Health Plan Staffing

Adding Clarity to the Complex World of Health Insurance

We partner with Health Plans, TPA’s, PBM’s, and Third Party Medical Management companies to improve healthcare access, patient outcomes, and financial stability for beneficiaries.

We have 3 goals:

  • Helping to improve access to quality healthcare and services
  • Helping to improve the quality and efficacy of healthcare
  • Helping to increase enrollment in and utilization of health insurance

At TotalMed, partnering with Health Insurers runs deeper than just staffing. Knowing that quality, accessibility, and affordability of care are the top priorities, you shouldn’t have to add another focus: hiring the right personnel.

Specialties

Case Management
  • Field and Office based
  • Complex Case Management
  • Long-term Care
  • High-Risk OB
  • Social Work – Behavioral Health
Utilization Management
  • Prior Authorization
  • Concurrent Review
  • Retrospective Review
  • Appeals Personnel
Quality Improvement
  • Nurses and Administrative Personnel
  • Quality Practice Advisors
  • Patient Care Advocates
  • HEDIS
Frontend Support
  • Grievance and Appeals
  • Claims Management
  • Member/Provider Services
  • Project Managers
  • Administrative Roles
Pharmacy
  • Pharmacy Technicians
  • Pharmacists
  • Call Center Support
Provider Network Support
  • Provider Network Managers
  • Provider Data Analysts
  • Network Management Support/Representatives

Are You Ready? Let’s Find Talent!