying issues, developing solutions, and continuously improving quality, processes, effectiveness and efficiency.
• Creates, updates, distributes, and maintains presentations, guides, and procedure documents, including education materials, standardized resources, and newsletters.

Benefits

• Medical, dental, vision, life, accidental death and dismemberment, and short and long-term disability insurance
• Section 125 plan
• 401K
• Competitive salary
• License/credentials reimbursement
• Tuition Reimbursement

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree