[Remote] Health Plans Operations Coordinator

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 https://www.samhealth.org/. Apply tot his job Apply To this Job