Health Plan Operations Associate

Modern Health
Summary
Join Modern Health as a Health Plan Operations Associate and contribute to a supportive, fast-paced environment focused on improving mental health benefits. You will play a key role in maintaining foundational systems and processes supporting health plan integration, including member eligibility checks, claim submissions, and payment processing. This role requires strong attention to detail, problem-solving skills, and excellent communication. The position offers a comprehensive benefits package, including health insurance, paid time off, and professional development opportunities. Modern Health is a fully remote company with a collaborative culture, and this role is open to candidates in several states. The ideal candidate will have 1-2 years of relevant experience and a passion for improving the mental health landscape.
Requirements
- You have 1-2 years of relevant work experience (claims experience is a plus)
- You are highly detail-oriented and organized
- You are a structured thinker and love checking things off your to-do list
- You have excellent verbal and written communication skills
- You are a problem solver and are able to analyze, troubleshoot and resolve issues
- You enjoy working with different kinds of people and are great at building relationships
- You are a team player who enjoys identifying group pain points and improving them
- You are humble, scrappy, and thrive in fast-paced environments
Responsibilities
- Track claims and denials through the entire claim lifecycle
- Manage and establish new systems to support claims processing and related areas
- Identify gaps in claims and reach out to providers for missing information
- Help members troubleshoot issues involving claims or eligibility
- Create documentation and training materials for the broader Ops team
- Provide reporting and other visibility into this function
- Complete other special projects as needed
Benefits
- Medical / Dental / Vision / Disability / Life Insurance
- High Deductible Health Plan with Health Savings Account (HSA) option
- Flexible Spending Account (FSA)
- Access to coaches and therapists through Modern Health's platform
- Generous Time Off
- Company-wide Collective Pause Days
- Parental Leave Policy
- Family Forming Benefit through Carrot
- Family Assistance Benefit through UrbanSitter
- Professional Development Stipend
- 401k
- Financial Planning Benefit through Origin
- Annual Wellness Stipend to use on items that promote your overall well being
- New Hire Stipend to help cover work-from-home setup costs
- ModSquad Community: Virtual events like active ERGs, holiday themed activities, team-building events and more
- Monthly Cell Phone Reimbursement