[Remote] Health Plans Operations Coordinator

Remote Full-time
Note: The job is a remote job and is open to candidates in USA. 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. 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. Skills • 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. • 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. Education Requirements • Bachelor's degree in a related field or equivalent experience required. Company Overview • Samaritan Health Services provides compassionate, innovative and quality health care serving communities. It was founded in 1997, and is headquartered in Corvallis, Oregon, USA, with a workforce of 5001-10000 employees. Its website is Apply tot his job
Apply Now →

Similar Jobs

Experienced Registered Behavior Technician for In-Home ABA Therapy - Atlanta, GA

Remote

Immediate Hiring: Experienced Registered Behavioral Technician (RBT) for Clinic-Based ABA Therapy Services

Remote

Experienced Registered Behavioral Technician (RBT) - ABA Therapy for Children with Autism Spectrum Disorder

Remote

Experienced Registered Nurse - Telehealth: Providing Remote Care Coordination and Patient Support

Remote

Experienced Substitute Teacher for Riverside County Schools - Join Scoot Education's Innovative Team

Remote

Experienced Substitute Teacher for San Bernardino County - Flexible Schedules & Competitive Pay

Remote

Experienced School Year Instructional Coach for High-Dosage Tutoring Programs in Edgewater Park, NJ

Remote

Experienced School Year Tutor for K-8 Students in Math and Literacy - Mickleton, NJ

Remote

Experienced Secondary Social Studies Teacher for Kansas - Flexible Hybrid Remote Arrangement

Remote

USPS Office Helper

Remote

**Virtual Data Entry Specialist – Entry Level Opportunity at arenaflex**

Remote

Career Opportunities: CULINARY CONSULTANT - CHARTWELLS HIGHER EDUCATION - REMOTE (1432202)

Remote

On-Camera Product Presenter

Remote

Experienced Remote Customer Support Representative – Delivering Exceptional Service and Solutions from the Comfort of Your Home Office at arenaflex

Remote

Live Chat Support

Remote

Online Support & Moderation Associate | $25...

Remote

ML Solutions Architect

Remote

Corporate Finance Analyst

Remote

**Experienced Customer Success Associate – Student Loan Borrower Support**

Remote

Remote Privacy Coordinator - Protecting Patient Data and Ensuring Compliance in a Dynamic Healthcare Environment

Remote
← Back