Health Plan Management Course
Master health plan management for insurance professionals. Gain skills in plan design, cost containment, clinical programmes, analytics, and vendor contracting to control medical spend, enhance member outcomes, and handle complex employer-sponsored coverage effectively. This course equips you with practical tools to optimise health plans, analyse utilisation, and ensure regulatory compliance in dynamic healthcare environments.

flexible workload of 4 to 360h
valid certificate in your country
What will I learn?
This course imparts practical skills to design, analyse, and optimise employer health plans. You will learn about various plan types, cost-sharing mechanisms, provider networks, and key regulations. Delve into identifying cost drivers, utilisation analytics, and financial modelling techniques. Additionally, explore vendor contracting, pharmacy benefit manager strategies, clinical programmes, and effective communication tactics to manage expenses while safeguarding member access and satisfaction.
Elevify advantages
Develop skills
- Design cost-efficient health plans by optimising networks, tiers, and cost-sharing.
- Analyse claims and utilisation to spot cost drivers, trends, and savings levers quickly.
- Manage clinical and wellness programmes to improve outcomes while controlling spend.
- Negotiate vendor and PBM contracts to secure guarantees, data access, and savings.
- Lead plan implementation by aligning stakeholders, ensuring compliance, and clear communication.
Suggested summary
Before starting, you can change the chapters and the workload. Choose which chapter to start with. Add or remove chapters. Increase or decrease the course workload.What our students say
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