Contract Operations Support Specialist

This is a fully remote position, open to applicants in Washington.

📋 Description

• Assist in the implementation of new groups by entering and validating client and member information in internal systems.

• Transfer and manage prior authorizations and associated data during group implementation activities.

• Aid implementation teams with administrative and data management responsibilities.

• Input renewal information and related documents into CRM and operational systems.

• Ensure accurate record-keeping and thorough completion of renewal documentation.

• Collaborate with Client Success teams on annual renewal processes and timelines.

• Review and audit Summary of Benefits and Coverage documentation.

• Confirm benefit details and funding amounts align with system configuration and renewal documentation.

• Detect data discrepancies and assist in making necessary corrections.

• Conduct quality checks on client and member information across various systems.

• Document audit findings and support resolution efforts.

• Review ID card requests for completeness and accuracy before submission to Technical Operations.

• Examine supporting documentation and system entries for compliance with established procedures.

• Facilitate communication and follow-up for ID card production and distribution.

• Provide administrative support to Client Success, Claims, and Care Management teams.

• Oversee data entry projects, document processing, record updates, and other administrative tasks.

• Assist with special projects and seasonal workload demands.

• Uphold confidentiality and adhere to company policies and regulatory requirements.

⛳️ Requirements

• High school diploma or equivalent is required; an associate degree is preferred.

• 5+ years of experience in administrative, operational support, data entry, customer service, healthcare administration, or a related field.

• 3+ years of experience with databases, CRM platforms, or business systems.

• 5+ years of proficiency in Microsoft Office applications, including Excel, Outlook, and Word.

• Ability to manage multiple priorities and meet deadlines in a fast-paced environment.

• Exceptional organizational, communication, and problem-solving skills.

• Capacity to maintain confidentiality while handling sensitive member and client information.

• Keen attention to detail and ability to recognize data inconsistencies and errors.

• Experience in healthcare administration, health insurance, TPA operations, or employee benefits.

• Background in supporting enrollment, implementation, renewals, claims administration, or care management functions.

• Familiarity with auditing, quality assurance, or data validation processes.

• Preferred knowledge of member eligibility, ID card processes, or benefit administration.

• Background screening is required prior to employment.

🏝️ Benefits

• Flexible work schedules accommodating individuals in all US time zones.

• Remote work options available.

• Renovated office featuring free parking, a gym, and refreshments.

• Performance management program that supports career advancement.

• Collaborative work culture.

• In-person events including an annual all-hands meeting, summer picnic, trivia night, and holiday party.

• Comprehensive benefits and time-off package.

• Opportunities for personal development and growth.