Operations Coordinator (Remote in Oregon)

• JOB SUMMARY / PURPOSE
• Partners and Collaborates with operations staff to ensure that benefits and programs are administered in accordance with regulatory, statutory and plan specific guidelines.

Partners with other functional areas to ensure scope specific regulatory compliance and ongoing monitoring reach goals of the plan.

Reports audit results to management, finding gaps in operational polices and processes, and develops process improvement for those areas.

Manages operational functions such as process improvement, gap analysis, operational discovery, and implementation projects, and coordinates with external vendors, internal staff and committees when necessary to create, review and amend policies, procedures, processes, projects and programs.

• DEPARTMENT DESCRIPTION
• Samaritan Health Plans (SHP) operates a portfolio of health plan products under several different legal structures : InterCommunity Health Plans, Inc.

IHN) is designated as a regional Coordinated Care Organization (CCO) for Medicaid beneficiaries; Samaritan Health Plans, Inc.

offers Medicare Advantage, Commercial Large Group, and Commercial Large Group PPO and EPO plans; SHP is also the third-party administrator for Samaritan Health Services’ self-funded employee health benefit plan.

As part of an Integrated Delivery System, Samaritan Health Plans is strategically and operationally aligned with Samaritan Health Services’ mission of Building Healthier Communities Together.

• EXPERIENCE / EDUCATION / QUALIFICATIONS
• Bachelor's degree in a related field or equivalent experience required.
• Experience and / or training developing professional written correspondence required.
• Experience and / or training utilizing Microsoft Office products to collect, analyze, and display statistical reports and maintain electronic records required.
• Project coordination experience preferred.
• Experience in a health plan leadership role preferred.
• Experience working with the Oregon Health Plan preferred.
• Experience and / or training with medical terminology preferred.
• KNOWLEDGE / SKILLS / ABILITIES
• Effective written and verbal communication skills to perform group presentations, tactfully discuss issues, and listen to and understand concepts, rules and procedures.

Ability to work with all levels within the organization, facilitate communication, and effectively document related activities.

• Ability to identify complex problems, review related information, employ creativity and alternative thinking to develop and evaluate options and implement solutions.
• PHYSICAL DEMANDS

Rarely

1 - 10% of the time)

Occasionally

11 - 33% of the time)

Frequently

34 - 66% of the time)

Continually

67 100% of the time)

CLIMB - STAIRS

LIFT (Floor to Waist : 0"-36") 0 - 20 Lbs

LIFT (Knee to chest : 24"-54") 0 20 Lbs

LIFT (Waist to Eye : up to 54") 0 - 20 Lbs

CARRY 1-handed, 0 - 20 pounds

BEND FORWARD at waist

KNEEL (on knees)

STAND

WALK LEVEL SURFACE

ROTATE TRUNK Standing

REACH - Upward

PUSH (0 - 20 pounds force)

PULL (0 - 20 pounds force)

CARRY 2-handed, 0 - 20 pounds

ROTATE TRUNK Sitting

REACH - Forward

MANUAL DEXTERITY Hands / wrists

FINGER DEXTERITY

PINCH Fingers

GRASP Hand / Fist

PI250818812