Source Job

Global

  • Run our clinics daily, including clinician scheduling, appointment triage, and operational workflows across UK, South African, and US clinics.
  • Be the first responder for members, triaging and responding across Intercom, Slack, email, and the Vira Member Zone inbox.
  • Assist with clinical governance, compliance workflows, utilisation tracking, US credentialing, payer eligibility, and chart audits.

Clinical Operations Healthcare Scheduling Compliance

20 jobs similar to Member Operations Specialist

Jobs ranked by similarity.

US

  • Join the US clinical team.
  • Help close the gap in women's midlife healthcare.
  • Provide compassionate care to women.

Vira Health is on a mission to extend healthy life expectancy for women, starting with menopause. Their virtual clinic, Stella, combines evidence-based care, expert clinicians, and personalized support to help women manage symptoms and improve long-term health outcomes.

Mexico Latin America

  • Serve as the front line of member experience, resolving questions and issues across phone, email, chat, and SMS for members navigating their healthcare.
  • Triage and prioritize member needs in real time, handling high-impact issues with urgency and sound judgment while connecting members to external resources when needed.
  • Identify workflow gaps and partner with leadership to improve processes and tooling to deliver fast, empathetic support.

Vitable is a YC-backed, Series A healthtech platform making healthcare better for employers of everyday workers, bringing accessible, high-quality care to over 85 million uninsured and underinsured Americans. As a growing company, we empower businesses to become better employers with a culture focused on empathy and excellence.

Global

  • Conduct virtual clinical education-only calls with members on various health topics.
  • Lead group webinars and workshops in your area(s) of deep expertise with the support of Vira’s staff.
  • Provide evidence-based health information, lifestyle guidance, and self-management strategies.

Vira Health is a women's healthcare technology company providing virtual clinical care, educational resources, and support across various stages of women's health and family health. They partner with employers and health plans to improve health outcomes and make evidence-based women's healthcare accessible worldwide.

US

  • Help build and manage the day-to-day operations of a partner network across multiple states and several partners.
  • Identify, engage, and negotiate with prospective clinical vendors.
  • Lead and support implementation tasks and timelines in connection with new partner network launches, including in collaboration with internal and external stakeholders.

Heartbeat Health is a virtual-first cardiovascular care company. They provide patients with convenient, high-quality heart care through telemedicine, diagnostics, and virtual care programs, and they are considered the leader in their field. They are fast-paced, agile, remote-first, value diversity, and care about each other.

Philippines

  • Coordinate patient billing, document management, and inbound support queries with accuracy and HIPAA compliance.
  • Liaise with care operations and finance teams to resolve billing discrepancies and maintain patient records.
  • Serve as first point of contact for patient queries, triaging clinical issues and maintaining resolution logs.

Sphere Health is a physician-led telehealth platform focused on patient experience and operational excellence. It operates in a pre-launch phase with a small, purpose-driven team aiming to transform how patients experience care.

$190,000–$200,000/yr
Global

  • Leads a team of clinicians and serves as a senior clinical owner for care delivery workflows.
  • Provides clinical support for program development and customer-facing clinical work.
  • Partners closely with Operations, Product, Member Success, Clinical Outcomes, Legal, Commercial, Customer Success, Solutions Consulting, and Marketing.

Carrot is a global, comprehensive fertility and family care platform, supporting members and their families through many of life's most memorable moments. Its award-winning products serve all populations, from preconception care through pregnancy, IVF, male factor infertility, adoption, gestational carrier care, and menopause.

$150,000–$175,000/yr
US

  • Own and evolve the operating model for Maven’s Client Support function.
  • Lead and develop a team of Client Support Associates.
  • Bring the operational perspective into Product and Engineering conversations.

Maven Clinic is the world's largest virtual clinic for women and families, aiming to make healthcare work for everyone. They provide clinical, emotional, and financial support through a digital platform, trusted by over 2,000 employers and health plans, and they have an award-winning culture.

South Africa

  • Provide remote clinical consultations and telephonic triage for patients.
  • Assess physical and psychosocial needs, including mental health concerns.
  • Coordinate care with virtual doctors and refer patients to appropriate services.

Kaelo provides essential healthcare solutions ensuring the physical and psychosocial wellbeing of all South Africans towards lasting social change. They meet the healthcare needs of corporate and retail clients across South Africa with offerings including medical insurance, medical aid, gap insurance, and employee assistance programmes.

US

  • Support enterprise clinical information systems to enable safe, efficient patient care and assist clinicians with EHR issue resolution.
  • Assess clinical informatics needs and develop tools, decision support, templates, and training materials for healthcare professionals.
  • Facilitate working groups, stakeholder meetings, and field user engagement to improve clinical workflows and system use.

Aptive partners with federal agencies to achieve their missions through improved performance, streamlined operations and enhanced service delivery. Based in Alexandria, Virginia, we support more than a dozen agencies and have 300+ employees nationwide.

