Modern Health

Health Plan Operations Associate

United States

Modern Health Logo
Not SpecifiedCompensation
Entry Level & New GradExperience Level
Full TimeJob Type
UnknownVisa
Health & Wellness, Mental Health ServicesIndustries

Requirements

The Health Plan Operations Associate should be able to track claims and denials through the entire claim lifecycle, manage and establish new systems to support claims processing, and identify gaps in claims. This role requires the candidate to reside in Alabama, Arizona, Arkansas, Connecticut, Delaware, Florida, Georgia, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Jersey, New Mexico, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Vermont, Virginia, West Virginia, Wisconsin, and Wyoming.

Responsibilities

This position involves managing and establishing new systems to support claims processing and related areas, as well as identifying gaps in claims and reaching out to resolve them. The Health Plan Operations Associate will also contribute to maintaining foundational systems and processes to support all aspects of health plan integration, including member health plan eligibility checks, medical claim submissions, claim tracking, and member payments.”} autocorrect: off`enter````jsonReply:{

Skills

Customer Service
Healthcare Operations
Mental Health Knowledge
Communication
Empathy
Team Collaboration

Modern Health

Personalized mental health care solutions for enterprises

About Modern Health

Modern Health provides personalized mental health care solutions for businesses around the world. Their platform connects employees and their families with certified coaches and licensed therapists who offer evidence-based care in over 50 languages. The service focuses on preventative care, aiming to address mental health issues before they escalate. Unlike many competitors, Modern Health emphasizes a culturally sensitive and tailored approach to mental health, ensuring that care meets the unique needs of each individual. The company partners with large corporations to include their services in employee benefits packages, which helps improve employee resilience and productivity. The goal of Modern Health is to enhance mental well-being in the workplace by making mental health care accessible and actionable.

Key Metrics

San Francisco, CaliforniaHeadquarters
2017Year Founded
$162.8MTotal Funding
SERIES_DCompany Stage
Consulting, HealthcareIndustries
501-1,000Employees

Benefits

Health and Wellness - Our benefits are designed to keep you safe and healthy. We’ve got you 100% covered for health, dental and vision insurance.
Professional Development - Make a meaningful difference at a rapidly growing start-up. We also offer every employee an annual professional development stipend, LinkedIn Learning subscription, and WFH stipend.
Family Matters - We celebrate all paths to parenthood by offering the fertility benefit Carrot, 16 weeks parental leave, and a child care stipend. We also offer access to Outschool which provides over 100,000 (and counting!) live, online activities for learners ages 3-18.
Giving Back - We encourage team members to donate their skills and time in their communities, and we match donations to causes several times a year.
Flexible Paid Time Off - Time off is important for rejuvenation and bringing your full self to work. No matter what life throws your way, we want you to have space to do so - guilt free.
Long-Term Planning - All full-time employees are eligible to contribute to a 401(k) plan. We are also proud to offer financial advising services through Origin.

Risks

Emerging competitors may offer similar services at lower costs.
AI integration may face data privacy and compliance challenges.
Expansion into physical health may dilute focus on core mental health services.

Differentiation

Modern Health offers a comprehensive mental health platform in a single app.
The platform supports 35 languages, enhancing accessibility for global users.
Modern Health integrates mental and physical health care, a unique industry approach.

Upsides

Acquisition of Anvil Health's AI tech enhances personalized mental health care.
Partnerships with high-profile figures boost brand visibility and engagement.
Recognition as a Great Place to Work strengthens company culture and employee satisfaction.

Land your dream remote job 3x faster with AI