Health Plans Operations Coordinator jobs in United States
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Samaritan Health Services · 4 months ago

Health Plans Operations Coordinator

Samaritan Health Services is dedicated to building healthier communities and is seeking a Health Plans Operations Coordinator. This remote position involves collaborating with operations staff to ensure compliance with regulatory guidelines, managing operational functions, and improving processes related to health plans.

Health CareHospital

Responsibilities

Partners and Collaborates with operations staff to ensure that benefits and programs are administered in accordance with regulatory, statutory and plan specific guidelines
Partners with other functional areas to ensure scope specific regulatory compliance and ongoing monitoring reach goals of the plan
Reports audit results to management, finding gaps in operational polices and processes, and develops process improvement for those areas
Manages operational functions such as process improvement, gap analysis, operational discovery, and implementation projects, and coordinates with external vendors, internal staff and committees when necessary to create, review and amend policies, procedures, processes, projects and programs

Qualification

Health plan leadershipProject coordinationMicrosoft OfficeMedical terminologyWritten communicationVerbal communicationProblem solving

Required

Bachelor's degree in a related field or equivalent experience required
Experience and/or training developing professional written correspondence required
Experience and/or training utilizing Microsoft Office products to collect, analyze, and display statistical reports and maintain electronic records required

Preferred

Project coordination experience preferred
Experience in a health plan leadership role preferred
Experience working with the Oregon Health Plan preferred
Experience and/or training with medical terminology preferred

Company

Samaritan Health Services

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Samaritan Health Services provides compassionate, innovative and quality health care serving communities.

Funding

Current Stage
Late Stage

Leadership Team

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Marty Cahill MBA, FACHE
Chief Executive Officer
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Brandon Schmidgall
Chief Operating Officer
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Company data provided by crunchbase