Organize testing suites and submit moderate to complex test cases to validate benefit configuration setups.
Act as liaison with senior Benefit Operations members to resolve discrepancies and report insights to the testing team.
Support junior team members via peer review and handle advanced logic validation for clinical and financial accumulators.
SmithRx is a rapidly growing, venture-backed Health-Tech company that disrupts the expensive and inefficient Pharmacy Benefit Management (PBM) sector. With hundreds of thousands of members onboarded since 2016, the company fosters a mission-driven and collaborative culture dedicated to transforming the U.S. healthcare system.
Manage employee benefits programs including health, retirement, and leave policies.
Serve as primary contact for benefits inquiries and resolve support requests.
Process enrollments, maintain HRIS data, and support open enrollment cycles.
Jobgether uses an AI-powered matching process to connect candidates with job opportunities. It is a platform that processes applications and shares them with hiring companies, focusing on efficient and objective candidate selection.
Employee Navigator Administration including setup, configuration, and maintenance of client groups, plans, and EDI feeds.
Client Servicing for new hires, terminations, QLEs, and coverage questions.
Data Collection and Submissions for carrier and PEO submissions with follow-up.
Wing is a company redefining the future of work by providing one-stop shop services for companies to build world-class teams and automate operations. They are currently hiring for a part-time remote Healthcare Virtual Assistant for a health insurance benefits agency client.
Develop and maintain system pricing for health care claims.
Analyze contract financial performance and coordinate internal/external audits.
Provide routine and ad hoc reporting to support business decisions.
HCSC is a health insurance company dedicated to expanding access to high-quality, cost-effective health care. With over 80 years of experience, they foster a collaborative and inclusive culture that values employee development and diversity.
Oversee the complete pre-employment process and serve as the primary point of contact for new hires from offer acceptance to onboarding.
Act as a subject matter expert on pre-employment activities, ensuring accuracy, compliance, and a seamless candidate experience.
Collaborate with recruiting, HR, and department stakeholders to improve onboarding workflows and resolve issues.
This partner company operates in the healthcare industry, focusing on mission-driven candidate onboarding and pre-employment services. It fosters a supportive and inclusive culture with remote work flexibility and career growth opportunities.
Collaborate with a multidisciplinary team to manage referrals, prior authorizations, and medical records for whole-person member care.
Apply knowledge of CPT/ICD-10 codes and insurance requirements to obtain authorizations, appeals, and follow up for positive outcomes.
Assist members with accessing services, provide personalized customer service, and track data to refine operational processes.
Oshi Health is a virtual digestive health practice transforming GI care with compassionate, multidisciplinary care and innovative technology. It is a mission-driven, remote-first startup focused on personalized care plans and building a diverse team.
Oversee the processing of initial payer applications to ensure compliance with accreditation standards and regulations.
Maintain and manage payer credentialing databases with accuracy and audit readiness.
Supervise payer credentialing staff by coordinating workloads, providing training, and monitoring performance.
Theoria Medical is a comprehensive medical group and technology company dedicated to serving patients across the care continuum with an emphasis on post-acute care and primary care. They serve facilities across the United States, offering multispecialty physician services, telemedicine, and remote patient monitoring.
Coordinate reimbursement support activities and ensure timely resolution of patient requests.
Manage case intake, documentation, and tracking to maintain accurate service records.
Monitor workflows, identify improvements, and collaborate with stakeholders to enhance service delivery.
The company is a healthcare partner focused on ensuring patient access to essential services. The culture is inclusive and collaborative, with a remote-first approach and emphasis on purpose.
Answer inbound calls and make outbound calls to participants enrolled in the Condition Management Program.
Assist participants via email and online messaging, and accurately document all participant communications.
Work independently and in a team environment with strong customer service skills; no experience required as training is provided.
Cottingham and Butler's Health and Wellness division focuses on reducing medical costs while increasing employee engagement and productivity through onsite screenings, technology, and condition management programs. They value an open-door culture where team opinions are appreciated.
Provide administrative and operations support to executives, managing complex calendars, travel, and expenses.
Coordinate internal and external communications, meeting materials, and project deliverables.
Plan company-wide events and support recruiting and onboarding efforts.
Honest Health is a healthcare company that partners with health systems, physician organizations, and payers to deliver innovative primary care solutions that elevate care and control costs. They are a startup with a collaborative culture focused on purpose, innovation, communities, and kindness.
Manage the full Authorization process, from initial notification to determination and discharge, with detailed documentation in EMR and payer systems.
