Health Plan Operations Liaison

Betterhealthgroup; Tampa (FL); On-site; USD 47,000 - 58,000; Full time

Job summary

Better Health Group in Tampa, FL is seeking a Health Plan Liaison to serve as the primary operational link between PCP offices and health plan partners. Reporting to Operations, you will manage inquiries, coordinate Joint Operations Committee meetings, onboarding, and the annual enrollment period while building strong relationships with internal teams and external stakeholders.

The role requires 3+ years in healthcare, strong communication, and ability to develop user-friendly resources and

Qualifications

• High school diploma or equivalent required; higher degree preferred.
• 3+ years in a healthcare-related environment; health plans or provider relations preferred.
• Strong written and verbal communication; proficient in coordinating with multiple stakeholders.
• Working knowledge of health plan operations, policies, and procedures preferred.
• Proficiency in Google Workspace and Microsoft Office; trackers and reference documents experience.
• Ability to research and resolve issues with sound judgment.

Responsibilities

• Serve as the primary contact for assigned PCP offices regarding health plan-related inquiries, issues, and requests.
• Manage the intake of health plan-related inquiries through the internal ticketing process, maintaining accurate status tracking from receipt through resolution.
• Research and investigate inquiries ranging from routine to complex, coordinating with health plan representatives and internal teams to resolve issues.
• Identify recurring issues, trends, and process gaps across PCP offices and health plans, and recommend improvements to leadership.
• Maintain current knowledge of health plan-specific policies, procedures, requirements, and resources, and communicate relevant changes to PCP offices and internal teams.
• Build and foster positive, collaborative relationships with PCP offices, health plan partners, and internal teams.
• Schedule and lead Joint Operations Committee meetings
• Prepare meeting agendas and presentations and distribute them to attendees in advance of each meeting.
• Document meeting action items, distribute them to attendees following each meeting, and track open items through completion.
• Maintain accurate agendas and action-item records for recurring operational meetings.
• Maintain professional and responsive working relationships with internal and external stakeholders to support effective communication and service delivery.
• Facilitate the health plan onboarding process as needed, coordinating required information, communications, and follow-up among the health plan, PCP offices, and internal teams.
• Support tasks associated with the Annual Enrollment Period (AEP) process each year.
• Create, update, and maintain Health Plan Resource documents and quick reference guides that compile information from multiple health plans into a single resource for internal and external users.
• Identify the need for new or updated resources based on requests and recurring questions received from internal teams and PCP offices.
• Attend and participate in Core Operations team meetings, health plan meetings, and interdepartmental market meetings as required.
• Perform additional duties as assigned.

Skills

Cross-functional work

Communication

Problem solving

Attention to detail

Time management

Team collaboration

Research and issue resolution

Confidentiality

Adaptability

Results-oriented

Education

High school diploma or equivalent

Associate’s or Bachelor’s degree in Healthcare Administration, Business Administration, or related field preferred

Tools

Google Workspace

Microsoft Office

Job description

Better Health Group in Tampa, FL is seeking a Health Plan Liaison to serve as the primary operational link between PCP offices and health plan partners. Reporting to Operations, you will manage inquiries, coordinate Joint Operations Committee meetings, onboarding, and the annual enrollment period while building strong relationships with internal teams and external stakeholders.

The role requires 3+ years in healthcare, strong communication, and ability to develop user-friendly resources and