Health Plan Operations Associate

Company Information

Company Name: Modern Health About: Modern Health is a mental health benefits platform for employers, offering employees access to one-on-one, group, and self-serve digital resources for their emotional, professional, social, financial, and physical well-being needs. Funding & Status: Backed by investors like Kleiner Perkins, Founders Fund, John Doerr, Y Combinator, and Battery Ventures. Raised over $170 million in less than two years, achieving Unicorn status as the fastest entirely female-founded company in the U.S. Culture:

• "It Takes a Village": High empathy and high accountability with a drive to win.
• Obsession to Win: Ambitious, passionate, and dedicated to delivering excellence and innovation.
• Accountable and Reliable: Team-oriented with transparent communication and continuous feedback.
• Empathy: Supportive and diverse culture that encourages collaboration and respect.
• Bias Towards Action: Fast-paced environment encouraging decision-making, experimentation, and iteration. Workforce & Recognition:
• Fully remote workforce.
• Recognized as World’s Most Innovative Companies of 2023 by Fast Company, Top 25 Companies of San Francisco 2023, and 2023 Well-Being Trailblazer Award.
• Requires overlapping hours for team connection; team members outside Pacific time zone must work at least six hours between 8 am and 5 pm Pacific time daily.

Position Overview

• Location Type: Remote (Specific states listed below)
• Employment Type: [Not Specified]
• Salary: [Not Specified] Role: Health Plan Operations Associate Reporting To: Health Plan Operations Senior Manager

Responsibilities

• Track claims and denials through the entire claim lifecycle.
• Manage and establish new systems to support claims processing and related areas.
• Identify gaps in claims and reach out.

Requirements

• Eligible States: AL, AZ, AR, CT, DE, FL, GA, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NC, ND, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WV, WI, WY.

Application Instructions

• If you're excited about a role, we'd love to hear from you!