Plan Design Coordinator jobs in Green Bay, WI

Plan Design Coordinator works closely with clients to design group health, dental and/or life insurance plans to create an overall benefit package. Works alongside underwriters, but is not an underwriter role. Being a Plan Design Coordinator ensures that plan meets appropriate internal, as well as legislative guidelines. Requires a bachelor's degree or its equivalent. Additionally, Plan Design Coordinator typically reports to a supervisor or manager. The Plan Design Coordinator works on projects/matters of limited complexity in a support role. Work is closely managed. To be a Plan Design Coordinator typically requires 0-2 years of related experience. (Copyright 2024 Salary.com)

Recently Added Plan Design Coordinator jobs

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Clinical Coordinator - PGIP
  • Upper Peninsula Health Plan
  • Marquette, MI FULL_TIME

  • POSTED:    April 17, 2024

    POSITION:  Clinical Coordinator—PGIP

    DEPARTMENT: Clinical Services

    POSITION SUMMARY: 

    Performs assigned duties and clinical functions in accordance with Upper Peninsula Health Plan (UPHP) plans, policies, and procedures, all state and federal accrediting and regulatory standards and Blue Cross Blue Shield of Michigan (BCBSM) Physician Group Incentive Program (PGIP) requirements.
     

    ESSENTIAL DUTIES AND RESPONSIBILITIES:

    1. Follows established UPHP policies and procedures, objectives, safety standards, and sensitivity to confidential information.
     
    2. Performs all assigned tasks in accordance with UPHP plans, policies and procedures, as well as National Committee for Quality Assurance (NCQA), BCBSM PGIP, and all regulatory standards.
     
    3. Assists in the development and maintenance of policies and procedures related to PGIP and other assigned programs in accordance with program, regulatory, and accrediting standards.
     
    4. Prepares reports and educational materials as required and presents reports and educational information via webinars and forums. 
     
    5. Engages with practices to onboard and participate with BCBSM PGIP initiatives. Assists in the development of practice incentive design, as requested.
     
    6. Conducts onsite assessments with participating practices’ at least annually to determine BCBSM PGIP initiative progress; this includes scheduling, travel arrangements, onsite assessment, and post assessment follow-up.
     
    7. Demonstrates knowledge of all BCBSM PGIP requirements; Centers for Medicare and Medicaid Services (CMS) standards; all applicable NCQA standards; and Healthcare Effectiveness Data and Information Set (HEDIS) measures as they relate to clinical functions and respective programs; assumes responsibility for specific NCQA and BCBSM standards as assigned.
     
    8. Participates in departmental and interdepartmental process improvements; recommends improvements in clinical processes as opportunities are identified.
     
    9. Participates in internal and external workgroups, collaboratives, and specialized trainings as required by BCBSM and/or UPHP. 
    10. Serves as backup to other team members in their respective areas in demonstrated times of excessive workload and/or benefit time.
     
    11. Attends and participates in BCBSM PGIP and UPHP organizational, departmental, and clinical program meetings as required.
     
    12. Assures required licensure continuing education requirements are fulfilled on an annual basis.
     
    13. Maintains confidentiality of client data.
     
    14. Performs other related duties as assigned or requested.
     

    POSITION QUALIFICATIONS:

    Education:

    Minimum:

    Licensed practical nurse or associate degree in nursing or health care-related area; three (3) years 
    of clinical or health related experience will be considered in lieu of certification or degree

     

    Preferred:

    Bachelor’s degree in nursing, health education, or health-related area
     

    Requirement:

    If nursing degree, licensed in state of Michigan
     

    Experience:

    Minimum:

    Two (2) years of clinical or health-related experience
     

    Preferred:

    Three (3) to five (5) years of clinical experience; understanding of clinical quality data and 
    performance improvement.

     

    Required Skills:

    Keyboarding proficiency and working knowledge of MS Office programs Word, Excel, and PowerPoint
    Excellent human relation and oral/written communication
    Excellent organizational and prioritization abilities

     

    Desired Skills:

    Ability to interpret and analyze data
    Working knowledge of MS Office Access, Canva, Monday.com, and Webinar platforms (i.e., Microsoft Teams)
     
    The qualifications listed above are intended to represent the minimum skills and experience levels associated with performing the duties and responsibilities contained in this job description. The qualifications should not be viewed as expressing absolute employment or promotional standards, but as general guidelines that should be considered along with other job-related selection or promotional criteria.

     

    Physical Requirements:

    [This job requires the ability to perform the essential functions contained in the description. These include, but are not limited to, the following requirements. Reasonable accommodations may be made for otherwise qualified applicants unable to fulfill one or more of these requirements]:
     
    Ability to access departmental files
    Ability to enter and access information from a computer
    Ability to access all areas of the UPHP offices
    Moderate physical effort (lift/carry up to 25 pounds)
    Occasionally lifts supplies/equipment
    Occasional reaching, stooping, bending, kneeling, crouching
    Prolonged periods of sitting
    Occasional prolonged standing
    Manual dexterity and mobility

     

    Working Conditions:

