
Health Plan Quality Control Associate
Job Description
At Collective Health, we’re transforming how employers and their people engage with their health benefits by seamlessly integrating cutting-edge technology, compassionate service, and world-class user experience design.
As part of the Member Services team within Customer Experience, the Plan Operations team owns specialized processes that require close collaboration with finance, legal, product, and other internal teams. The Plan Operations -- Plan Structure, Launch & Design team (PSL&D) will be responsible for owning and further developing key processes that support and enable the Member Claims team and successful client implementations. PSL&D owns, builds, and maintains Collective Health’s core business logic and system while implementing our clients’ healthcare plans onto the Collective Health platform.
What you'll do:
- Provide subject matter expertise for all quality control activities and provide required training to maintain quality policies and procedures related to the Plans Platform ecosystem.
- Perform regular quality control activities and necessary updates on Plans Platform to ensure all benefit categories, CPT codes, etc. are current.
- Collaborate ...
The Real Dill ☘️
The employee benefits pool was an attractive area to monetize for startups - if insurers weren't willing to pay, it makes sense that employers would be looking for ways to attract (and retain) top talent, with benefits being a huge portion of it. Countless startups have ridden the employee benefits wave to superstardom (see: Hinge Health), but there is a downside - when the economy experiences a downturn, benefits are one of the first things on the chopping block. Collective Health is not immune to this, as shown by recent layoffs. However, it's hard to believe that employee benefits will totally go away - and there's always going to be a space to manage these benefits more efficiently and effectively. (August 2023)
Jon Lee, PT, DPT, OCS, FAAOMPT, MBA
Pickle co-founder
About Collective Health
Integrated software solution that makes administering company health benefit plans simpler and more insightful than traditional health insurance company solutions
MissionTo make understanding, navigating, and paying for care effortless, we've evolved the way health benefits work
Wow FactorThird-party study in 2023 from Aon estimated approximately $11 million in lower claims over five years as compared to similar control group
Company benefits
- 🦷 Dental
- 🧠 Mental health benefits
- 👀 Vision
- 📈 Stock/equity
- 🐣 Maternity/paternity leave
- 🏖️ Paid vacation leave
- 🩷 Wellness Benefits
- 🧘 Paid sabbatical
Pickle is not affiliated with listed companies unless otherwise noted.
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