Plan Design Specialist jobs in Corpus Christi, TX

Plan Design Specialist 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 Specialist monitors and analyzes cost trends. May handle more complex plan design. Additionally, Plan Design Specialist requires a bachelor's degree or its equivalent. Typically reports to a supervisor or manager. The Plan Design Specialist gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. To be a Plan Design Specialist typically requires 2 to 4 years of related experience. (Copyright 2024 Salary.com)

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Health Home Coordinator
  • 20 Driscoll Children's Health Plan
  • Corpus Christi, TX FULL_TIME
  • Where compassion meets innovation and technology and our employees are family. Thank you for your interest in joining our team! Please review the job information below. General Purpose of Job: The Driscoll Health Home Coordinator collaborates with all Driscoll Health Plan (DHP) departments to assess, plan, develop, facilitate, implement, and monitor all operational activities with regard to the Driscoll Health Home Model. The Driscoll Health Home Coordinator is responsible for tracking the progress and impact of Driscoll Health Home initiatives with regard to internal and external quality performance. This position is responsible for forecasting, monitoring, analyzing, compiling, drafting recommendations and developing proactive strategies in collaboration with internal and external Health Home stakeholders. Essential Duties and Responsibilities: The Driscoll Health Home Coordinator is a clinical professional with a focus on operational, business and clinical metrics demonstrating effectiveness of the Driscoll Health Home program. The incumbent will participate in both clinical and operational processes and work towards improving provider and member services and outcomes in all Driscoll Health Plan Health Home projects. This should be accomplished through analysis and generation of data, collaboration with colleagues, direct and indirect project oversight, and active participation to improve program outcomes. An essential component of this position includes travel to the offices of Primary Care Providers that are contracted with DHP as Health Homes. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skills, and abilities required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. This job description is not intended to be all-inclusive; the employee will perform other reasonably related business duties as assigned by the immediate supervisor, program medical directors, and health plan administration. Maintains utmost level of confidentiality at all times. Adheres to Health System and Health Plan policies and procedures. Demonstrates business practices and personal actions that are ethical and adhere to corporate compliance and integrity guidelines. Demonstrates a high degree of independence, flexibility, initiative and commitment while at the time demonstrates the capacity to work in teams developing and maintaining excellent working relationships with positive interactions that positively improve productivity across all organizational areas of function. Serves as a “change agent” to continually develop and improve Health Home operations and outcomes. Performs assessment of provider practices to determine compliance with Driscoll Health Home Category selection and facilitates operationalization for all qualified providers requesting inclusion. Coordinates management of key metrics and performance improvement projects associated with state mandated projects and other quality improvement initiatives and/or alternative payment models relative to Driscoll Health Homes, as indicated. Demonstrates the ability to work with both internal and external data sources, transforming data into information through standard analytic methods. Provides insights, both written and verbal as well as recommendations, after data analysis specifically as this applies to all potential Driscoll Health Home data sources (e.g. Quality Management, Health and Human Services [HHSC] Performance Improvement Projects [PIP], HHSC initiatives including but not limited to Pay for Quality [P4Q], Quality Assessment and Performance Improvement [QAPI], etc.) related to the DHP Health Home Project. Provides leadership in the development of other health plan initiatives or programs related to data collection, retrieval, analysis and interpretation to assist in optimizing outcomes and/or effectiveness and efficiency as time permits. Develops and identifies appropriate applications utilized for tracking and monitoring of Driscoll Health Homes. Performs internal audits and/or case assessments to identify opportunities for improvement. Facilitates a process to evaluate the effectiveness of the Driscoll Health Home program. Assists other departments, as needed, to develop operational oversight functions as it relates to the Driscoll Health Home initiative. Provides training materials related to the Driscoll Health Home initiative for internal and external customers/stakeholders, as needed. Serves as an expert on Driscoll Health Home data production and interpretation Communicates in person and by other means with network physicians who are participating in or have indicated an interest in the Driscoll Health Home initiative. Demonstrates the ability to work in teams developing and maintaining excellent working relationships with positive interactions that positively improve productivity across all organizational lines Demonstrates well-developed and proven organizational, problem solving, analytical skills, customer service, and oral and written communication skills. Maintains a global perspective and anticipates the impact of analytic results that may have an effect on other program stakeholders. Demonstrates leadership, organization, collaboration, and critical thinking in addressing decisions and resolving issues. Performs other duties as requested. Education and/or Experience: Bachelor’s degree in Nursing, Population Health or other related equivalent field required. Master’s degree preferred. (MPH, MBA, MSN, MHA, etc.) At least two years of relevant project management and/or performance improvement experience preferred. Previous experience in managed care preferred. At least three years of health care experience required. Experience with computer programs, including Microsoft Office programs (Word, Excel, and PowerPoint) required. Certificates, Licenses, Registrations: Current unrestricted Registered Nurse Licensure in the state of Texas-if applicable CPHQ certification preferred Clinical Informatics certification desirable Project Management certification desirable Prior experience working with clinical information systems preferred. Until all children are well. Driscoll Children’s Hospital and its specialty centers, urgent care centers, and after-hours facility serve a vast area covering 31 South Texas counties. The hospital is a 191-bed tertiary care center offering 32 medical and 13 surgical specialties. Combined with our non-profit, community-based Health Plan, Driscoll Health System is an exceptional workplace for anyone with a big heart and a drive for success. Smiles, hugs and a soothing touch are as much a part of Driscoll’s approach to treating children as is its advanced medical treatments and technologies. The core values at Driscoll Heath System are: Compassion, Advocacy, Respect, Excellence, and Stewardship. These values are exemplified through every position - from treating the most critical patients hands-on, to maintaining a clean environment, to keeping the organization running from behind the scenes. We invite you to learn about Driscoll’s rich history and explore the laidback lifestyle South Texas has to offer.
  • 25 Days Ago