Global Unlimited PTO 12w maternity

  • Conduct high-volume telehealth intake appointments to assess patient goals and explain service offerings.
  • Manage scheduling, lab orders, prescription logistics, and EHR maintenance for a fully remote care team.
  • Drive patient engagement through strategic outreach, coaching, and issue resolution to ensure high satisfaction.

Bold is the leading healthy aging platform, offering personalized, evidence-based exercise programs for Medicare members that help prevent falls, reduce pain, and increase activity. The company is backed by leading investors including Andreessen Horowitz and Khosla Ventures and has a patient-centered care team.

  • Serve as the primary relationship owner for client accounts, building executive-level relationships and leading governance meetings.
  • Drive operational excellence by owning SOPs, workflows, and continuous improvement of operational standards.
  • Ensure operational readiness and partner with leadership on onboarding and new program initiatives.

Vanna Health is transforming care for individuals living with serious mental illness through innovative partnerships and integrated care delivery. It is an equal opportunity employer committed to diversity and inclusion.

$0–$62,000/yr
US

  • Provide compassionate, evidence-based care to clients across the country.
  • Treat a variety of clients, including couples and children.
  • Help clients achieve measurable progress using modern clinical technology.

Thriveworks is a mental health care company founded by clinicians. They have 340+ locations with a nationwide hybrid care model, serving over 175,000 clients annually through more than 1.7 million sessions and growing.

$28–$30/hr
US

  • Provide cross-line operational support across service lines.
  • Answer client and caregiver calls and handle schedule changes.
  • Review visit notes and execute recurring operations tasks.

Tandem Care delivers home care via Continuous Care, Targeted Care, and On Demand service lines. We value collaboration, communication, and clear expectations in our fully remote team that emphasizes quality of care.

US

  • Own member engagement strategy across key channels, including telemarketing and live agent outreach, IVR, SMS, email, and direct mail.
  • Design end-to-end engagement journeys that improve member activation and action across use cases such as opt-in, kit activation and return.
  • Partner with Analytics, ML / AI, and operations teams to build targeting approaches and reporting that help understand what is and is not working.

Everlywell is a digital health company pioneering the next generation of biomarker intelligence, combining AI-powered technology with human insight to deliver personalized, actionable health answers. They transform complex biomarker data into life-changing insights and have delivered close to 1 billion personalized health insights, transforming care for 60 million people and powering hundreds of enterprise partners.

$200–$250/hr
US

  • Respond to questions from primary care clinicians on a HIPAA-compliant platform.
  • Ensure recommendations are educational, cost-effective, and evidence-based.
  • Participate in product interviews and voluntary projects.

RubiconMD is a web-based electronic consultation platform connecting primary care clinicians with medical specialists. They aim to improve patient care and reduce unnecessary referrals by providing same-day insights from a network of specialists.

$23–$26/hr
US

  • Deliver an outstanding customer experience by supporting inquiries across phone, email, text, and chat.
  • Manage high-complexity insurance workflows and inbound support requests to collect documentation.
  • Partner with clinical, scheduling, and operations teams to ensure accurate treatment plan alignment and continuity of care.

Expressable is a virtual speech therapy practice that aims to transform care delivery and expand access to high-quality services. Since 2019, they serve thousands of clients with a focus on parent-focused intervention and an e-learning platform with home-based learning modules.

US

  • Answer calls and resolve questions, routing to appropriate departments.
  • Complete documentation in EMR and marketing systems, including initial prescreening.
  • Schedule new and returning patients and complete follow-up duties.

Pyramid Healthcare provides addiction treatment, mental health recovery, and eating disorder treatment. They focus on client-centered care and offer supportive environments that help patients overcome life’s challenges.

US

  • Support daily pharmacy operational workflows and administrative tasks to ensure timely and accurate prescription processing.
  • Provide frontline operational support to clinicians and internal teams for routine pharmacy workflow questions and requests.
  • Collaborate with the CX team to assist with basic prescription-related member issues and inquiries.

Lifeforce is the world's largest longevity medicine program. They bring together diagnostics, clinical experts, health coaches, and customized protocols to help people understand and optimize their bodies, functioning now and decades to come. They seem to have a modern and proactive company culture.

US

  • Facilitate end-to-end contracting and submission operations during peak period, supporting 100+ new and renewal contracts.
  • Upload and manage legal contracts in Ironclad, conduct audits, and coordinate provider roster submissions.
  • Track milestones, surface risks, and ensure accurate deal terms across systems.

Pearl Health empowers primary care providers to succeed in value-based care through technology, financial tools, and expert services. Founded in 2020, the company is backed by top investors and partners with thousands of providers across 44 states.

US

  • Provide health assessments and treatment solutions via telephone, video, or chat functions.
  • Receive inbound phone calls from patients seeking answers to various medical conditions.
  • Stay up to date with current health trends and recommendations.

PWNHealth is a national clinician network improving early disease detection and prevention using advanced diagnostics and telehealth, serving all 50 states and Puerto Rico. They are a mission-driven company with a positive culture, backed by leading growth equity firms Spectrum Equity and the Blue Venture Fund (BVF).