Health Services Associate - Health Plan

Are you looking for a career that offers both purpose and the opportunity for growth? Parkland Community Health Plan (PCHP) is a proud member of the Parkland Health family.  PCHP is a Medicaid Managed Care Organization servicing Texas Medicaid and CHIP in the Dallas Service Area.  PCHP works to fulfill of our mission by empowering members to live healthier lives.  By joining PCHP, you become part of a team focused on innovation, person-centered care, and fostering stronger communities. As we continue to expand our services, we offer opportunities for you to grow in your career while making a meaningful impact. Join us and work alongside a talented team where healthcare is more than just a job—it’s a passion to serve and improve lives every day.

Primary Purpose

Parkland Community Health Plan’s (PCHP’s) Health Services Associate is responsible for supporting the Health Services Department by providing support for case management, clinical appeals, discharge planning, disease management, population health, behavioral health and utilization review processes.  Review documents for accuracy, expedite general workflows, assist in member intakes, communications and scheduling of follow-ups.

Minimum Specifications

Education

• Bachelor’s degree in business administration or related field is required.
• Bachelor's degree in a health-related field is preferred.

Experience

Equivalent Education and / or Experience

Certification / Registration / Licensure

Skills or Special Abilities

Responsibilities

Operations

Quality

Regulatory and compliance

Professional Accountability

Job Accountabilities

Parkland Community Health Plan (PCHP) prohibits discrimination based on age (40 or over), race, color, religion, sex (including pregnancy), sexual orientation, gender identity, gender expression, genetic information, disability, national origin, marital status, political belief, or veteran status.