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Survey CAD Technician
  • Colliers Engineering & Design
  • Corpus Christi, TX FULL_TIME
  • OverviewColliers Engineering & Design is seeking a Survey CAD Technician to join our team in Corpus Christi, Texas! The successful candidate will perform field surveys and create survey maps that meet...
  • 11 Days Ago

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Senior Crew Chief
  • Colliers Engineering & Design
  • Corpus Christi, TX FULL_TIME
  • OverviewColliers Engineering & Design is seeking a Senior Crew Chief to join our Survey team in Corpus Christi, Texas! Join our Survey/Geospatial team, which offers a full range of survey and geospati...
  • 26 Days Ago

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Business Development Manager (Independent Contractor)
  • Buddy Web Design and Development
  • Corpus Christi, TX CONTRACTOR
  • Interested in using your prospecting and sales skills with a growing technology company with an in-demand service, a great portfolio, and excellent customer reviews? Buddy Web Design & Development is ...
  • 27 Days Ago

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Instrument Controls Design Engineer
  • Flint Hills
  • Corpus Christi, TX FULL_TIME
  • Flint Hills Resources (FHR) Project Capability is looking for an Instrument and Controls (I&C) Design Engineer. FHR is looking for an entrepreneurial minded I&C engineer to leverage their capabilities...
  • 12 Days Ago

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Marketing/Web Design Assistant
  • Workforce Solutions Coastal Bend
  • Kingsville, TX FULL_TIME
  • *This is a Work Experience (work-based learning) position available through Workforce Solutions Coastal Bend. All candidates will be considered after program eligibility is determined. Write supportin...
  • 25 Days Ago

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0 Plan Design Specialist jobs found in Corpus Christi, TX area

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Hospitalist Physician – Corpus Christi, TX
  • Optum
  • Corpus Christi, TX
  • A partner of the Optum Care network, WellMed Networks, Inc, is seeking a hospitalist to join our team in Corpus Christi,...
  • 4/25/2024 12:00:00 AM

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Associate Veterinarian - Wellness Only - Sign-on/Retention Bonus up to $25k!
  • VCA Animal Hospitals
  • Corpus Christi, TX
  • **VCA Oso Creek Animal Hospital & Emergency Center** is seeking a **Wellness-Only** **Associate Veterinarian** to comple...
  • 4/23/2024 12:00:00 AM

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Outpatient Primary Care Physician – WellMed Medical Group – Corpus Christi, TX
  • Optum
  • Corpus Christi, TX
  • A partner of the Optum Care network, WellMed Medical Group, is seeking an Internal Medicine or Family Medicine physician...
  • 4/23/2024 12:00:00 AM

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OA/CTS Specialist - Corpus Christi
  • Equus
  • Corpus Christi, TX
  • Company Description Our Job Corps programs provide life-changing services that help young people succeed in school, obta...
  • 4/22/2024 12:00:00 AM

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Lead Human Resources Specialist (Team Leader) - Temporary Not to Exceed 1 year, MBE, MBP
  • Department Of The Treasury
  • Corpus Christi, TX
  • DutiesWHAT IS THE CRIMINAL INVESTIGATIONDIVISION?A description of the business units can be found at: https://www.jobs.i...
  • 4/22/2024 12:00:00 AM

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Specialist, Lead Control
  • Epco Inc.
  • Corpus Christi, TX
  • Epco, Inc. Specialist, Lead Control Corpus Christi , Texas Apply Now Specialist, Lead Control - 000EJD Description Enter...
  • 4/22/2024 12:00:00 AM

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Network Engineers (Transitioning Military)
  • INflow Federal
  • Corpus Christi, TX
  • At INflow Federal, we're not just navigating the frontier of digital transformation; we're reshaping it. Our dedication ...
  • 4/21/2024 12:00:00 AM

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Environmental Health & Safety Specialist
  • Loram
  • Corpus Christi, TX
  • Job Title: Environmental Health & Safety Specialist FLSA Status: Exempt Department: Environmental Health & Safety Report...
  • 4/21/2024 12:00:00 AM

Corpus Christi (/ˌkɔːrpəs ˈkrɪsti/), colloquially Corpus (Latin: Body of Christ), is a coastal city in the South Texas region of the U.S. state of Texas. The county seat of Nueces County, it also extends into Aransas, Kleberg, and San Patricio Counties. It is 130 miles southeast of San Antonio. Its political boundaries encompass Nueces Bay and Corpus Christi Bay. Its zoned boundaries include small land parcels or water inlets of three neighboring counties. The city's population was estimated to be 320,434 in 2014, making it the eighth-most populous city in Texas. The Corpus Christi metropolita...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Plan Design Specialist jobs
$69,522 to $94,227
Corpus Christi, Texas area prices
were up 1.2% from a year ago

Plan Design Specialist in Birmingham, AL
SmithGroup creates exceptional design solutions for healthcare, science and technology organizations, higher education and cultural institutions, urban environments, diverse workplaces, mixed-use and waterfront developments, and parks and open spaces.
December 13, 2019