    Works in office conditions, but travel is required
    Subject to many interruptions
    Exposure to situations requiring exceptional interpersonal skills or high productivity
    Frequently subjected to irregular hours
  • 5 Days Ago
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U
Diabetes Clinical Coordinator - Quality Management
  • Upper Peninsula Health Plan
  • Marquette, MI FULL_TIME
  • POSTED: April 19, 2024 POSITION : Diabetes Clinical Coordinator - Quality Management DEPARTMENT: Clinical Services POSITION SUMMARY: Performs assigned clinical functions in accordance with Upper Penin...
  • 3 Days Ago
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U
Clinical Coordinator - Care Manager - Medicaid
  • Upper Peninsula Health Plan
  • Marquette, MI FULL_TIME
  • POSTED: March 6, 2024 POSITION: Clinical Coordinator - Care Manager Medicaid DEPARTMENT: Clinical Services POSITION SUMMARY: Performs assigned clinical functions in accordance with Upper Peninsula Hea...
  • 1 Month Ago
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F
FFG Class Design Services Technical Coordinator
  • Fincantieri Marine Group - Marinette Marine
  • Marinette, WI FULL_TIME
  • POSITION SUMMARY The FFG Class Desgin Services (CDS) Technical Coordinator is a junior level professional who has demonstrated some ability within project management, managing the flow of technical da...
  • 25 Days Ago
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U
Community Health Worker
  • Upper Peninsula Health Plan
  • Marquette, MI FULL_TIME
  • DATE: Thursday, March 14, 2024 POSITION: Community Health Worker DEPARTMENT: Clinical Services POSITION SUMMARY: The community health worker (CHW) performs assigned functions in accordance with the Up...
  • 20 Days Ago
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U
Claims Services Representative
  • Upper Peninsula Health Plan
  • Marquette, MI FULL_TIME
  • POSTED: April 10, 2024 POSITION: Claims Services Representative DEPARTMENT: Operations - Provider Relations POSITION SUMMARY: This position is responsible for resolving and responding to provider inqu...
  • 12 Days Ago
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0 Plan Design Coordinator jobs found in Green Bay, WI area

V
Human Resource Generalist
  • Vollrath
  • Green Bay, WI
  • This position is responsible for the staffing and success of the facility workforce. The HR Generalist will be managing ...
  • 4/24/2024 12:00:00 AM
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W
Material Handler
  • Walmart
  • Green Bay, WI
  • **Job Summary:** As a Material Handler at Walmart, you will be responsible for efficiently managing the flow of material...
  • 4/24/2024 12:00:00 AM
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L
LPN Private Duty Pediatrics
  • LHC Group
  • Menasha, WI
  • Job Description We are hiring a Private Duty Licensed Practical Nurse in the Kiel / New Holstein area to travel to schoo...
  • 4/22/2024 12:00:00 AM
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D
Internal Revenue Agent (Senior Revenue Agent (Examiner) -12 MONTH ROSTER
  • Department Of The Treasury
  • Green Bay, WI
  • Duties WHAT IS THE SBSE - SMALL BUSINESS SELF EMPLOYED DIVISION? A description of the business units can be found at: ht...
  • 4/22/2024 12:00:00 AM
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K
Manufacturing Engineer
  • Knowhirematch
  • Appleton, WI
  • Be a part of an organization, with a dynamic leadership team that truly values and appreciates the people that work ther...
  • 4/20/2024 12:00:00 AM
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P
Registered Nurse II/LPN- Adult Cardiology- Allouez
  • Prevea Health
  • Green Bay, WI
  • This position will work 32 hrs per week RN Level II Come work where we specialize in you! We have nearly 2,000 reasons f...
  • 4/20/2024 12:00:00 AM
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A
LPN Private Duty Weekly Pay
  • Almost Family
  • Green Bay, WI
  • We are hiring a Private Duty LPN in Green Bay to work overnights. We have part-time, and full-time opportunities with we...
  • 4/16/2024 12:00:00 AM
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G
Sales Development Program - Rotation Sales Representative
  • Green Bay Packaging, Inc.
  • Green Bay, WI
  • Position Overview: If you have a constant curiosity, a passion for sustainability, and are an aspiring sales professiona...
  • 4/15/2024 12:00:00 AM
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About Green Bay, Wisconsin

Green Bay is a city in and the county seat of Brown County in the U.S. state of Wisconsin, at the head of Green Bay, a sub-basin of Lake Michigan, at the mouth of the Fox River. It is 581 feet (177 m) above sea level and 112 miles (180 km) north of Milwaukee. The population was 104,057 at the 2010 census. Green Bay is the third-largest city in the state of Wisconsin, after Milwaukee and Madison, and the third-largest city on Lake Michigan's west shore, after Chicago and Milwaukee. Green Bay is home to the National Football League's Green Bay Packers. Green Bay is the principal city of the Gree...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Plan Design Coordinator jobs
$63,717 to $85,569
Green Bay, Wisconsin area prices
were up 1.3% from a year ago
View detail

What does a Plan Design Coordinator do?

Plan Design Coordinator in Colorado Springs, CO
The "look" and "feel" of the Services (including color combinations, button shapes, layout, design, and all other graphical elements not uploaded or implemented by Customers) are also our trademarks or copyrights.
December 11, 2019
Plan Design Coordinator in Huntsville, AL
The Services and its entire contents, features, and functionality (including but not limited to all information, software, Service Specifications, text, displays, images, video, and audio, and the design, selection, and arrangement thereof)(the "NEOGOV Content") are owned by NEOGOV and are protected by United States and international copyright, trademark, patent, trade secret, and other intellectual property or proprietary rights laws.
February 05, 2020
Plan Design Coordinator in Concord, NH
NU 11EOEDesirablesExperience with implementation of Urban Design & Historic Preservation regulations.
December 26, 2019