Verify patient eligibility and benefits, act as a liaison between hospital staff and health payers, and track pending authorizations for timely responses.
Maintain HIPAA compliance, escalate issues causing delays or denials, and manage workloads through accurate record keeping.
CorroHealth is a partner to healthcare providers, solving revenue cycle challenges through a mix of services, consulting, and technology. The company focuses on scalability and clinical expertise, building long-term careers by investing in employee development.
Lead advanced Product Compliance activities to ensure administrative solutions align with laws and regulations.
Apply expert regulatory judgment to complex compliance inquiries and escalations using AI-enabled tools.
Partner with stakeholders to incorporate compliance requirements into strategic initiatives and operational changes.
HealthEquity is dedicated to saving and improving lives by empowering healthcare consumers through health savings accounts and related solutions. The company is a mid-to-large size organization that fosters a culture of inclusion, innovation, and continuous learning.
Adjust the most complex, high-exposure allied health claims requiring advanced technical expertise.
Conduct coverage analysis, draft reservation of rights letters, and manage litigation.
Investigate facts, set reserves, and maintain clear communication with stakeholders.
Integrated Specialty Coverages is a growth stage technology and data-driven commercial MGA and insurance wholesaler. Backed by Onex Partners, the company fosters a collaborative environment and focuses on attracting top talent to achieve exponential growth.
Translate complex benefit designs into clear, compliant documents that clients and regulators rely on.
Create, write, review, and edit Summary Plan Descriptions (SPDs) and Summary of Benefits & Coverage (SBC) documents.
Assess client intent by reviewing internal documentation and plan documents to ensure accurate plan setup.
Personify Health created the first and only personalized health platform, bringing health plan administration, wellbeing solutions, and care navigation together. Our team is mission-driven to empower people to lead healthier lives.
Administers benefit programs across assigned countries, ensuring accuracy, consistency, and compliance with local laws.
Coordinates benefit renewals, employee enrolments, and offboarding processes across US and globally.
Collaborates with payroll, HRIS, finance, and legal teams to ensure smooth operations and reporting.
Precision Medicine Group is a precision medicine company that provides services to support the development of targeted therapies. The company is an equal opportunity employer with a global team and a focus on employee benefits.
Processes referral requests and authorizations for patients, ensuring timely and accurate scheduling.
Communicates with physicians, employers, and payors to coordinate specialist referrals and obtain necessary information.
Maintains high standards of quality and patient experience while meeting production requirements.
Concentra operates over 500 medical centers and 130 onsite clinics nationwide, focusing on providing high-quality healthcare to improve the health of America's workforce. The company emphasizes a culture of outstanding patient experience and customer service.
Develop and execute innovative recruiting strategies to attract qualified healthcare professionals.
Collaborate with hiring managers to understand staffing needs and screen candidates effectively.
Manage the full recruitment lifecycle from sourcing to extending offers while ensuring compliance.
Marathon Health is a leading advanced primary care provider that partners with employers and unions to improve health for millions of Americans. The company has a nationwide network of health centers and virtual care, and is certified as a Great Place to Work® with a commitment to an inclusive, high-trust culture.
Conduct benefit investigations, insurance verification, and prior authorizations to secure timely patient access to therapies.
Manage patient case files, coordinate product ordering and shipment with pharmacies and prescribers.
Handle inbound inquiries, report adverse events, and educate stakeholders on program requirements.
Jobgether is a platform that uses AI-powered matching to connect candidates with hiring companies. They focus on efficient, objective candidate screening and share top-fitting shortlists with employers.
Serve as the primary point of contact for a high-volume portfolio of small group employer clients, managing day-to-day service needs via phone and email.
Build and maintain strong client and carrier relationships through proactive outreach and virtual meetings, handling high-level service issues with professionalism.
Support renewal processes, identify cross-sell opportunities, and maintain accurate client records in the CRM system.
CRC Benefits is an industry leading provider of benefits services. The company has earned a Top Workplaces USA award three years in a row, with a culture based on inclusion, trust, collaboration, and innovation.
Manage the full lifecycle of healthcare contract activities from request through execution.
Coordinate with legal, finance, sales, and operations teams to support complex pharmaceutical agreements.
Maintain accurate contract records and identify opportunities for process improvements.
Express Scripts is a healthcare company specializing in pharmacy benefit management and contract administration. The company fosters a collaborative, fast-paced environment with a focus on accuracy and compliance.