Staffing Solutions Perfect For You

At TotalMed, we understand that health insurers are not just about providing a product or service; they are about people. Quality care, accessibility, and affordability are the cornerstones of your service and that is what drives TotalMed's commitment to providing you with staffing solutions that align perfectly with your cultural and operational needs.

TotalMed's approach is to simplify your hiring process, connecting you with highly skilled and vetted candidates who resonate with your mission, allowing your focus to remain on delivering exceptional services to your members.

Areas of Health Plan Operations TotalMed Supports:

• Case Management: Proficient in complex case management, covering long-term care and high-risk OB, and a comprehensive network of social work and behavioral health professionals. 
• Utilization Management: Experienced professionals in prior authorization and concurrent review, and skilled in retrospective review and appeals personnel
• Quality Improvement: Dedicated nurses and administrative staff for quality assurance, quality practice advisors and patient care advocates, and specialized support for HEDIS initiatives
• Business Operations: Handling grievances and appeals with sensitivity and precision, efficient claims management and member/provider services, and skilled project managers and administrative staff
• Contact Center: Member services, provider support, and enrollment services
• Pharmacy Benefit Management: Qualified pharmacy technicians and licensed pharmacists
• Provider Network Support: Expert provider network managers, data analysts, and reliable network management support and representatives