Montage Health
Health Plan Operations Coordinator - Aspire Health
Monterey, CA · Full-time
Sponsorship not specifiedDetected 6 days ago
Process ImprovementLeadershipCommunicationAdaptabilityMicrosoft OfficeClaims Management
About the role
- This role coordinates and actively works across multiple teams, including provider services, claims, enrollment, and appeals and grievances.
- Equal Opportunity Employer Assigned Work Hours: Full time Position Type: Regular
Responsibilities
- Provide administrative support to operational teams as requested.
- Prepare, analyze, and distribute operational reports, dashboards, and performance metrics to support leadership decision-making.
- Support audits, accreditation activities, and regulatory reporting requirements.
- Coordinate meetings, document meeting minutes, track action items, and follow up on operational initiatives.
- Perform additional duties and special projects as assigned to support department leadership.
- Readily adaptable to the changing needs of the business; able to manage multiple priorities; tolerance for ambiguity.
- Ability to use sound judgement, identify next steps to be taken, and develop appropriate solutions.
- Ability to collaborate with multiple parties to solve problems.
- Inclusiveness: The ability to network and partner with all internal and external stakeholders including broad and diverse representation of private/public and traditional/non-traditional community organizations.
- The coordinator monitors operational processes, resolves issues, analyzes data, and supports the operations as directed.
Requirements
- Ability to operate phone, office and mail processing equipment required to fulfill position responsibilities.
- Ability to operate spreadsheet, word processing programs and computer equipment required to fulfill position responsibilities.
- Working knowledge of business operations.
- Ability to work with minimal supervision.
Nice to have
- High school diploma
- Associates degree, preferred.
Skills
- Proficient in the use of Microsoft Office Suite, Highly skilled at using the Internet.
- Must learns effectively with computer-based and/or online training.
- High school diploma; Associates degree, preferred.
- Minimum 1 to 3 years experience in a healthcare or insurance industry setting.
- Skills and Education
- Equal Opportunity Employer
- Assigned Work Hours:
- Position Type:
Benefits
- Welcome to Montage Health's
- The Health Plan Operations Coordinator is responsible for supporting and coordinating the day-to-day operational functions of the health plan to ensure efficient, accurate, and compliant service delivery.
- Coordinate and support daily health plan operational activities to ensure timely, accurate, and compliant processing of business functions.
- Assists with operational workflows related to member enrollment, eligibility, provider data management, claims processing and other core health plan functions.
- Maintain accurate records and documentation in accordance with health plan policies and regulatory standards.
- Participate in cross-functional committees, organizational projects and strategic initiatives that support health plan operations and organizational goals.
- Working knowledge of federal regulation specific to the administration of health and welfare plans, including CMS, ERISA, Department of Labor and Health and Human Services.
Equal opportunity
- Employer
- Full time
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This listing is sourced directly from Montage Health's careers page and normalized into a canonical job model.