Health Plan Operations Specialist - Own End-to-End Work (Remote)

TrueClaim; California (MO); Hybrid; USD 60,000 - 80,000; Full time

Benefits offered by this job

Medical benefits

Vision benefits

Dental benefits

Unlimited PTO

Yearly professional development budget

Job summary

TrueClaim is looking for a dedicated Health Plan Operations team member to manage various operational workflows critical to company success. You will handle enrollment, claims management, and reconcile accounts while supporting both members and providers.

This role offers the flexibility to work remotely or in-person in San Francisco with competitive benefits and unlimited PTO. The ideal candidate thrives in fast-paced environments and is ready to contribute to building something impactful.

Qualifications

• Must be willing to adapt as job requirements may evolve.
• Experience in health plan administration is a bonus.
• Strong operational focus required.

Responsibilities

• Handle enrollment and billing processes for participants.
• Manage claims submission and payment disbursement.
• Reconcile participant accounts.
• Support members and providers via multiple channels.
• Conduct audits to resolve discrepancies.

Skills

Operational workflows

Claims management

Data auditing

Customer support

Problem-solving

Job description

TrueClaim is looking for a dedicated Health Plan Operations team member to manage various operational workflows critical to company success. You will handle enrollment, claims management, and reconcile accounts while supporting both members and providers.

This role offers the flexibility to work remotely or in-person in San Francisco with competitive benefits and unlimited PTO. The ideal candidate thrives in fast-paced environments and is ready to contribute to building something impactful.