Health Plan Operations Associate

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Modern Health

πŸ’΅ $46k-$73k
πŸ“Remote - United States

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

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